Correspondence
In response to the article by S. Trias-Llimós: «The importance of alcohol-related mortality estimates in Spain»
Réplica a S. Trias-Llimós: «La importancia de las estimaciones de mortalidad relacionadas con el alcohol en España»
J. Montes-Santiago
Servicio de Medicina Interna, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain
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Trias-Llimós: «The importance of alcohol-related mortality estimates in Spain»" "tieneTextoCompleto" => true "saludo" => "Dear Director," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "145" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Montes-Santiago" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Montes-Santiago" "email" => array:1 [ 0 => "julio.montes.santiago@sergas.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Interna, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a S. Trias-Llimós: «La importancia de las estimaciones de mortalidad relacionadas con el alcohol en España»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The correspondence by Trías-Llimós<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> regarding our study “Alcohol abuse numbers in Spain”<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> states that the criteria employed in our estimate of annual deaths are inadequate because they include items that are poorly related to alcohol such as laryngeal and esophageal cancer. We agree with the author that certain items can show a less close relationship than others with alcohol-related mortality and that calculating alcohol-related mortality is complex. However, the author minimizes the fact that, as described in the methodology, our data are based on the successive reports on “Patterns of mortality in Spain (2008, 2010 and 2015)”<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> of the Spanish Ministry of Health, Social Services and Equality, with data updated for 2016 with identical methodology. These reports constitute official, comprehensive publications and are, as far as we know, the most reliable source on this material in Spain. These reports can also be instantly consulted and extrapolated for successive years with identical methodology and, above all, show comparative long-term trends. This last aspect is extremely relevant for designing preventive policies for combating alcohol-related mortality.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The other available source is the data estimates of the Global Burden of Disease (GBD) for Spain.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> For comparison, the GBD estimated alcohol-related deaths (2016) at 31,688 (22,447–41,865), while our data place the number at 23,876. Therefore, our estimate is included in the confidence interval of the GBD estimate, although the figure is lower. As Trías-Llimós points out, however, the GBD appears to overestimate alcohol-related mortality, especially in advanced ages. We agree with the author that proper completion of death certificates can improve the estimates for alcohol-related mortality in Spain.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Our study also shows data estimates on emergency department visits, hospitalizations, traffic accidents, fetal impairment, etc., which demonstrated the magnitude of alcohol-related problems in Spain. Verified quality information is undoubtedly the basis for preventing alcohol-related mortality and implementing measures, with a special emphasis on the most vulnerable populations (e.g., pregnant women, drivers, the young), which will help control this problem.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-09-16" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Montes-Santiago J. Réplica a S. 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"fecha" => "2019" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Las cifras del abuso de alcohol en España: cerca de 420.000 muertes en el siglo actual" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Montes-Santiago" 1 => "M. Roseiro-Sordo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Clínica Esp." "fecha" => "2018" "volumen" => "218" "paginaInicial" => "386" "paginaFinal" => "388" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patrones de mortalidad en España, 2008, 2011, 2015)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Ministerio de Sanidad" 1 => "Servicios Sociales e Igualdad" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2018" "editorial" => "Ministerio de Sanidad, Servicios Sociales e Igualdad" "editorialLocalizacion" => "Madrid" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://www.msssi.gob.es/estadEstudios/estadisticas/estadisticas/estMinisterio/mortalidad/docs/PatronesMortalidad2015.pdf" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "GBD 2107. Institute for Health Metrics and Evaluation. University of Washington. [consultado 09/09/2019]. Disponible en: <a target="_blank" href="https://vizhub.healthdata.org/gbd-compare">https://vizhub.healthdata.org/gbd-compare</a>." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000002/v1_202002180732/S2254887420300059/v1_202002180732/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000002/v1_202002180732/S2254887420300059/v1_202002180732/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887420300059?idApp=WRCEE" ]
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