The year in epidemiology, health services research, and outcomes research.

摘要

Many interesting and important reports were published in the past year (roughly July 2009 through June 2010) in the fields of epidemiology, health services research, and outcomes research. We have chosen a few of the highlights to discuss here, necessarily leaving aside some excellent work.Secular Trends in Cardiovascular Outcomes The rise of ischemic heart disease during the first half of the 20th century was followed by a progressive decline in the second half of the century. Several recent reports now document that this decline has continued into the first decade of the 21st century. Trends in the incidence of acute myocardial infarction (MI) might be affected by the adoption of more sensitive biomarkers (troponins) as the diagnostic standard.