Research LetterGeographical affiliation with top 10 NIH-funded academic medical centers and differences between mortality from cardiovascular disease and cancer
Section snippets
Methods
Data on research center specific funding was obtained from NIH’s online repository. Annual funding of every biomedical research center from 1995 through 2014 was aggregated and the counties of the top 10 funded institutes were identified to form the index group of counties. We created a comparison cohort by matching each index county to another county which lacks an NIH-funded academic institute based on median age, sex distribution, race distribution, urban-rural distribution and median
Results
The characteristics of the index and matched counties are shown in Table I. The sociodemographic characteristics and the cardiovascular mortality in 1980 were similar in the 2 county groups.
Figure 1 shows funding amounts at the top 10 NIH-funded academic medical centers. From 1980 through 2014, the annual cardiovascular mortality rates declined in all counties.
The average decline in cardiovascular mortality rate among the index counties was 51.5 per 100,000 population (95% CI, 46.8-56.2) over
Discussion
Death from cardiovascular disease consistently and remarkably declined from 1980 to 2014 in the counties with top 10 NIH-funded medical centers. This decline was similar when compared to the socio-demographically matched counties and states with similar cardiovascular mortality at the start of the study period. Whereas oncological mortality also declined greatly during this period, the rate of decline was more pronounced in the counties that included top NIH-funded academic medical centers.
Acknowledgments
N/A.
Sources of funding
None.
Disclosures
MF, CMO, NRD, LA, FPW, RM, and TA have received funding from the NIH. All other authors had nothing to disclose.
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