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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1998 Jul;52(7):412–415. doi: 10.1136/jech.52.7.412

Age at death and rectangularisation of the survival curve: trends in Switzerland, 1969-1994

F Paccaud, P Sidoti, A Marazzi, J Mili
PMCID: PMC1756734  PMID: 9799873

Abstract

OBJECTIVE: To check if signs of rectangularisation of the survival curve appeared during recent decades in Switzerland--that is, if life expectancy is approaching a maximum with a clustering of age at death around an average value (the so called "compression of mortality"). METHODS: Descriptive analysis of age of death and its trends over 26 years, as characterised by the modal value, median, and various percentiles beyond the median. POPULATION: All deaths occurring after the 50th birthday in Switzerland between 1969 and 1994 (n = 1,390,362). MAIN RESULTS: Age at death is increasing at a sustained rate at all percentiles equal or greater than 50, without any slow down in the trend during this period. The increase is more marked among women. Rates of increase are diminishing as the percentiles of age at death are higher, suggesting some clustering of deaths beyond the median value. However, the maximum age at death, if any, seems to be far from the current median values, even for women who enjoy a relatively high median age at death.

 

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Selected References

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  1. Brooks A., Lithgow G. J., Johnson T. E. Mortality rates in a genetically heterogeneous population of Caenorhabditis elegans. Science. 1994 Feb 4;263(5147):668–671. doi: 10.1126/science.8303273. [DOI] [PubMed] [Google Scholar]
  2. Carey J. R., Liedo P., Orozco D., Vaupel J. W. Slowing of mortality rates at older ages in large medfly cohorts. Science. 1992 Oct 16;258(5081):457–461. doi: 10.1126/science.1411540. [DOI] [PubMed] [Google Scholar]
  3. Christensen K., Vaupel J. W. Determinants of longevity: genetic, environmental and medical factors. J Intern Med. 1996 Dec;240(6):333–341. doi: 10.1046/j.1365-2796.1996.d01-2853.x. [DOI] [PubMed] [Google Scholar]
  4. Fries J. F. Aging, natural death, and the compression of morbidity. N Engl J Med. 1980 Jul 17;303(3):130–135. doi: 10.1056/NEJM198007173030304. [DOI] [PubMed] [Google Scholar]
  5. Go C. G., Brustrom J. E., Lynch M. F., Aldwin C. M. Ethnic trends in survival curves and mortality. Gerontologist. 1995 Jun;35(3):318–326. doi: 10.1093/geront/35.3.318. [DOI] [PubMed] [Google Scholar]
  6. Gruenberg E. M. The failures of success. Milbank Mem Fund Q Health Soc. 1977 Winter;55(1):3–24. [PubMed] [Google Scholar]
  7. Kenyon C., Chang J., Gensch E., Rudner A., Tabtiang R. A C. elegans mutant that lives twice as long as wild type. Nature. 1993 Dec 2;366(6454):461–464. doi: 10.1038/366461a0. [DOI] [PubMed] [Google Scholar]
  8. Lentzner H. R., Pamuk E. R., Rhodenhiser E. P., Rothenberg R., Powell-Griner E. The quality of life in the year before death. Am J Public Health. 1992 Aug;82(8):1093–1098. doi: 10.2105/ajph.82.8.1093. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lubitz J., Beebe J., Baker C. Longevity and Medicare expenditures. N Engl J Med. 1995 Apr 13;332(15):999–1003. doi: 10.1056/NEJM199504133321506. [DOI] [PubMed] [Google Scholar]
  10. Manton K. G., Stallard E. Longevity in the united states: age and sex-specific evidence on life span limits from mortality patterns 1960-1990. J Gerontol A Biol Sci Med Sci. 1996 Sep;51(5):B362–B375. doi: 10.1093/gerona/51a.5.b362. [DOI] [PubMed] [Google Scholar]
  11. Manton K. G., Tolley H. D. Rectangularization of the survival curve: implications of an ill-posed question. J Aging Health. 1991 May;3(2):172–193. doi: 10.1177/089826439100300204. [DOI] [PubMed] [Google Scholar]
  12. Myers G. C., Manton K. G. Compression of mortality: myth or reality? Gerontologist. 1984 Aug;24(4):346–353. doi: 10.1093/geront/24.4.346. [DOI] [PubMed] [Google Scholar]
  13. Nusselder W. J., Mackenbach J. P. Rectangularization of the survival curve in The Netherlands, 1950-1992. Gerontologist. 1996 Dec;36(6):773–782. doi: 10.1093/geront/36.6.773. [DOI] [PubMed] [Google Scholar]
  14. Nusselder W. J., van der Velden K., van Sonsbeek J. L., Lenior M. E., van den Bos G. A. The elimination of selected chronic diseases in a population: the compression and expansion of morbidity. Am J Public Health. 1996 Feb;86(2):187–194. doi: 10.2105/ajph.86.2.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Olshansky S. J., Carnes B. A., Cassel C. In search of Methuselah: estimating the upper limits to human longevity. Science. 1990 Nov 2;250(4981):634–640. doi: 10.1126/science.2237414. [DOI] [PubMed] [Google Scholar]
  16. Olshansky S. J. Simultaneous/multiple cause-delay (SIMCAD): an epidemiological approach to projecting mortality. J Gerontol. 1987 Jul;42(4):358–365. doi: 10.1093/geronj/42.4.358. [DOI] [PubMed] [Google Scholar]
  17. Rothenberg R., Lentzner H. R., Parker R. A. Population aging patterns: the expansion of mortality. J Gerontol. 1991 Mar;46(2):S66–S70. doi: 10.1093/geronj/46.2.s66. [DOI] [PubMed] [Google Scholar]
  18. Schächter F., Cohen D., Kirkwood T. Prospects for the genetics of human longevity. Hum Genet. 1993 Jul;91(6):519–526. doi: 10.1007/BF00205074. [DOI] [PubMed] [Google Scholar]
  19. Sugawara O., Oshimura M., Koi M., Annab L. A., Barrett J. C. Induction of cellular senescence in immortalized cells by human chromosome 1. Science. 1990 Feb 9;247(4943):707–710. doi: 10.1126/science.2300822. [DOI] [PubMed] [Google Scholar]
  20. Vaupel J. W., Gowan A. E. Passage to Methuselah: some demographic consequences of continued progress against mortality. Am J Public Health. 1986 Apr;76(4):430–433. doi: 10.2105/ajph.76.4.430. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Watkin D. M. Goal: "rectangularize" survival; objective: change behavior. Clin Geriatr Med. 1987 May;3(2):237–252. [PubMed] [Google Scholar]

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