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Monday, January 17, 2005

Multinational epidemiology of stroke

The Journal : Current Issue: "Multinational epidemiology of stroke"
'It did not start as a love affair. Rather, my first encounter with MONICA was a rescue operation to save the stroke component of the research'

Several years into the WHO MONICA (Multinational Monitoring of Determinants and Trends in Cardiovascular Disease) project, many centres were failing to record stroke. Indeed, some centres had not started. Kjell Asplund became a key contributor to the stroke component of MONICA. With 34 715 million years of observation in Europe and Asia, MONICA gave an unparalleled view of trends in stroke incidence and survival. In the January issue of The Lancet Neurology, Asplund outlines seven lessons he learned from his participation in the project. "Lesson one: a very large non-commercial international stroke study is extremely cumbersome . . . and possible".

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