Chronic liver disease: mortality

Data on trends on chronic liver disease (CLD) mortality in Scotland are presented below.

The excel file CLD mortality rates - Scotland, overall and by sex (17Kb) show trends in CLD mortality by European age standardised rates (EASRs) in Scotland, between 2000 and 2015, overall and by sex in Chart 1 (view chart)
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• There were approximately 15 CLD deaths per 100,000 population in Scotland in 2015.
• In general, CLD mortality rates decreased between 2003 and 2012 and have remained relatively static over the most recent 3 years.
• In 2015, male mortality rates for CLD were almost twice those for women (19 per 100,000 in males compared to 11 per 100,000 population for males).  Since 2014, mortality rates have increased by 10% for women but decreased by 10% for males.

In the Excel file CLD mortality rates – Scotland by age (23Kb) CLD age-specific mortality rates in Scotland , between 1982 and 2015, are presented. In summary, Chart 2 (view chart)
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• In 2015, CLD mortality rates were highest in people aged 55-64 years (35 per 100,000 population)
• Between 2003 and 2015, CLD mortality rates have decreased across all age groups.

In the Excel file CLD mortality rates – Scotland by conditions (22Kb), show trends in CLD mortality rates by condition for Scotland, between 1982 and 2015. In summary, Chart 3 (view chart)
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• Since 2003, the mortality rate for alcoholic liver disease has decreased, from 25 per 100,000 population to 15 per 100,000 population.
• The majority of CLD mortality is due to alcoholic liver disease, the proportion of mortality associated with alcoholic liver disease has increased from 37% in 1979 [Scottish Government 2008] to 82% in 2015.

The Excel file CLD mortality rates - NHS Boards (19Kb) shows trends in CLD mortality (EASRs) for NHS Boards in Scotland, between 1982 and 2015. In summary:

• Mortality rates in 2015 are highest in NHS Lanarkshire and NHS Greater Glasgow and Clyde,
• From a peak in 2003, the CLD mortality rate in NHS Greater Glasgow and Clyde has fallen by almost 60% (from 45 to 19 per 100,000 in 2015).  The reduction seen in national mortality rates was 41% (from 25 to 15 per 100,000).

The Excel file CLD mortality rates – Scotland by deprivation (22Kb) shows the trends in chronic liver disease (CLD) mortality rates (EASRs) in Scotland between 1996 and 2015, by Scottish Index of Multiple Deprivation deciles. In summary, Chart 4 (view chart)
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• In 2015, CLD mortality rates were almost 6 times higher in the most deprived decile (34 per 100,000 population) compared to the least deprived decile (6 per 100,000).
• The gap between the most and least deprived decile has narrowed from a peak in 2002 when mortality rates were more than 11 times higher in the most deprived compared to the least deprived against 5.4 times higher in 2015.
• Mortality rates have fallen across all deprivation deciles between 2003 and 2015. The largest (absolute) reductions have been in the most deprived deciles.