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1999 to 2023 age-adjusted mortality data for operationally defined advanced cardiovascular–kidney–metabolic (CKM) stages from CDC WONDER death certificates. The dataset includes annual rates, trends, and state- and county-level mapping for stages 4 and 4b, authored by Kaide Xia and last updated in 2026. Overall mortality declined but reversed in the past decade, with a high-burden belt identified across the Deep South and Appalachia.
Primary data file is a DOCX document (4.9 MB); data may require extraction from textual or tabular formats within the file.