Estimating the mortality rate ratio from prevalence and incidence data is numerically unstable below age 55, so the paper recommends estimating the mortality rate difference instead.
Age- and time-depende nt model of the prevalence of non- communicable diseases and application to dementia i n Germany
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Estimation of the excess mortality in chronic diseases from prevalence and incidence data
Estimating the mortality rate ratio from prevalence and incidence data is numerically unstable below age 55, so the paper recommends estimating the mortality rate difference instead.