A global view on the development of non communicable diseases

Wagner, Karl‐Heinz; Brath, Helmut

doi:10.1016/j.ypmed.2011.11.012

Cited by 283 publications

(199 citation statements)

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“…Globalization in term of adoption of western lifestyle by many people in the developing world, supermarket growth, urbanization, and sedentary lifestyle has certainly contributed to the increased prevalence of cardiovascular disease [5]. Moreover, prevalence of hypertension, the leading risk factor for illness worldwide, has increased dramatically in many developing countries in part related to globalization and increase prevalence of obesity.…”

Section: Discussionmentioning

confidence: 99%

Pattern, duration of stay, and outcomes of medical admissions: a report from teaching community hospital in Assir region, Saudi Arabia

Alghamdi

Abdulhak

2018

Journal of Community Hospital Internal Medicine Perspectives

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Background: Population-based studies are the gold standard to understand the burden of different diseases, plan health care policy and resource allocation, and provide an accurate estimate of disease several disease indices including mortality. However, population-based studies are difficult to undertake in a resource-limited situation where no robust data bases and disease registries are available. Therefore, hospital-based cohorts may be used to inform about the community health.Objectives: We sought to study the pattern of disease causing admission, hospital stay, and outcomes of medical admissions to King Abdullah Hospital in Bisha in order to inform clinicians, public health professionals, and policymakers about the current status of diseases within the community in Bisha.Methods:This is a cross-sectional study including all adult patients aged above 18 years who were admitted to King Abdullah Hospital in Bisha, Assir region, to medical services including general internal medicine, general cardiology, nephrology, gastroenterology, rheumatology, and neurology during the study period between 1 June 2015 and 31 May 2016. Common causes of hospital admission, outcomes of hospitalization, and length of stay were estimated and the data were presented as frequency and percentage for categorical valve and mean and standard deviation for continuous variables.Results: Cardiovascular diseases including stroke are considered the leading cause of hospital admission in a teaching community hospital in Bisha, Assir region. Diabetes mellitus and hypertension are prevalent comorbidities among hospitalized patients. Majority of admitted patients have improved and discharged home (83.3%). However, 6.7% were transferred to another facility, 4.1% have left against medical advice, and 5.9% died.Conclusion: Health-related data bases and disease registries are urgently needed to precisely estimate the burden of cardiovascular disease in Assir region in Saudi Arabia. Lifestyle changes, healthy diet, aggressive management of hypertension and diabetes within the community, and allocating necessary resources are urgently to combat the growing burden of cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Pattern, duration of stay, and outcomes of medical admissions: a report from teaching community hospital in Assir region, Saudi Arabia

Alghamdi

Abdulhak

2018

Journal of Community Hospital Internal Medicine Perspectives

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“…Specific cancer-related problems in African countries include the high percentage related to infection (36%, twice the global average),6 late patient presentation to clinical services and limited access to essential analgesics because of legal and regulatory restrictions, inadequate training of healthcare providers, procurement difficulties and weak health systems 7 8. By 2030, mortality due to NCDs will be the most common cause of death in developing countries,9 caused by ageing populations, the adoption of riskier lifestyles, and deficient diagnostic, preventive and curative treatment services. By 2020, the largest increases in NCD fatalities will occur in Africa 10…”

Section: Out Of the Shadows: Ncds And Palliative Care In Africamentioning

confidence: 99%

Out of the shadows: non-communicable diseases and palliative care in Africa

Powell¹,

Ali²,

Luyirika

et al. 2015

BMJ Support Palliat Care

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Non-communicable diseases (NCDs) in Africa have been comparatively neglected, partly due to donor-driven funding priorities. This is despite NCDs being the principal cause of mortality globally, with the majority incidence occurring in low-income and middle-income nations. Most of the patients with NCDs will suffer from pain, breathlessness and other physical symptoms, or need support with psychosocial or spiritual problems. Reflecting regional disease prevalence, late-stage clinical presentation, limited funding and restricted access to curative therapies, palliative care need in Africa is significantly high. Although palliative care provision has advanced significantly on the continent in the past decade, much of this development was driven by services for adult HIV patients. However, recent international and regional political declarations and commitments constitute a new global NCD agenda that calls for the integration of palliative care into the NCD response. This could be achieved under a chronic care model of service provision in partnership with other clinical providers in an integrated care continuum spanning prevention, early detection, diagnosis, treatment, survivorship and the end of life. Four important challenges have to be addressed if palliative care is to contribute meaningfully to this NCD agenda: (1) existing variation in the ability of countries to deal with NCDs per se; (2) ensuring clinical partners are integrated effectively with palliative care; (3) agreeing implementation is linked to relevant national-level and patient-level metrics; and (iv) underpinning palliative care and NCD care with a rigorous and locally relevant evidence base demonstrating appropriate, feasible and effective care.

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“…In the past NCD mainly afflicted developed countries, but nowadays they have become a major health problem in the developing world too and will become even more widespread. Developing countries are indeed shifting towards a western lifestyle of unhealthy diet and physical inactivity and this will enhance the rate of NCDs [Wagner 2011, Lam 2012, Hu 2011. Although some conditions do not cause death, it is important to take non-fatal conditions into account, when assessing the causes of loss of health in populations and the disability-adjusted life-years (DALYs) lost [WHO 2012a].…”

Section: Non Communicable Diseasesmentioning

confidence: 99%