Governmental efforts for cardiovascular disease prevention efforts in the Russian Federation

Pogosova, Nana; Sokolova, O Y

doi:10.21037/cdt.2017.03.01

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…This was followed by implementation of a vascular program from 2008 to 2011 that had a more specific focus on CVD and stroke. 22 …”

Section: Discussionmentioning

confidence: 99%

Stroke prevention in Europe: how are 11 European countries progressing toward the European Society of Cardiology (ESC) recommendations?

Karnad¹,

Pannelay²,

Boshnakova³

et al. 2018

RMHP

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PurposeStroke is a leading cause of death and disability, although studies show that 90% of strokes can be prevented. The evidence base for stroke prevention is well established, and this study aimed to investigate how well European countries are adopting the European Society of Cardiology (ESC) guidelines, particularly toward implementation of the recommended best practice in stroke prevention.Materials and methodsWe developed a stroke prevention scorecard – populated with World Health Organization (WHO) data, secondary research, time-series data, and a survey of 550 physicians – to benchmark 11 European countries in the context of the ESC guidelines.ResultsAll countries were found to have policies in place to manage general behavioral risk factors of noncommunicable disease (NCD), but we found that more needs to be done to address cardiovascular disease – specifically, stroke risk factors. Although ten of the countries in this study endorse the ESC cardiovascular clinical guidelines, implementation is lacking. Eight out of the 11 countries received the lowest score in regard to raising awareness around stroke, and 7 countries were found not to have a stroke registry. Among physicians surveyed in primary care it was reported that less than 30% of patients over 40 years old were screened for blood pressure, whereas even fewer were screened for atrial fibrillation; in 10 out of the 11 countries, less than 20% of patients over 65 years old were screened for atrial fibrillation.ConclusionAlthough progress is being made in managing the burden of NCDs, our findings reveal opportunities for improvement in the primary prevention of stroke. Further developments in strategic planning, raising awareness, and monitoring disease are required, as is research on barriers to the implementation of best practice screening of blood pressure and atrial fibrillation in primary care.

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“…This was followed by implementation of a vascular program from 2008 to 2011 that had a more specific focus on CVD and stroke. 22 …”

Section: Discussionmentioning

confidence: 99%

Stroke prevention in Europe: how are 11 European countries progressing toward the European Society of Cardiology (ESC) recommendations?

Karnad¹,

Pannelay²,

Boshnakova³

et al. 2018

RMHP

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“…The most recent reforms of the healthcare system in the Russian Federation began in 2005, with a renewed emphasis on tackling non-communicable disease and strengthening primary care. 6–8 The Federal Ministry of Health subscribes to the approach set out in the WHO declarations of Alma-Ata and, more recently, Astana, which advocates a focus on primary care, which has been found to deliver better health outcomes, improved accessibility, cost-containment and reduction of health inequalities in many healthcare systems. 9 The Russian primary care system is based on polyclinics offering a range of services to patients living in the surrounding communities.…”

Section: Introductionmentioning

confidence: 99%

“…9 The Russian primary care system is based on polyclinics offering a range of services to patients living in the surrounding communities. 6 7 However, since 2013, these have been supplemented by a health check programme, Dispanserizatsiya (Dispansarisation). This is reminiscent of programmes adopted since the 1920s during the Soviet period.…”

Section: Introductionmentioning

confidence: 99%

“…This is reminiscent of programmes adopted since the 1920s during the Soviet period. 7 Every 3 years, 7 or annually after the age of 40 years, 10 all persons over 18 years registered with a polyclinic are invited to attend for a general health check. Those found to have either a greater than 5% 10-year CVD risk or diagnosed CVD are invited for further check-ups.…”

Section: Introductionmentioning

confidence: 99%

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Primary care use and cardiovascular disease risk in Russian 40–69 year olds: a cross-sectional study

Petersen

Kontsevaya

McKee

et al. 2020

J Epidemiol Community Health

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BackgroundThe Russian Federation has very high cardiovascular disease (CVD) mortality rates compared with countries of similar economic development. This cross-sectional study compares the characteristics of CVD-free participants with and without recent primary care contact to ascertain their CVD risk and health status.MethodsA total of 2774 participants aged 40–69 years with no self-reported CVD history were selected from a population-based study conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015–2018. A range of co-variates related to socio-demographics, health and health behaviours were included. Recent primary care contact was defined as seeing primary care doctor in the past year or having attended a general health check under the 2013 Dispansarisation programme.ResultsThe proportion with no recent primary care contact was 32.3% (95% CI 29.7% to 35.0%) in males, 16.3% (95% CI 14.6% to 18.2%) in females, and 23.1% (95% CI 21.6% to 24.7%) overall. In gender-specific age-adjusted analyses, no recent contact was also associated with low education, smoking, very good to excellent self-rated health, no chest pain, CVD 10-year SCORE risk 5+%, absence of hypertension control, absence of hypertension awareness and absence of care-intensive conditions. Among those with no contact: 37% current smokers, 34% with 5+% 10-year CVD risk, 32% untreated hypertension, 20% non-anginal chest pain, 18% problem drinkers, 14% uncontrolled hypertension and 9% Grade 1–2 angina. The proportion without general health check attendance was 54.6%.ConclusionPrimary care and community interventions would be required to proactively reach sections of 40–69 year olds currently not in contact with primary care services to reduce their CVD risk through diagnosis, treatment, lifestyle recommendations and active follow-up.

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“…Secondly, the overall quality of healthcare has increased in Russia, resulting in increased survival; for example, the age-standardized mortality rates from myocardial infarction decreased from 47.1 to 42.9 per 100,000 inhabitants [2012-2016] [74]. Thirdly, higher survival rates may also arise from screening and early diagnosis programs such as the national universal health screening program for cancers and government-led program for screening cardiovascular risk factors and diseases [75]. Fourthly, local traditions of ICD 10 codes interpretation may lead to inappropriate coding of some dementia cases as cardiovascular or neurologic conditions instead of mental disorders [76].…”

Section: Discussionmentioning

confidence: 99%

Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study

Jesus

Landry

Hoenig

et al. 2020

IJERPH

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Background: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Secondary, cross-national analyses of data on Years Lived with Disability (YLDs) were extracted from the Global Burden of Disease Study 2017. Total physical rehabilitation needs, and those stratified per major condition groups are analyzed for the year 2017 (current needs), and for every year since 1990 (evolution over time). ANOVAs are used to detect significant yearly changes. Results: Total physical rehabilitation needs have increased significantly from 1990 to 2017 in each of the BRICS nations, in every metric analyzed (YLD Counts, YLDs per 100,000 people, and percentage of YLDs relevant to physical rehabilitation; all p < 0.01). Musculoskeletal & pain conditions were leading cause of physical rehabilitation needs across the BRICS nations but to varying degrees: from 36% in South Africa to 60% in Brazil. Country-specific trends include: 25% of South African needs were from HIV-related conditions (no other BRICS nation had more than 1%); India had both absolute and relative growths of pediatric rehabilitation needs (p < 0.01); China had an exponential growth in the per-capita needs from neurological and neoplastic conditions (p < 0.01; r2 = 0.97); Brazil had a both absolute and relative growth of needs coming from musculoskeletal & pain conditions (p < 0.01); and the Russian Federation had the highest neurological rehabilitation needs per capita in 2017 (over than three times those of India, South Africa or Brazil). Conclusions: total physical rehabilitation needs have been increasing in each of the BRICS nations, both in absolute and relative values. Apart from the common growing trend, each of the BRICS nations had own patterns for the amount, typology, and evolution of their physical rehabilitation needs, which must be taken into account while planning for health and physical rehabilitation programs, policies and resources.

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Governmental efforts for cardiovascular disease prevention efforts in the Russian Federation

Cited by 8 publications

References 5 publications

Stroke prevention in Europe: how are 11 European countries progressing toward the European Society of Cardiology (ESC) recommendations?

Stroke prevention in Europe: how are 11 European countries progressing toward the European Society of Cardiology (ESC) recommendations?

Primary care use and cardiovascular disease risk in Russian 40–69 year olds: a cross-sectional study

Physical Rehabilitation Needs in the BRICS Nations from 1990 to 2017: Cross-National Analyses Using Data from the Global Burden of Disease Study

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