Models to Predict the Burden of Cardiovascular Disease Risk in a Rural Mountainous Region of Vietnam

Nguyen, Thi Phuong Lan; Schuiling-Veninga, Catharina C M; Nguyen, Thi Bach Yen; Hằng, Vũ Thị Thu; Wright, E. Pamela; Postma, Maarten J.

doi:10.1016/j.vhri.2014.03.003

Cited by 10 publications

(22 citation statements)

References 32 publications

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“…For example, there was no model to predict CVD risk or relative risk of treatment versus no treatment for hypertension or CVD. However, we had previously shown that an existing Asian model may be appropriate to predict CVD in Vietnam, as used in this study [14]. We also applied the results from a meta-analysis among Asian studies, which seems reasonable to weight the different CVD components and estimate the RR of treatment for HBP [3].…”

Section: Discussionmentioning

confidence: 99%

“…We previously conducted community screening for hypertension among currently untreated, undiagnosed adults aged 35-64 years, measuring BP during two visits [14]. Individual cases with BP in the hypertensive range were confirmed by a doctor at the CHS.…”

Section: Screening and Hypertension Managementmentioning

confidence: 99%

“…Individual cases with BP in the hypertensive range were confirmed by a doctor at the CHS. The details of this field work were described previously [14]. For the non-screening scenario/current practice, patients are assumed to visit the CHS for diagnosis and management when they have symptoms of hypertension.…”

Section: Screening and Hypertension Managementmentioning

confidence: 99%

“…We started with a known population, for which data on age, sex, BP, cholesterol level and smoking status were available. The Asia Cardiovascular Risk Prediction model was applied to estimate the cumulative eight-year CVD risk (fatal CVD, MI, cerebrovascular diseases) for hypertensive patients [14,18], subsequently converted into annual probabilities [17]. Notably, as mentioned above, age, sex, BP, smoking, and cholesterol level were used to predict CVD risk [18].…”

Section: Transition Probabilities and Relative Risksmentioning

confidence: 99%

“…Notably, as mentioned above, age, sex, BP, smoking, and cholesterol level were used to predict CVD risk [18]. These data were extracted from our fieldwork because we could not access data from the national survey [14]. Probabilities were classified into two categories: fatal CVD and non-fatal CVD.…”

Section: Transition Probabilities and Relative Risksmentioning

confidence: 99%

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Cost-Effectiveness Analysis of Screening for and Managing Identified Hypertension for Cardiovascular Disease Prevention in Vietnam

Nguyen

Wright

Nguyen³

et al. 2016

Value in Health

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ObjectiveTo inform development of guidelines for hypertension management in Vietnam, we evaluated the cost-effectiveness of different strategies on screening for hypertension in preventing cardiovascular disease (CVD). MethodsA decision tree was combined with a Markov model to measure incremental cost-effectiveness of different approaches to hypertension screening. Values used as input parameters for the model were taken from different sources. Various screening intervals (one-off, annually, biannually) and starting ages to screen (35, 45 or 55 years) and coverage of treatment were analysed. We ran both a ten-year and a lifetime horizon. Input parameters for the models were extracted from local and regional data. Probabilistic sensitivity analysis was used to evaluate parameter uncertainty. A threshold of three times GDP per capita was applied. ResultsCost per quality adjusted life year (QALY) gained varied in different screening scenarios. In a ten-year horizon, the cost-effectiveness of screening for hypertension ranged from cost saving to Int$ 758,695 per QALY gained. For screening of men starting at 55 years, all screening scenarios gave a high probability of being cost-effective. For screening of females starting at 55 years, the probability of favourable cost-effectiveness was 90% with one-off screening. In a lifetime horizon, cost per QALY gained was lower than the threshold of Int$ 15,883 in all screening scenarios among males. Similar results were found in females when starting screening at 55 years. Starting screening in females at 45 years had a high PLOS ONE |

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Section: Discussionmentioning

confidence: 99%

Section: Screening and Hypertension Managementmentioning

confidence: 99%

Section: Screening and Hypertension Managementmentioning

confidence: 99%

Section: Transition Probabilities and Relative Risksmentioning

confidence: 99%

Section: Transition Probabilities and Relative Risksmentioning

confidence: 99%

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Cost-Effectiveness Analysis of Screening for and Managing Identified Hypertension for Cardiovascular Disease Prevention in Vietnam

Nguyen

Wright

Nguyen³

et al. 2016

Value in Health

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Psychological changes of Vietnamese farmers in the context of implementing market economy

Dung

Tran

2020

E3S Web Conf.

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Farmer psychology has been formed in line with the historical periods of Vietnamese society. This has exerted a great influence on the production and daily activities of farmers. This study aims to identify the psychological changes of Vietnamese farmers in the context of Vietnam’s implementing market mechanisms on three aspects: Farmers’ perceptions, emotions and behaviors. Our research results show that the majority of farmers in the survey have shown a change in awareness. They recognize the need to produce products that are marketed instead of consumed as before. Farmers today are no longer intimately attached to their fields and hometown as in the past. They are willing to do other jobs and go to other places with better incomes. Their behavior has shifted from subsistence production to commercial production

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Prevalence of Hypertension in Low- and Middle-Income Countries

et al. 2015

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Models to Predict the Burden of Cardiovascular Disease Risk in a Rural Mountainous Region of Vietnam

Cited by 10 publications

References 32 publications

Cost-Effectiveness Analysis of Screening for and Managing Identified Hypertension for Cardiovascular Disease Prevention in Vietnam

Cost-Effectiveness Analysis of Screening for and Managing Identified Hypertension for Cardiovascular Disease Prevention in Vietnam

Psychological changes of Vietnamese farmers in the context of implementing market economy

Prevalence of Hypertension in Low- and Middle-Income Countries

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