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Evidence-Based Disease Management: Its Role in Cardiovascular Risk Reduction

机译:循证疾病管理:其在降低心血管疾病风险中的作用

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Cardiovascular disease remains the most pressing healthcare problem in the United States. Traditional risk factors-hypertension, obesity, and diabetes-are still unresolved issues; and new risk factors-pre-diabetes, insulin resistance, and pediatric and adolescent diabetes-have emerged. There is an urgent need to identify the risk factors for cardiovascular disease, and address risk reduction with disease management and treatment for each factor, based on qualitative and quantitative approaches for developing the evidence base for public health action. The objectives of this paper are to review (ⅰ) the burden of cardiovascular illness-morbidity, mortality, and cost; (ⅱ) risk factors and the emerging epidemic of adolescent obesity; (ⅲ) the challenges of attaining target endpoints; and (ⅳ) the attributes of a successful programmatic healthcare initiative for potential impact on cardiovascular care and, eventually, public health.
机译:心血管疾病仍然是美国最紧迫的医疗保健问题。传统的危险因素-高血压,肥胖和糖尿病-仍未解决。并且出现了新的危险因素,即糖尿病前期,胰岛素抵抗以及小儿和青少年糖尿病。迫切需要确定心血管疾病的危险因素,并基于定性和定量方法为公共卫生行动建立证据基础,并通过疾病管理和针对每种因素的治疗来降低风险。本文的目的是回顾(ⅰ)心血管疾病的负担-发病率,死亡率和成本; (ⅱ)危险因素和青少年肥胖的流行; (ⅲ)达到目标终点的挑战; (ⅳ)成功的计划性医疗保健举措对心血管保健以及最终对公共健康的潜在影响。

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