Preview

Rational Pharmacotherapy in Cardiology

Advanced search

ASSOCIATION OF RISK FACTORS FOR NON-COMMUNICABLE DISEASES WITH HEALTH CARE RESOURCES UTILIZATION AND TEMPORARY DISABILITY ACCORDING TO DATA OF POPULATION STUDY IN RUSSIAN FEDERATION

https://doi.org/10.20996/1819-6446-2018-14-1-70-76

Full Text:

Abstract

Aim. To analyze the associations of health care system resources utilization and temporary disability (TD) with the main risk factors (RF) for cardiovascular diseases (CVD) in working age population based on ESSE-RF study data.

Material and methods. The analysis was based on ESSE-RF study data (13 regions of the Russian Federation). Standard epidemiological survey methods and evaluation criteria were used. The analysis included results of a survey of the ESSE-RF study participants about the utilization of health services and TD during last 12 months. Average number of outpatient visits, hospitalizations (including duration of in-hospital treatment and number of cases), ambulance calls and TD (a number of days and cases) per one study participant and associations with RF for CVD were estimated. We conducted a comparative analysis of the utilization of health services and TD in association with cardiovascular RF, also logistic regression analysis was performed to predicting the likelihood of outpatient visits, hospitalizations, ambulance calls and TD.

Results. A total of 21,923 individuals in the 25-64 age group were included: men – 8,373 (38%) and women – 13,550 (62%). Number of men who was hospitalized significantly increased in group with tobacco consumption (1,41; p<0,05) and obesity (1,32; p<0,05), also number of participants who call to ambulance increased among smoking men (1,41; p<0,05) and with hyperglycemia (1,38; p<0,05), at the same time number of persons with cases of TD significantly increased just only among smokers (1,29; p<0,05). At the same time, number of women who used health services (exclude in-hospital treatment) and who had a case of TD was significantly increased just only among smokers. The frequency of the utilization of health services and TD cases, the average number of days of hospitalizations and days of TD cases for 1 person depending on the presence/absence of RF had small difference in both men and women. Female obesity is the most resource-intensive RF, as well as male smoking, and was associated with an increase in the likelihood of using all types of medical care and TD cases. Smoking and hyperglycemia significantly increased the likelihood of utilization the most of health services in women, whereas in men hyperglycemia increased only the probability of ambulance calls (1,38; p<0,05), and obesity – only hospitalizations (1,32; p<0,05). Hypertension significantly affected only to ambulance calls in both men and women. Hypercholesterolemia was associated with decreased likelihood of the utilization health services in men.

Conclusion. So, there is a significant association of the health care utilization with the RF depending on the type of medical care, sex and RF.

About the Authors

E. I. Suvorova
National Medical Research Center for Preventive Medicine
Russian Federation

Evgenia I. Suvorova – Junior Researcher, Laboratory of Economic Analysis of Epidemiological Research and Preventive Technologies, Department of Epidemiology of Chronic Non-Communicable Diseases 

Petroverigsky per. 10, Moscow, 101990



S. A. Shalnova
National Medical Research Center for Preventive Medicine
Russian Federation

Svetlana A. Shalnova – MD, PhD, Professor, Head of Department of Epidemiology of Chronic Non-Communicable Diseases 

Petroverigsky per. 10, Moscow, 101990



A. V. Kontsevaya
National Medical Research Center for Preventive Medicine
Russian Federation

Anna V. Kontsevaya – MD, PhD, Deputy Director for Scientific and Analytical Work 

Petroverigsky per. 10, Moscow, 101990



A. D. Deev
National Medical Research Center for Preventive Medicine
Russian Federation

Alexander D. Deev – PhD (in Physics and Mathematics), Head of Laboratory of Biostatistics 

Petroverigsky per. 10, Moscow, 101990



A. V. Kapustina
National Medical Research Center for Preventive Medicine
Russian Federation

Anna V. Kapustina – MD, PhD, Senior Researcher, Department of Epidemiology of Chronic Non-Communicable Diseases 

Petroverigsky per. 10, Moscow, 101990



Yu. A. Balanova
National Medical Research Center for Preventive Medicine
Russian Federation
Yulia A. Balanova – MD, PhD, Leading Researcher, Department of Epidemiology of Chronic Non-Communicable Diseases


References

1. Cook J., Drummond M., Heyse J.F. Economic endpoints in clinical trials. Statistical Methods in Medical Research. 2004;13:157-76. doi: 10.1093/epirev/24.1.80.

2. Ramsey S, Willke R, Briggs A, Good research practices for cost-effectiveness analysis alongside clinical trials: the ISPOR RCT-CEA Task Force report. Value Health. 2005;8(5):521-33. doi: 10.1111/j.1524-4733.2005.00045.x.

3. Boccolini С.S., de Souza Junior P.R. Inequities in Healthcare utilization: results of the Brazilian National Health Survey, 2013. International Journal for Equity in Health. 2016;15:150. doi: 10.1186/s12939016-0444-3.

4. Leggett L.E., Khadaroo R.G., Holroyd-Leduc J. et al. Measuring Resource Utilization: A Systematic Review of Validated Self-Reported Questionnaires. Medicine 2016; 95(10):e2759. doi: 10.1097/MD.0000000000002759.

5. Oganov R.G., Kontsevaya A.V., Kalinina A.M. State Economic Burden of Cardiovascular Diseases in the Russian Federation. Cardiovascular Therapy and Prevention. 2011;10(4):4-9. (In Russ.) [Оганов Р.Г., Концевая А.В., Калинина А.М. Экономический ущерб от сердечно-сосудистых заболеваний в Российской Федерации. Кардиоваскулярная Терапия и Профилактика. 2011;10(4):4-9].

6. Wacker M., Holle R., Heinrich J. et al. The association of smoking status with healthcare utilisation, productivity loss and resulting costs: results from the population-based KORA F4 study. BMC Health Services Research. 2013;13:278. doi: 10.1186/1472-6963-13-278.

7. Boudreau D.M., Malone D.C., Raebel M.A. et al. Health care utilization and costs by metabolic syndrome risk factors. Metabolic syndrome and related disorders. 2009;7(4):305-14. doi: 10.1089/met.2008.0070.

8. Boitsov S.A., Chazov E.I., Shlyakhto E.V., Shalnova S.A. et al. Epidemiology of cardiovascular diseases in different regions of Russia (ESSE-RF). The rationale for and design of the study. Profilakticheskaya Meditsina. 2013;16(6):25-34. (In Russ.) [Бойцов С.А., Чазов Е. И., Шляхто Е.В., Шальнова С.А. и др. Эпидемиология сердечно-сосудистых заболеваний в различных регионах России (ЭССЕРФ). Обоснование и дизайн исследования. Профилактическая Медицина. 2013;16(6):25-34].

9. Boytsov S. A., Balanova Yu. A., Shalnova S. A. et al. Arterial hypertension among individuals of 25-64 years old: prevalence, awareness, treatment and control. By the data from ECCD. Cardiovascular Therapy and Prevention. 2014;13(4):4-14. (In Russ.) [Бойцов С.А., Баланова Ю.А., Шальнова С.А. и др. Артериальная гипертония среди лиц 25-64 лет: распространенность, осведомленность, лечение и контроль. По материалам исследования ЭССЕ. Кардиоваскулярная Терапия И Профилактика. 2014;13(4):4-14.] doi: 10.15829/1728-8800-2014-4-4-14.

10. Muromtseva G.A., Kontsevaya A.V., Konstntinov V.V., et al. The prevalence of non-infectious diseases risk factors in russian population in 2012-2013 years. The results of ECVD-RF. Cardiovascular Therapy and Prevention. 2014;13(6):4-11. (In Russ.) [Муромцева Г.А., Концевая А.В., Константинов В.В. и др. Распространенность факторов риска неинфекционных заболеваний в российской популяции в 2012-2013гг. Результаты исследования ЭССЕ-РФ. Кардиоваскулярная Терапия и Профилактика. 2014;13(6):4-11] doi: 10.15829/1728-8800-2014-6-4-11.

11. Mancia G., Fagard R., Narkiewicz K. et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension. Journal of Hypertension. 2013;31(7):1281-357. doi: 10.3109/08037051.2013.812549.

12. Shkolnikova M., Shalnova S., Shkolnikov V.M. et al. Biological mechanisms of disease and death in Moscow: rationale and design of the survey on Stress Aging and Health in Russia (SAHR). BMC Public Health. 2009;9(1):293. doi: 10.1186/1471-2458-9-293.

13. Valero-Elizondo J., Salami J.A., Ogunmoroti O. Favorable Cardiovascular Risk Profile Is Associated with Lower Healthcare Costs and Resource Utilization: The 2012 Medical Expenditure Panel Survey. Circulation: Cardiovascular Quality and Outcomes. 2016;9(2):143-53. doi: 10.1161/CIRCOUTCOMES. 115.002616.

14. Natarajan S., Nietert P.J. Hypertension, diabetes, hypercholesterolemia, and their combinations increased health care utilization and decreased health status. Journal of Clinical Epidemiology. 2004;57(9):954-61. doi: 10.1016/j.jclinepi.2004.01.011.

15. Vals K., Kiivet R.A., Leinsalu M. Alcohol consumption, smoking and overweight as a burden for health care services utilization: a cross-sectional study in Estonia. BMC Public Health. 2013;13(1):772. doi: 10.1186/1471-2458-13-772.

16. Shalnova S. A., Deev A. D., Balanova Yu. A. Twenty years trends of obesity and arterial hypertension and their association in Russia. Cardiovascular Therapy and Prevention 2017;16(4):4-10. (In Russ.) [Шальнова С.А., Деев А.Д., Баланова Ю.А. и др. Двадцатилетние тренды ожирения и артериальной гипертонии и их ассоциации в России. Кардиоваскулярная Терапия и Профилактика 2017; 16 (4): 4-10]. doi: 10.15829/1728-8800-2017-4-4-10.

17. Musich S., MacLeod S., Bhattarai G.R. et al. The impact of obesity on health care utilization and expenditures in a medicare supplement population. Gerontology & geriatric medicine 2016; 2:1-9. doi: 10.1177/2333721415622004.

18. Schlichthorst M., Sanci L.A., Pirkis J. et al. Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilisation among a cohort of Australian men. BMC Public Health. 2016;16(S3):1028. doi: 10.1186/s12889-016-3706-5.

19. Nago N., Ishikawa S., Goto T., Kayaba K. Low Cholesterol is Associated With Mortality From Stroke, Heart Disease, and Cancer: The Jichi Medical School Cohort Study. Journal of Epidemiology. 2011;21(1):67-74. doi: 10.2188/jea.JE20100065.

20. Bae J.M., Yang Y.J., Li Z.M., Ahn .-O. Low Cholesterol is Associated with Mortality from Cardiovascular Diseases: A Dynamic Cohort Study in Korean Adults. Journal of Korean Medical Science. 2012;27(1):58. doi: 10.3346/jkms.2012.27.1.58.


For citation:


Suvorova E.I., Shalnova S.A., Kontsevaya A.V., Deev A.D., Kapustina A.V., Balanova Y.A. ASSOCIATION OF RISK FACTORS FOR NON-COMMUNICABLE DISEASES WITH HEALTH CARE RESOURCES UTILIZATION AND TEMPORARY DISABILITY ACCORDING TO DATA OF POPULATION STUDY IN RUSSIAN FEDERATION. Rational Pharmacotherapy in Cardiology. 2018;14(1):70-76. (In Russ.) https://doi.org/10.20996/1819-6446-2018-14-1-70-76

Views: 118


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)