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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessment of risk of peripheral vascular disease and vascular care capacity in Ghana</title><author><name sortKey="Gyedu, Adam" sort="Gyedu, Adam" uniqKey="Gyedu A" first="Adam" last="Gyedu">Adam Gyedu</name></author><author><name sortKey="Stewart, Barclay T" sort="Stewart, Barclay T" uniqKey="Stewart B" first="Barclay T" last="Stewart">Barclay T. Stewart</name></author><author><name sortKey="Nakua, Emmanuel" sort="Nakua, Emmanuel" uniqKey="Nakua E" first="Emmanuel" last="Nakua">Emmanuel Nakua</name></author><author><name sortKey="Quansah, Robert" sort="Quansah, Robert" uniqKey="Quansah R" first="Robert" last="Quansah">Robert Quansah</name></author><author><name sortKey="Donkor, Peter" sort="Donkor, Peter" uniqKey="Donkor P" first="Peter" last="Donkor">Peter Donkor</name></author><author><name sortKey="Mock, Charles" sort="Mock, Charles" uniqKey="Mock C" first="Charles" last="Mock">Charles Mock</name></author><author><name sortKey="Hardy, Mark A" sort="Hardy, Mark A" uniqKey="Hardy M" first="Mark A" last="Hardy">Mark A. Hardy</name></author><author><name sortKey="Yangni Angate, Koffi Herve" sort="Yangni Angate, Koffi Herve" uniqKey="Yangni Angate K" first="Koffi Herve" last="Yangni-Angate">Koffi Herve Yangni-Angate</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26560502</idno><idno type="pmc">4715606</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4715606</idno><idno type="RBID">PMC:4715606</idno><idno type="doi">10.1002/bjs.9956</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000355</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000355</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Assessment of risk of peripheral vascular disease and vascular care capacity in Ghana</title><author><name sortKey="Gyedu, Adam" sort="Gyedu, Adam" uniqKey="Gyedu A" first="Adam" last="Gyedu">Adam Gyedu</name></author><author><name sortKey="Stewart, Barclay T" sort="Stewart, Barclay T" uniqKey="Stewart B" first="Barclay T" last="Stewart">Barclay T. Stewart</name></author><author><name sortKey="Nakua, Emmanuel" sort="Nakua, Emmanuel" uniqKey="Nakua E" first="Emmanuel" last="Nakua">Emmanuel Nakua</name></author><author><name sortKey="Quansah, Robert" sort="Quansah, Robert" uniqKey="Quansah R" first="Robert" last="Quansah">Robert Quansah</name></author><author><name sortKey="Donkor, Peter" sort="Donkor, Peter" uniqKey="Donkor P" first="Peter" last="Donkor">Peter Donkor</name></author><author><name sortKey="Mock, Charles" sort="Mock, Charles" uniqKey="Mock C" first="Charles" last="Mock">Charles Mock</name></author><author><name sortKey="Hardy, Mark A" sort="Hardy, Mark A" uniqKey="Hardy M" first="Mark A" last="Hardy">Mark A. Hardy</name></author><author><name sortKey="Yangni Angate, Koffi Herve" sort="Yangni Angate, Koffi Herve" uniqKey="Yangni Angate K" first="Koffi Herve" last="Yangni-Angate">Koffi Herve Yangni-Angate</name></author></analytic><series><title level="j">The British journal of surgery</title><idno type="ISSN">0007-1323</idno><idno type="eISSN">1365-2168</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title><p id="P1">This study aimed to describe national peripheral vascular disease (PVD) risk and health burden and vascular care capacity in Ghana. The gap between PVD burden and vascular care capacity in a low- and middle-income country (LMIC) is defined and capacity improvement priorities identified.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data to estimate PVD risk factor burden were obtained from: i) World Health Organization’s Study on Global Ageing and Health (SAGE), Ghana; and ii) Institute of Health Metrics and Evaluation Global Burden of Disease database (IHME GBD). In addition, a novel nationwide assessment of vascular care capacity was performed, with 20 vascular care items assessed at 40 hospitals in Ghana. Factors contributing to specific item deficiency were also described.</p></sec><sec id="S3"><title>Results</title><p id="P3">From the SAGE database, there were 4,305 respondents aged at least 50 years with data to estimate PVD risk. Out of these 57% were at moderate to high PVD risk with ≥3 risk factors, thus giving 1,654,557 persons when extrapolated nationally. Using IHME GBD data, the estimated disability-adjusted life years incurred from PVD increased 5-fold from 1990 to 2010 (1.3 to 3.2 per 100,000 persons, respectively). Vascular care capacity assessment demonstrated marked deficiencies in items for diagnosis, perioperative and vascular surgical care. Deficiencies were most often due to absence of equipment, lack of training and technology breakage.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Risk factor reduction and management as well as optimization of current resources are paramount to avoid the large burden of peripheral vascular disease falling on healthcare systems in low- and middle-income countries that are not well equipped to handle vascular surgical care, and for which rapid development of such capacity would be difficult and expensive.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0372553</journal-id><journal-id journal-id-type="pubmed-jr-id">1907</journal-id><journal-id journal-id-type="nlm-ta">Br J Surg</journal-id><journal-id journal-id-type="iso-abbrev">Br J Surg</journal-id><journal-title-group><journal-title>The British journal of surgery</journal-title></journal-title-group><issn pub-type="ppub">0007-1323</issn><issn pub-type="epub">1365-2168</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26560502</article-id><article-id pub-id-type="pmc">4715606</article-id><article-id pub-id-type="doi">10.1002/bjs.9956</article-id><article-id pub-id-type="manuscript">NIHMS720168</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Assessment of risk of peripheral vascular disease and vascular care capacity in Ghana</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gyedu</surname><given-names>Adam</given-names></name><degrees>MD MPH</degrees><aff id="A1">Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="A2">Komfo Anokye Teaching Hospital, Kumasi, Ghana</aff></contrib><contrib contrib-type="author"><name><surname>Stewart</surname><given-names>Barclay T</given-names></name><degrees>MD MscPH</degrees><aff id="A3">Department of Surgery, University of Washington, Seattle, WA, USA</aff><aff id="A4">Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="A5">Komfo Anokye Teaching Hospital, Kumasi, Ghana</aff></contrib><contrib contrib-type="author"><name><surname>Nakua</surname><given-names>Emmanuel</given-names></name><degrees>Msc</degrees><aff id="A6">School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff></contrib><contrib contrib-type="author"><name><surname>Quansah</surname><given-names>Robert</given-names></name><degrees>MD PhD</degrees><aff id="A7">Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="A8">Komfo Anokye Teaching Hospital, Kumasi, Ghana</aff></contrib><contrib contrib-type="author"><name><surname>Donkor</surname><given-names>Peter</given-names></name><degrees>MDsc</degrees><aff id="A9">Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="A10">Komfo Anokye Teaching Hospital, Kumasi, Ghana</aff></contrib><contrib contrib-type="author"><name><surname>Mock</surname><given-names>Charles</given-names></name><degrees>MD PhD</degrees><aff id="A11">Harborview Injury Prevention & Research Center, Seattle, WA, USA</aff><aff id="A12">Department of Surgery, University of Washington, Seattle, WA, USA</aff><aff id="A13">Department of Global Health, University of Washington, Seattle, WA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Hardy</surname><given-names>Mark A</given-names></name><degrees>MD</degrees><aff id="A14">Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA</aff></contrib><contrib contrib-type="author"><name><surname>Yangni-Angate</surname><given-names>Koffi Herve</given-names></name><degrees>MD</degrees><aff id="A15">Department of Surgery, Bouake Teaching Hospital, Bouake, Cote d'Ivoire</aff><aff id="A16">Department of Thoracic and Cardio-Vascular Diseases, University of Bouake, Cote d'Ivoire</aff></contrib></contrib-group><author-notes><corresp id="CR1">Corresponding author: Barclay T Stewart, MD MscPH, University of Washington, Department of Surgery, 1959 NE Pacific St., Suite BB-487, PO Box 356410, Seattle, WA 98195-6410, Phone: 206-543-3680</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>4</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>12</day><month>11</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>1</month><year>2017</year></pub-date><volume>103</volume><issue>1</issue><fpage>51</fpage><lpage>59</lpage><pmc-comment>elocation-id from pubmed: 10.1002/bjs.9956</pmc-comment>
<abstract><sec id="S1"><title>Introduction</title><p id="P1">This study aimed to describe national peripheral vascular disease (PVD) risk and health burden and vascular care capacity in Ghana. The gap between PVD burden and vascular care capacity in a low- and middle-income country (LMIC) is defined and capacity improvement priorities identified.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Data to estimate PVD risk factor burden were obtained from: i) World Health Organization’s Study on Global Ageing and Health (SAGE), Ghana; and ii) Institute of Health Metrics and Evaluation Global Burden of Disease database (IHME GBD). In addition, a novel nationwide assessment of vascular care capacity was performed, with 20 vascular care items assessed at 40 hospitals in Ghana. Factors contributing to specific item deficiency were also described.</p></sec><sec id="S3"><title>Results</title><p id="P3">From the SAGE database, there were 4,305 respondents aged at least 50 years with data to estimate PVD risk. Out of these 57% were at moderate to high PVD risk with ≥3 risk factors, thus giving 1,654,557 persons when extrapolated nationally. Using IHME GBD data, the estimated disability-adjusted life years incurred from PVD increased 5-fold from 1990 to 2010 (1.3 to 3.2 per 100,000 persons, respectively). Vascular care capacity assessment demonstrated marked deficiencies in items for diagnosis, perioperative and vascular surgical care. Deficiencies were most often due to absence of equipment, lack of training and technology breakage.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Risk factor reduction and management as well as optimization of current resources are paramount to avoid the large burden of peripheral vascular disease falling on healthcare systems in low- and middle-income countries that are not well equipped to handle vascular surgical care, and for which rapid development of such capacity would be difficult and expensive.</p></sec></abstract><kwd-group><kwd>vascular</kwd><kwd>peripheral arterial disease</kwd><kwd>capacity</kwd><kwd>developing country</kwd><kwd>Ghana</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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