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Global, Regional, and National Quality of Care of Ischaemic Heart Disease From 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study 2017 Publisher Pubmed



Aminorroaya A1, 2 ; Yoosefi M1 ; Rezaei N1, 3 ; Shabani M4 ; Mohammadi E1 ; Fattahi N1 ; Azadnajafabad S1 ; Nasserinejad M5 ; Rezaei N1, 3 ; Naderimagham S1, 3 ; Ahmadi N1, 3 ; Ebrahimi H6 ; Mirbolouk M7, 8 ; Blaha MJ7 Show All Authors
Authors
  1. Aminorroaya A1, 2
  2. Yoosefi M1
  3. Rezaei N1, 3
  4. Shabani M4
  5. Mohammadi E1
  6. Fattahi N1
  7. Azadnajafabad S1
  8. Nasserinejad M5
  9. Rezaei N1, 3
  10. Naderimagham S1, 3
  11. Ahmadi N1, 3
  12. Ebrahimi H6
  13. Mirbolouk M7, 8
  14. Blaha MJ7
  15. Larijani B3
  16. Farzadfar F1, 3
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-e-Ahmad and Chamran Highway Intersection, Tehran, 1411713137, Iran
  2. 2. Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, United States
  5. 5. Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran
  6. 6. Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  8. 8. Department of Internal Medicine, Yale New Haven Hospital, New Haven, CT, United States

Source: European Journal of Preventive Cardiology Published:2022


Abstract

Aims: By 2030, we seek to reduce premature deaths from non-communicable diseases, including ischaemic heart disease (IHD), by one-third to reach the sustainable development goal (SDG) target 3.4. We aimed to investigate the quality of care of IHD across countries, genders, age groups, and time using the Global Burden of Diseases Study (GBD) 2017 estimates. Methods and results: We did a principal component analysis on IHD mortality to incidence ratio, disability-adjusted life-years (DALYs) to prevalence ratio, and years of life lost to years lived with disability ratio using the results of the GBD 2017. The first principal component was scaled from 0 to 100 and designated as the quality of care index (QCI). We evaluated gender inequity by the gender disparity ratio (GDR), defined as female to male QCI. From 1990 to 2017, the QCI and GDR increased from 71.2 to 76.4 and from 1.04 to 1.08, respectively, worldwide. In the study period, countries of Western Europe, Scandinavia, and Australasia had the highest QCIs and a GDR of 1 to 1.2; however, African and South Asian countries had the lowest QCIs and a GDR of 0.8 to 1. Moreover, the young population experienced more significant improvements in the QCI compared to the elderly in 2017. Conclusion: From 1990 to 2017, the QCI of IHD has improved; nonetheless, there are remarkable disparities between countries, genders, and age groups that should be addressed. These findings may guide policymakers in monitoring and modifying our path to achieve SDGs. © 2021 Published on behalf of the European Society of Cardiology. All rights reserved.
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