Current Gaps in the Control of Cardiovascular Disease in Vietnam: A Systematic Review of Vietnamese-based Studies

A. Dao, Huy van Nguyen, H. L. Nguyen, J. Allison, Tung Duc Le, Ngoc Hong Bui, Huong Thi Thu Nguyen, Phuong The Nguyen, P. Le, Tien Van Nguyen, Germán Chiriboga, Robert J. Goldberg, H. T. Nguyen
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Abstract

Cardiovascular disease (CVD) is the leading cause of death among all non-communicable diseases (NCDs) in Vietnam. The objectives of the present study were to analyse contemporary gaps in CVD control studies, which were published in Vietnam between 2013 and 2017. A systematic literature review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Research articles written in English or Vietnamese, published between 2013 and 2017, and focused on the four main WHO themes of CVD control were identified. Among 11,385 Vietnamese-based CVD studies published during this period, only 119 studies (1.0%) were relevant to public health CVD control outcomes, and only 17 of 20 CVD indicators were addressed in these studies. Most studies were published in Vietnamese journals (73.9%), focused on disease and intermediate risk factors (73.9%), were cross-sectional (84.8%) and hospital-based (54.6%). We observed a lack of studies, many of which suffered design and analysis limitations, focused on several WHO themes for effective CVD control. Future Vietnamese-based CVD control studies should focus on the WHO-recommended themes and health indicators in broader community settings to provide better data to inform effective public health policies to control CVD.
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越南目前在心血管疾病控制方面存在的差距:越南研究的系统回顾
心血管疾病(CVD)是越南所有非传染性疾病(NCD)中的首要死因。本研究旨在分析2013年至2017年期间在越南发表的心血管疾病防治研究的当代差距。根据《系统综述和元分析首选报告项目》进行了系统文献综述。确定了以英语或越南语撰写的研究文章,这些文章发表于 2013 年至 2017 年期间,重点关注世界卫生组织关于心血管疾病控制的四大主题。在此期间发表的 11,385 篇基于越南语的心血管疾病研究中,只有 119 篇研究(1.0%)与公共卫生心血管疾病控制成果相关,而且这些研究仅涉及 20 项心血管疾病指标中的 17 项。大多数研究发表在越南期刊上(73.9%),侧重于疾病和中间危险因素(73.9%),为横断面研究(84.8%),以医院为基础(54.6%)。我们注意到缺乏以世界卫生组织有效控制心血管疾病的几个主题为重点的研究,其中许多研究在设计和分析方面存在局限性。今后在越南开展的心血管疾病控制研究应侧重于世卫组织推荐的主题和更广泛社区环境中的健康指标,以提供更好的数据,为有效控制心血管疾病的公共卫生政策提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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