S. Schultz, D. Rothwell, Z. Chen, Karen Tu, Karen Tu
INTRODUCTION To determine if using a combination of hospital administrative data and ambulatory care physician billings can accurately identify patients with congestive heart failure (CHF), we tested 9 algorithms for identifying individuals with CHF from administrative data. METHODS The validation cohort against which the 9 algorithms were tested combined data from a random sample of adult patients from EMRALD, an electronic medical record database of primary care physicians in Ontario, Canada, and data collected in 2004/05 from a random sample of primary care patients for a study of hypertension. Algorithms were evaluated on sensitivity, specificity, positive predictive value, area under the curve on the ROC graph and the combination of likelihood ratio positive and negative. RESULTS We found that that one hospital record or one physician billing followed by a second record from either source within one year had the best result, with a sensitivity of 84.8% and a specificity of 97.0%. CONCLUSION Population prevalence of CHF can be accurately measured using combined administrative data from hospitalization and ambulatory care.
{"title":"Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records.","authors":"S. Schultz, D. Rothwell, Z. Chen, Karen Tu, Karen Tu","doi":"10.24095/HPCDP.33.3.06","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.06","url":null,"abstract":"INTRODUCTION\u0000To determine if using a combination of hospital administrative data and ambulatory care physician billings can accurately identify patients with congestive heart failure (CHF), we tested 9 algorithms for identifying individuals with CHF from administrative data.\u0000\u0000\u0000METHODS\u0000The validation cohort against which the 9 algorithms were tested combined data from a random sample of adult patients from EMRALD, an electronic medical record database of primary care physicians in Ontario, Canada, and data collected in 2004/05 from a random sample of primary care patients for a study of hypertension. Algorithms were evaluated on sensitivity, specificity, positive predictive value, area under the curve on the ROC graph and the combination of likelihood ratio positive and negative.\u0000\u0000\u0000RESULTS\u0000We found that that one hospital record or one physician billing followed by a second record from either source within one year had the best result, with a sensitivity of 84.8% and a specificity of 97.0%.\u0000\u0000\u0000CONCLUSION\u0000Population prevalence of CHF can be accurately measured using combined administrative data from hospitalization and ambulatory care.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"8 1","pages":"160-6"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83806315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Cushon, T. Creighton, T. Kershaw, J. Marko, T. Markham
INTRODUCTION We explored food access and balance in Saskatoon, Saskatchewan, Canada in relation to material and social deprivation. METHODS We mapped the location of all large supermarkets and fast food retailers in Saskatoon. Supermarket accessibility index scores and food balance scores were compared to material and social deprivation indexes to determine significant associations. RESULTS Our results indicate that the poorest access to supermarkets occurred in areas west of the South Saskatchewan River and also in suburban areas around the perimeter of the city. Areas west of the river are some of the most deprived areas in the city. Saskatoon's mean food balance ratio of 2.3 indicates that access favours fast food. However, we did not find a clear pattern or clear socio-economic gradient for most measures. CONCLUSION This study highlights the importance of contextual studies of food access. This study also highlighted a number of other issues that should be explored in the Saskatoon context such as individual-level food consumption patterns, mobility, temporal dimensions of food access and economic access as well as interventions that could improve food access in the city.
{"title":"Deprivation and food access and balance in Saskatoon, Saskatchewan.","authors":"J. Cushon, T. Creighton, T. Kershaw, J. Marko, T. Markham","doi":"10.24095/HPCDP.33.3.05","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.05","url":null,"abstract":"INTRODUCTION\u0000We explored food access and balance in Saskatoon, Saskatchewan, Canada in relation to material and social deprivation.\u0000\u0000\u0000METHODS\u0000We mapped the location of all large supermarkets and fast food retailers in Saskatoon. Supermarket accessibility index scores and food balance scores were compared to material and social deprivation indexes to determine significant associations.\u0000\u0000\u0000RESULTS\u0000Our results indicate that the poorest access to supermarkets occurred in areas west of the South Saskatchewan River and also in suburban areas around the perimeter of the city. Areas west of the river are some of the most deprived areas in the city. Saskatoon's mean food balance ratio of 2.3 indicates that access favours fast food. However, we did not find a clear pattern or clear socio-economic gradient for most measures.\u0000\u0000\u0000CONCLUSION\u0000This study highlights the importance of contextual studies of food access. This study also highlighted a number of other issues that should be explored in the Saskatoon context such as individual-level food consumption patterns, mobility, temporal dimensions of food access and economic access as well as interventions that could improve food access in the city.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"4 1","pages":"146-59"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76758242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Krueger, V. Noonan, V. Noonan, L. Trenaman, P. Joshi, C. Rivers
INTRODUCTION The purpose of this study is to estimate the current lifetime economic burden of traumatic spinal cord injury (tSCI) in Canada from a societal perspective, including both direct and indirect costs, using an incidence-based approach. METHODS Available resource use and cost information for complete/incomplete tetraplegia and paraplegia was applied to the estimated annual incidence of tSCI, by severity, in Canada. RESULTS The estimated lifetime economic burden per individual with tSCI ranges from $1.5 million for incomplete paraplegia to $3.0 million for complete tetraplegia. The annual economic burden associated with 1389 new persons with tSCI surviving their initial hospitalization is estimated at $2.67 billion. CONCLUSION While the number of injuries per year in Canada is relatively small, the annual economic burden is substantial.
{"title":"The economic burden of traumatic spinal cord injury in Canada.","authors":"H. Krueger, V. Noonan, V. Noonan, L. Trenaman, P. Joshi, C. Rivers","doi":"10.24095/HPCDP.33.3.01","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.01","url":null,"abstract":"INTRODUCTION\u0000The purpose of this study is to estimate the current lifetime economic burden of traumatic spinal cord injury (tSCI) in Canada from a societal perspective, including both direct and indirect costs, using an incidence-based approach.\u0000\u0000\u0000METHODS\u0000Available resource use and cost information for complete/incomplete tetraplegia and paraplegia was applied to the estimated annual incidence of tSCI, by severity, in Canada.\u0000\u0000\u0000RESULTS\u0000The estimated lifetime economic burden per individual with tSCI ranges from $1.5 million for incomplete paraplegia to $3.0 million for complete tetraplegia. The annual economic burden associated with 1389 new persons with tSCI surviving their initial hospitalization is estimated at $2.67 billion.\u0000\u0000\u0000CONCLUSION\u0000While the number of injuries per year in Canada is relatively small, the annual economic burden is substantial.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"6 1","pages":"113-22"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81776454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Hopman, W. Hopman, M. Buchanan, E. Vandenkerkhof, M. Harrison
INTRODUCTION Venous leg ulceration is associated with pain and poor health-related quality of life (HRQL). The purpose of this study was to identify demographic and clinical characteristics associated with pain and decreased HRQL in patients with active venous ulcers. METHODS Baseline data were combined from two trials that took place between 2001 and 2007 (n = 564). Pain was measured using the Numeric Pain Scale (NPS), and HRQL was measured using the Medical Outcomes Survey 12-item Short Form (SF-12), which generates a Physical (PCS) and Mental Component Summary (MCS). Analyses included logistic and linear regression (for pain and HRQL, respectively). RESULTS Mean age was 66.5 years; 47% were male. Median NPS score was 2.2 (out of 10) and mean PCS and MCS scores were 38.0 and 50.5, respectively (scores are standardized to a mean of 50 representing average HRQL). Younger age, living with others, and arthritis were associated with pain. Poorer PCS was associated with being female, venous/mixed ulcer etiology, larger ulcers, longer ulcer duration, cardiovascular disease, arthritis and higher pain intensity. Poorer MCS was associated with younger age, longer ulcer duration, comorbidity and higher pain intensity. CONCLUSION Research is needed to test strategies to reduce pain and possibly improve HRQL in high risk groups.
{"title":"Pain and health-related quality of life in people with chronic leg ulcers.","authors":"W. Hopman, W. Hopman, M. Buchanan, E. Vandenkerkhof, M. Harrison","doi":"10.24095/HPCDP.33.3.07","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.07","url":null,"abstract":"INTRODUCTION\u0000Venous leg ulceration is associated with pain and poor health-related quality of life (HRQL). The purpose of this study was to identify demographic and clinical characteristics associated with pain and decreased HRQL in patients with active venous ulcers.\u0000\u0000\u0000METHODS\u0000Baseline data were combined from two trials that took place between 2001 and 2007 (n = 564). Pain was measured using the Numeric Pain Scale (NPS), and HRQL was measured using the Medical Outcomes Survey 12-item Short Form (SF-12), which generates a Physical (PCS) and Mental Component Summary (MCS). Analyses included logistic and linear regression (for pain and HRQL, respectively).\u0000\u0000\u0000RESULTS\u0000Mean age was 66.5 years; 47% were male. Median NPS score was 2.2 (out of 10) and mean PCS and MCS scores were 38.0 and 50.5, respectively (scores are standardized to a mean of 50 representing average HRQL). Younger age, living with others, and arthritis were associated with pain. Poorer PCS was associated with being female, venous/mixed ulcer etiology, larger ulcers, longer ulcer duration, cardiovascular disease, arthritis and higher pain intensity. Poorer MCS was associated with younger age, longer ulcer duration, comorbidity and higher pain intensity.\u0000\u0000\u0000CONCLUSION\u0000Research is needed to test strategies to reduce pain and possibly improve HRQL in high risk groups.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"10 1","pages":"167-74"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73053086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION Inflatable amusement attractions, structures that are air-supported and inflated by a blower, have recently gained popularity. The purpose of this study was to describe the epidemiology of inflatable-related injuries presenting to Canadian emergency departments. METHODS The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is an injury and poisoning surveillance system presently operating in the emergency departments of all 11 pediatric and 4 general hospitals across Canada. The CHIRPP was searched for cases of injuries associated with commercial inflatable amusement structures. RESULTS Overall, 674 cases were identified over the 20-year surveillance period, during which time the average annual percent increase was 24.6% (95% CI: 21.6, 27.7). Children aged 2 to 9 years were the most frequently injured (59.3/100,000 CHIRPP cases), and fractures accounted for 34.5% of all injuries. DISCUSSION A sharp increase in emergency department visits for injuries associated with commercial inflatable amusement structures has been observed in recent years. Injury mechanisms could be mitigated by product design modifications and stricter business operational practices.
{"title":"Emergency department presentations for injuries associated with inflatable amusement structures, Canada, 1990-2009.","authors":"S. Mcfaull, G. Keays","doi":"10.24095/HPCDP.33.3.03","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.03","url":null,"abstract":"INTRODUCTION\u0000Inflatable amusement attractions, structures that are air-supported and inflated by a blower, have recently gained popularity. The purpose of this study was to describe the epidemiology of inflatable-related injuries presenting to Canadian emergency departments.\u0000\u0000\u0000METHODS\u0000The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is an injury and poisoning surveillance system presently operating in the emergency departments of all 11 pediatric and 4 general hospitals across Canada. The CHIRPP was searched for cases of injuries associated with commercial inflatable amusement structures.\u0000\u0000\u0000RESULTS\u0000Overall, 674 cases were identified over the 20-year surveillance period, during which time the average annual percent increase was 24.6% (95% CI: 21.6, 27.7). Children aged 2 to 9 years were the most frequently injured (59.3/100,000 CHIRPP cases), and fractures accounted for 34.5% of all injuries.\u0000\u0000\u0000DISCUSSION\u0000A sharp increase in emergency department visits for injuries associated with commercial inflatable amusement structures has been observed in recent years. Injury mechanisms could be mitigated by product design modifications and stricter business operational practices.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"40 1","pages":"129-36"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80556859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhD C. G. Richardson, Mph L. G. Hamadani, PhD C. Gotay
INTRODUCTION The purpose of this study was to quantify the frequency and timing of Canadians' Internet searches for information on modifying cancer prevention-related behavioural risk factors. METHODS We used the Google AdWords Keyword tool to estimate the number of Internet searches in Canada from July 2010 to May 2011 for content associated with the keywords "physical activity / exercise," "healthy eating / weight loss" and "quit smoking." RESULTS For "physical activity / exercise," 663 related keywords resulted in 117 951 699 searches. For "healthy eating / weight loss," 687 related search terms yielded 98 277 954 searches. "Quit smoking" was associated with 759 related keywords with 31 688 973 searches. All search patterns noticeably peaked in January 2011. CONCLUSION Many Canadians are actively searching for information on the Internet to support health behaviour change associated with cancer prevention, especially during the month of January. To take advantage of this opportunity, key stakeholders in cancer prevention need to identify knowledge translation priorities and work with health agencies to develop evidence-based strategies to support Internet-facilitated behaviour change.
{"title":"Quantifying Canadians' use of the Internet as a source of information on behavioural risk factor modifications related to cancer prevention.","authors":"PhD C. G. Richardson, Mph L. G. Hamadani, PhD C. Gotay","doi":"10.24095/HPCDP.33.3.02","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.02","url":null,"abstract":"INTRODUCTION\u0000The purpose of this study was to quantify the frequency and timing of Canadians' Internet searches for information on modifying cancer prevention-related behavioural risk factors.\u0000\u0000\u0000METHODS\u0000We used the Google AdWords Keyword tool to estimate the number of Internet searches in Canada from July 2010 to May 2011 for content associated with the keywords \"physical activity / exercise,\" \"healthy eating / weight loss\" and \"quit smoking.\"\u0000\u0000\u0000RESULTS\u0000For \"physical activity / exercise,\" 663 related keywords resulted in 117 951 699 searches. For \"healthy eating / weight loss,\" 687 related search terms yielded 98 277 954 searches. \"Quit smoking\" was associated with 759 related keywords with 31 688 973 searches. All search patterns noticeably peaked in January 2011.\u0000\u0000\u0000CONCLUSION\u0000Many Canadians are actively searching for information on the Internet to support health behaviour change associated with cancer prevention, especially during the month of January. To take advantage of this opportunity, key stakeholders in cancer prevention need to identify knowledge translation priorities and work with health agencies to develop evidence-based strategies to support Internet-facilitated behaviour change.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"54 1","pages":"123-8"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85300567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rapport de la situation - Améliorer le Portail canadien des pratiques exemplaires. La mission de l’Agence de la santé publique du Canada (ASPC) est de : « promouvoir et protéger la santé des Canadiens au moyen du leadership, de partenariats, de l’innovation et de la prise de mesures dans le domaine de la santé publique ». Afin de contribuer à cette mission, l’ASPC a mis en œuvre de nombreuses initiatives de mobilisation des connaissances en vue d’appuyer la prise de décisions fondées sur des données probantes en santé publique. L’une de ces initiatives, lancées en 2006, est le Portail canadien des pratiques exemplaires, une base de données interrogeable en ligne qui contient le détail d’interventions communautaires efficaces visant à promouvoir la santé et à prévenir les maladies chroniques : http://cbpp-pcpe.phac-aspc.gc.ca/fr/. La conception du Portail s’est inscrite dans une initiative fédérale plus globale, qui comprenait la création de l’ASPC elle-même, visant à renforcer les capacités en santé publique au Canada en réaction au SRAS et aux recommandations du Comité consultatif national sur le SRAS et la santé publique. La nécessité d’établir une base de données de qualité élevée contenant des résumés de données probantes récentes sur l’efficacité des interventions auprès de la population et en santé publique avait été plus particulièrement cernée dans un rapport précédent, « Le chemin à parcourir : une consultation pancanadienne sur les priorités en matière de santé publique et des populations ».
{"title":"Status report--enhancing the Canadian Best Practices Portal.","authors":"N. Sims-Jones, E. Dyke","doi":"10.24095/HPCDP.33.3.10","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.10","url":null,"abstract":"\u0000 Rapport de la situation - Améliorer le Portail canadien des pratiques exemplaires.\u0000 La mission de l’Agence de la santé publique du Canada (ASPC) est de : « promouvoir et protéger la santé des Canadiens au moyen du leadership, de partenariats, de l’innovation et de la prise de mesures dans le domaine de la santé publique ». Afin de contribuer à cette mission, l’ASPC a mis en œuvre de nombreuses initiatives de mobilisation des connaissances en vue d’appuyer la prise de décisions fondées sur des données probantes en santé publique. L’une de ces initiatives, lancées en 2006, est le Portail canadien des pratiques exemplaires, une base de données interrogeable en ligne qui contient le détail d’interventions communautaires efficaces visant à promouvoir la santé et à prévenir les maladies chroniques : http://cbpp-pcpe.phac-aspc.gc.ca/fr/. La conception du Portail s’est inscrite dans une initiative fédérale plus globale, qui comprenait la création de l’ASPC elle-même, visant à renforcer les capacités en santé publique au Canada en réaction au SRAS et aux recommandations du Comité consultatif national sur le SRAS et la santé publique. La nécessité d’établir une base de données de qualité élevée contenant des résumés de données probantes récentes sur l’efficacité des interventions auprès de la population et en santé publique avait été plus particulièrement cernée dans un rapport précédent, « Le chemin à parcourir : une consultation pancanadienne sur les priorités en matière de santé publique et des populations ».\u0000","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"23 1","pages":"192-3"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90639665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION Chronic liver diseases (CLDs) are a worldwide problem. Morbidity and mortality due to CLDs could be avoided or reduced by targeting the main risk factors, including obesity and alcohol use. METHODS To describe the evolution of the key determinants of CLDs in Quebec, we studied the trends in obesity, alcohol use, viral hepatitis B and C, CLD mortality and hospitalization rates, and the liver cancer incidence rate between January 1, 1981, and December 31, 2009. RESULTS We observed an increase in the obesity indicators among young men and in alcohol use among adolescent girls and middle-aged women. The overall hepatitis B and C incidence and CLD mortality rates are falling. However, liver cancer and mortality rates, especially among men and the elderly, are on the rise. CONCLUSION These results highlight the importance of targeted public health interventions and of maintaining or improving access to care for CLDs.
{"title":"Evolution of the determinants of chronic liver disease in Quebec.","authors":"AJ. Sanabria, R. Dion, E. Lucar, JC Soto","doi":"10.24095/HPCDP.33.3.04","DOIUrl":"https://doi.org/10.24095/HPCDP.33.3.04","url":null,"abstract":"INTRODUCTION\u0000Chronic liver diseases (CLDs) are a worldwide problem. Morbidity and mortality due to CLDs could be avoided or reduced by targeting the main risk factors, including obesity and alcohol use.\u0000\u0000\u0000METHODS\u0000To describe the evolution of the key determinants of CLDs in Quebec, we studied the trends in obesity, alcohol use, viral hepatitis B and C, CLD mortality and hospitalization rates, and the liver cancer incidence rate between January 1, 1981, and December 31, 2009.\u0000\u0000\u0000RESULTS\u0000We observed an increase in the obesity indicators among young men and in alcohol use among adolescent girls and middle-aged women. The overall hepatitis B and C incidence and CLD mortality rates are falling. However, liver cancer and mortality rates, especially among men and the elderly, are on the rise.\u0000\u0000\u0000CONCLUSION\u0000These results highlight the importance of targeted public health interventions and of maintaining or improving access to care for CLDs.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"2 1","pages":"137-45"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73078015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Forum pancanadien - Étude nationale de la santé des populations relative aux maladies neurologiques. Le 5 juin 2009, la ministre fédérale de la Santé a annoncé que le gouvernement du Canada s’engageait à verser 15 millions de dollars pour une étude nationale en santé des populations de quatre ans portant sur les maladies neurologiques. Conçue pour améliorer notre compréhension des maladies neurologiques et de leurs répercussions sur les Canadiens, cette étude est gérée par l’Agence de la santé publique du Canada (ASPC) en collaboration avec les Organismes caritatifs neurologiques du Canada (OCNC), un regroupement de 25 organismes caritatifs œuvrant dans le domaine de la neurologie. L’Étude nationale de la santé des populations relative aux maladies neurologiques n’est pas une simple étude, mais un important programme de recherche incluant trois enquêtes nationales et 13 projets de recherche pancanadiens, dont quelques études portant sur la faisabilité de la surveillance en continu de certaines maladies neurologiques et l’élaboration d’un modèle de microsimulation. Les résultats serviront de base à l’élaboration de nouvelles politiques et de nouveaux programmes. L’équipe chargée de l’étude se compose de plus de 125 chercheurs, qui proviennent de 30 établissements canadiens, universitaires et non universitaires. Cet article présente brièvement l’Étude nationale de la santé des populations relative aux maladies neurologiques, sa raison d’être ainsi que son historique, ses objectifs et les stratégies adoptées.
{"title":"Cross-Canada forum--National Population Health Study of Neurological Conditions in Canada.","authors":"C. Caesar-Chavannes, S. Macdonald","doi":"10.24095/hpcdp.33.3.09","DOIUrl":"https://doi.org/10.24095/hpcdp.33.3.09","url":null,"abstract":"\u0000 Forum pancanadien - Étude nationale de la santé des populations relative aux maladies neurologiques.\u0000 Le 5 juin 2009, la ministre fédérale de la Santé a annoncé que le gouvernement du Canada s’engageait à verser 15 millions de dollars pour une étude nationale en santé des populations de quatre ans portant sur les maladies neurologiques. Conçue pour améliorer notre compréhension des maladies neurologiques et de leurs répercussions sur les Canadiens, cette étude est gérée par l’Agence de la santé publique du Canada (ASPC) en collaboration avec les Organismes caritatifs neurologiques du Canada (OCNC), un regroupement de 25 organismes caritatifs œuvrant dans le domaine de la neurologie. L’Étude nationale de la santé des populations relative aux maladies neurologiques n’est pas une simple étude, mais un important programme de recherche incluant trois enquêtes nationales et 13 projets de recherche pancanadiens, dont quelques études portant sur la faisabilité de la surveillance en continu de certaines maladies neurologiques et l’élaboration d’un modèle de microsimulation. Les résultats serviront de base à l’élaboration de nouvelles politiques et de nouveaux programmes. L’équipe chargée de l’étude se compose de plus de 125 chercheurs, qui proviennent de 30 établissements canadiens, universitaires et non universitaires. Cet article présente brièvement l’Étude nationale de la santé des populations relative aux maladies neurologiques, sa raison d’être ainsi que son historique, ses objectifs et les stratégies adoptées.\u0000","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"45 1","pages":"188-91"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84973889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Koehoorn, L. Tamburic, Christopher McLeod, Paul A. Demers, Larry D. Lynd, Susan M. Kennedy
INTRODUCTION Population-based health databases were used for the surveillance of asthma among workers in British Columbia for the period 1999 to 2003. The purpose was to identify high-risk groups of workers with asthma for further investigation, education and prevention. METHODS Workers were identified using an employer-paid health premium field in the provincial health registry, and were linked to their physician visit, hospitalization, workers' compensation and pharmaceutical records; asthma cases were defined by the presence of an asthma diagnosis (International Classification of Diseases [ICD]-9-493) in these health records. Workers were assigned to an ''at-risk'' exposure group based on their industry of employment. RESULTS For males, significantly higher asthma rates were observed for workers in the Utilities, Transport/Warehousing, Wood and Paper Manufacturing (Sawmills), Health Care/Social Assistance and Education industries. For females, significantly higher rates were found for those working in the Waste Management/Remediation and Health Care/Social Assistance industries. CONCLUSION The data confirm a high prevalence of active asthma in the working population of British Columbia, and in particular, higher rates among females compared to males and in industries with known respiratory sensitizers such as dust and chemical exposures.
{"title":"Population-based surveillance of asthma among workers in British Columbia, Canada.","authors":"M. Koehoorn, L. Tamburic, Christopher McLeod, Paul A. Demers, Larry D. Lynd, Susan M. Kennedy","doi":"10.24095/HPCDP.33.2.05","DOIUrl":"https://doi.org/10.24095/HPCDP.33.2.05","url":null,"abstract":"INTRODUCTION\u0000Population-based health databases were used for the surveillance of asthma among workers in British Columbia for the period 1999 to 2003. The purpose was to identify high-risk groups of workers with asthma for further investigation, education and prevention.\u0000\u0000\u0000METHODS\u0000Workers were identified using an employer-paid health premium field in the provincial health registry, and were linked to their physician visit, hospitalization, workers' compensation and pharmaceutical records; asthma cases were defined by the presence of an asthma diagnosis (International Classification of Diseases [ICD]-9-493) in these health records. Workers were assigned to an ''at-risk'' exposure group based on their industry of employment.\u0000\u0000\u0000RESULTS\u0000For males, significantly higher asthma rates were observed for workers in the Utilities, Transport/Warehousing, Wood and Paper Manufacturing (Sawmills), Health Care/Social Assistance and Education industries. For females, significantly higher rates were found for those working in the Waste Management/Remediation and Health Care/Social Assistance industries.\u0000\u0000\u0000CONCLUSION\u0000The data confirm a high prevalence of active asthma in the working population of British Columbia, and in particular, higher rates among females compared to males and in industries with known respiratory sensitizers such as dust and chemical exposures.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"18 1","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82136560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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