The burden and management competency of cardiomyopathies in China: a nationwide survey study

被引：0

作者：

Zhang, Yu

Liu, Minghao ^{[1
]}

Li, Peijin ^{[1
]}

Ma, Likun ^{[2
]}

Yin, Lixue ^{[3
,4
,5
]}

Cui, Yinghua ^{[6
]}

Huang, Kai ^{[7
]}

Li, Wei ^{[8
]}

Xin, Hui ^{[9
]}

Xiang, Meixiang ^{[10
]}

Dai, Cuilian ^{[11
]}

Chen, Mulei ^{[12
,13
]}

Feng, Jinping ^{[14
]}

Zheng, Zeqi ^{[15
]}

Xu, Yawei ^{[16
]}

Chen, Yihan ^{[17
,18
,19
,20
,21
]}

Jiang, Xuejun ^{[22
]}

Ma, Genshan ^{[23
]}

Yang, Ping ^{[24
]}

Wang, Fang ^{[25
,26
]}

Li, Xinli ^{[27
]}

Jin, Wei ^{[28
,29
,30
]}

Chen, Hong ^{[31
]}

Hui, Rutai ^{[1
]}

Wang, Lian ^{[32
]}

Xiao, Hongyan ^{[33
]}

Liu, Liwen ^{[34
]}

Zou, Yubao ^{[35
,38
]}

Song, Lei ^{[1
,36
,37
]}

机构：

[1] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis, Beijing, Peoples R China

[2] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Cardiomyopathy Ward, Natl Ctr Cardiovasc Dis, Beijing, Peoples R China

[3] Univ Sci & Technol China, Affiliated Hosp 1, Anhui Prov Canc Hosp, USTC,Dept Canc Radiotherapy Div Life Sci & Med, Hefei, Anhui, Peoples R China

[4] Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Ultrasound Cardiac Electrophysiol & Biomech Key La, Chengdu, Sichuan, Peoples R China

[5] Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Dept Cardiovasc Ultrasound & Noninvas Cardiol, Chengdu, Sichuan, Peoples R China

[6] Jining Med Univ, Affiliated Hosp, Dept Cardiol, Jining, Shandong, Peoples R China

[7] Guangxi Med Univ, Affiliated Hosp 1, Western Hosp, Dept Cardiol, Nanning, Guangxi, Peoples R China

[8] Guizhou Med Univ, Dept Cardiovasc Med, Affiliated Hosp, Guiyang, Guizhou, Peoples R China

[9] Qingdao Univ, Dept Cardiol, Affiliated Hosp, Qingdao 266071, Shandong, Peoples R China

[10] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Cardiol, Hangzhou, Zhejiang, Peoples R China

[11] Xiamen Univ, Xiamen Cardiovasc Hosp, Dept Cardiol, Xiamen, Fujian, Peoples R China

[12] Capital Med Univ, Beijing Chaoyang Hosp, Heart Ctr, Beijing, Peoples R China

[13] Capital Med Univ, Beijing Chaoyang Hosp, Dept Cardiol, Beijing Key Lab Hypertens, Beijing, Peoples R China

[14] Tianjin Chest Hosp, Dept Cardiol, Tianjin, Peoples R China

[15] Nanchang Univ, Affiliated Hosp 1, Dept Cardiol, Nanchang, Jiangxi, Peoples R China

[16] Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Cardiol, Shanghai, Peoples R China

[17] Tongji Univ, East Hosp, Sch Med, Dept Cardiol, Shanghai, Peoples R China

[18] Tongji Univ, Sch Med, Minist Educ China, Key Lab Arrhythmias, Shanghai, Peoples R China

[19] Tongji Univ, Inst Med Genet, Shanghai, Peoples R China

[20] Tongji Univ, Sch Med, Dept Pathol & Pathophysiol, Shanghai, Peoples R China

[21] Chinese Acad Med Sci, Res Units Origin & Regulat Heart Rhythm, Beijing, Peoples R China

[22] Wuhan Univ, Peoples Hosp, Dept Cardiol, Wuhan, Hubei, Peoples R China

[23] Southeast Univ, Zhongda Hosp, Sch Med, Dept Cardiol, Nanjing, Jiangsu, Peoples R China

[24] Jilin Univ, China Japan Union Hosp, Dept Cardiol, Changchun, Jilin, Peoples R China

[25] Chinese Acad Med Sci, Beijing Hosp, Inst Geriatr Med, Natl Ctr Gerontol,Dept Cardiol, Beijing, Peoples R China

[26] Chinese Acad Med Sci, Peking Union Med Coll, Grad Sch, Beijing, Peoples R China

[27] Nanjing Med Univ, Affiliated Hosp 1, Jiangsu Prov Hosp, Dept Cardiol, Nanjing, Jiangsu, Peoples R China

[28] Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Dept Cardiovasc Med, Shanghai, Peoples R China

[29] Shanghai Jiao Tong Univ, Inst Cardiovasc Dis, Sch Med, Shanghai, Peoples R China

[30] Shanghai Jiao Tong Univ, Ruijin Hosp, Dept Cardiol, Sch Med,Lu Wan Branch, Shanghai, Peoples R China

[31] Peking Univ, Ctr Cardiovasc Translat Res, Dept Cardiol, Peoples Hosp,Beijing Key Lab Early Predict & Inter, Beijing, Peoples R China

[32] Nanjing Univ, Med Sch, Affiliated Hosp, Nanjing Drum Tower Hosp,Dept Cardiol, 321 Zhongshan Rd,, Nanjing 210008, Jiangsu, Peoples R China

[33] Wuhan Univ Sci & Technol, Wuhan Asia Heart Hosp Affiliated, Dept Cardiac Surg, 753 Jinghan Ave, Wuhan 430022, Hubei, Peoples R China

[34] Fourth Mil Med Univ, Xijing Hosp, Xijing Hypertroph Cardiomyopathy Ctr, Dept Ultrasound, 127 Changle West Rd, Xian 710032, Shaanxi, Peoples R China

[35] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Dept Cardiol, Beijing, Peoples R China

[36] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Natl Clin Res Ctr Cardiovasc Dis, Beijing, Peoples R China

[37] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, State Key Lab Cardiovasc Dis, Natl Clin Res Ctr Cardiovasc Dis,Cardiomyopathy Wa, 167 Beilishilu, Beijing 100037, Peoples R China

[38] Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Dept Cardiol, 167,Beilishilu, Beijing 100037, Peoples R China

来源：

LANCET REGIONAL HEALTH-WESTERN PACIFIC | 2024年 / 46卷

关键词：

Cardiomyopathy; Public health burden; Competency; HYPERTROPHIC CARDIOMYOPATHY; GLOBAL BURDEN;

D O I：

10.1016/j.lanwpc.2024.101062

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background The public health burden of cardiomyopathies and competency in their management by health agencies in China are not well understood. Methods This study adopted a multi -stage sampling method for hospital selection. In the fi rst stage, nationwide tertiary hospital recruitment was performed. As a result, 88 hospitals with the consent of the director of cardiology and access to an established electronic medical records system, were recruited. In the second stage, we sampled 66 hospitals within each geographic -economic strati fi cation through a random sampling process. Data on (1) the outpatient and inpatient visits for cardiomyopathies between 2017 and 2021 and (2) the competency in the management of patients with cardiomyopathies, were collected. The competency of a hospital to provide cardiomyopathy care was evaluated using a speci fi cally devised scale. Findings The outpatient and inpatient visits for cardiomyopathies increased between 2017 and 2021 by 38.6% and 33.0%, respectively. Most hospitals had basic facilities for cardiomyopathy assessment. However, access to more complex procedures was limited, and the integrated management pathway needs improvement. Only 4 (6.1%) of the 66 participating hospitals met the criteria for being designated as a comprehensive cardiomyopathy center, and only 29 (43.9%) could be classi fi ed as a primary cardiomyopathy center. There were signi fi cant variations in competency between hospitals with different administrative and economic levels. Interpretation The health burden of cardiomyopathies has increased signi fi cantly between 2017 and 2021 in China. Although most tertiary hospitals in China can offer basic cardiomyopathy care, more advanced facilities are not yet universally available. Moreover, inconsistencies in the management of cardiomyopathies across hospitals due to differing administrative and economic levels warrants a review of the nation allocation of medical resources.

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页数：11

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