Cardiovascular Diseases:
Physical activity, obesity and cardiometabolic risk factors in 9- to 10-year-old UK children of white European, south Asian and black African-Caribbean origin: the child heart and health study in England (CHASE)
Objective physical activity measurements are used in this study to quantify associations of obesity and cardiometabolic risk with levels of physical activity in south Asian, black African-Caribbean and white European children.
Showing posts with label heart. Show all posts
Showing posts with label heart. Show all posts
Thursday, 12 August 2010
Friday, 28 May 2010
WEBSITES UPDATE
As well as those websites already listed here are some more...
National Heart Forum
http://www.heartforum.org.uk/
Membership organisation bringing together organisations dealing with all areas and
risk factors in the field of chronic disease prevention. Information on NHF position
statements and policy work areas is available from the site, along with publications
such as the Healthy weight, Healthy lives toolkit, and the NHF modelling team’s
reports on obesity trends.
Heartstats
http://www.heartstats.org/
The British Heart Foundation’s regularly updated statistics website. Includes a wide
range of statistics on risk factors for chronic disease such as blood cholesterol,
smoking, physical activity and diet.
Blood Pressure Association
http://www.bpassoc.org.uk/
A charity supporting patients as well as healthcare professionals managing
hypertension. The site includes guides to the effects of high blood pressure, available
medication for its treatment and monitoring.
British Hypertension Society
http://www.bhsoc.org/
The British Hypertension Society acts as a medical and research forum for
hypertension. The Society produces guidelines on management of hypertension,
which are available from their site, and also links to NICE guidance.
Heart UK
http://www.heartuk.org.uk/
Website includes resources such as a cardiovascular disease prediction chart, JBS
risk assessor, and links to NICE guidelines and various publications.
National Heart Forum
http://www.heartforum.org.uk/
Membership organisation bringing together organisations dealing with all areas and
risk factors in the field of chronic disease prevention. Information on NHF position
statements and policy work areas is available from the site, along with publications
such as the Healthy weight, Healthy lives toolkit, and the NHF modelling team’s
reports on obesity trends.
Heartstats
http://www.heartstats.org/
The British Heart Foundation’s regularly updated statistics website. Includes a wide
range of statistics on risk factors for chronic disease such as blood cholesterol,
smoking, physical activity and diet.
Blood Pressure Association
http://www.bpassoc.org.uk/
A charity supporting patients as well as healthcare professionals managing
hypertension. The site includes guides to the effects of high blood pressure, available
medication for its treatment and monitoring.
British Hypertension Society
http://www.bhsoc.org/
The British Hypertension Society acts as a medical and research forum for
hypertension. The Society produces guidelines on management of hypertension,
which are available from their site, and also links to NICE guidance.
Heart UK
http://www.heartuk.org.uk/
Website includes resources such as a cardiovascular disease prediction chart, JBS
risk assessor, and links to NICE guidelines and various publications.
Friday, 5 February 2010
RED FOR HEART MONTH
February is "Red for Heart Month"
Between 22-26 February British Heart Foundation pins will be selling in the CTC reception and main reception of Basildon Hospital.
Friday 26 February is "Wear Red to Work day"
Wednesday, 14 October 2009
ETHNICITY and HEALTHY HEARTS
NHS Evidence – ethnicity and health
A service supplied to NHS Evidence by CEEHD
Newsletter - 6 October 2009
Muslim leaders join smoking campaign
A campaign aimed at reducing smoking and heart disease in the Asian community will include over 300 Imams and community workers.
The higher smoking rate in the Muslim community places individuals at a twofold increased risk of heart attack.
The British Heart Foundation is now leading a campaign to help Asian smokers quit their habit.
A spokesman for the Ramadan Healthy Life campaign said, “This campaign aims to make sure that anyone looking to quit gets the help and support they need to make a change for the better". Imams and community Mosques have previously been used to promote a healthy lifestyle in the Asian community.
Cardiovascular Diseases:
African Caribbean hypertensive patients' perceptions and utilization of primary health care services
Hypertension remains a major health issue amongst immigrant and UK born African Caribbean people. This study investigates African Caribbean hypertensive patient’s access, utilization and perceptions of primary health care.
Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review
The leading cause of death globally is cardiovascular disease (CVD). This review looks at the current understanding of the epidemiology of vascular disease, diabetes and related risk factors among populations of sub-Saharan African descent in comparison with European populations.
Ethnicity and peripheral artery disease
This article focuses predominantly on people of south Asian, black Caribbean and black African descent to identify possible pathophysiological differences between ethnic groups for peripheral artery disease.
Widening access to cardiovascular healthcare : community screening among ethnic minorities in inner-city Britain: the Healthy Hearts Project
The majority of cases of cardiovascular disease (CVD) in Britain occur in inner city areas including those with diverse multi-ethnic populations. This study describes a health screening project that took place in Sandwell, Birmingham.
A service supplied to NHS Evidence by CEEHD
Newsletter - 6 October 2009
Muslim leaders join smoking campaign
A campaign aimed at reducing smoking and heart disease in the Asian community will include over 300 Imams and community workers.
The higher smoking rate in the Muslim community places individuals at a twofold increased risk of heart attack.
The British Heart Foundation is now leading a campaign to help Asian smokers quit their habit.
A spokesman for the Ramadan Healthy Life campaign said, “This campaign aims to make sure that anyone looking to quit gets the help and support they need to make a change for the better". Imams and community Mosques have previously been used to promote a healthy lifestyle in the Asian community.
Cardiovascular Diseases:
African Caribbean hypertensive patients' perceptions and utilization of primary health care services
Hypertension remains a major health issue amongst immigrant and UK born African Caribbean people. This study investigates African Caribbean hypertensive patient’s access, utilization and perceptions of primary health care.
Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review
The leading cause of death globally is cardiovascular disease (CVD). This review looks at the current understanding of the epidemiology of vascular disease, diabetes and related risk factors among populations of sub-Saharan African descent in comparison with European populations.
Ethnicity and peripheral artery disease
This article focuses predominantly on people of south Asian, black Caribbean and black African descent to identify possible pathophysiological differences between ethnic groups for peripheral artery disease.
Widening access to cardiovascular healthcare : community screening among ethnic minorities in inner-city Britain: the Healthy Hearts Project
The majority of cases of cardiovascular disease (CVD) in Britain occur in inner city areas including those with diverse multi-ethnic populations. This study describes a health screening project that took place in Sandwell, Birmingham.
Thursday, 1 October 2009
HEART ARTICLES
JAMA 16 Sep 2009 Vol 302
1195 Another study from the indefatigable American Heart Association team looks at cardiopulmonary resuscitation outcomes in the USA. (Some readers will realise that when I use the word indefatigable it’s a sort of code name for Harlan Krumholz). If you are black, your chances of making it out of the hospital door alive are about 20% worse than for whites, and most of this is explained by the performance of the hospitals you are likely to get admitted to. Don’t socialize American medicine! Praise the Lord and shoot the moose.
http://jama.ama-assn.org/cgi/content/abstract/302/11/1195
BMJ 26 Sep 2009 Vol 339
735 A lot of women get pregnant while taking serotonin reuptake inhibitors for depression, and many of them continue taking them. This will probably remain the case following this comprehensive cohort study from Denmark, covering nearly half a million births from 1996 to 2003, even though it shows an overall doubling of septal heart defects in babies born to women taking SSRIs. The highest risk seems to come from sertraline and the lowest from fluoxetine. There is no additional risk of other major congenital malformations. It is unclear whether discontinuing these drugs after conception will make much difference.
http://www.bmj.com/cgi/content/full/339/sep23_1/b3569
736 Now for the thigh circumference paper which caused much furrowing of brows when it first appeared on the BMJ website. Denmark is famous for its hams but if these diminish below a certain size in humans of both sexes, then the risk of heart disease and premature death goes up steeply, irrespective of other biometrics. Odd. Strange. Queer. Puzzling. Your guess is as good as mine.http://www.bmj.com/cgi/content/full/339/sep03_2/b3292
Arch Intern Med 14 Sep 2009 Vol 169
1484 If you are going to use thrombolysis for occlusive stroke, the sooner you do it the better: if this sounds obvious now, consider how unobvious it sounded ten years ago, or even five to most people in the street. The number needed to treat is still very high, and if this German cluster-randomised trial of a public awareness campaign had used a hard end-point, like overall reduction of disability or death from stroke, it would have had a zero result. Instead, it yielded a 27% increase in women with stroke reaching hospital within three hours. I think that we can conclude that personal letters with bookmarks and stickers are not a cost-effective basis for a stroke awareness campaign.
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1484
1491 We move now to Adelaide, a city of free Australian settlers named after Her Serene Highness Princess Adelaide of Saxe-Meiningen. “She is doomed, poor dear innocent young creature, to be my wife”, wrote the vast libidinous Prince George, heir to the British throne, in 1818. In fact they were improbably happy together, living with a selection of the prince’s illegitimate children in Hanover, though all Adelaide’s pregnancies miscarried or the babies died early. So it came about that this five-syllable German girl’s name became a three syllable south Australian place name, scene of the CADENCE study looking at the prevalence of weekly angina among patients in primary care. Chronic stable angina is something we tend to consign to repeat prescribing and once a year nurse checks, but one in three of these patients gets an attack at least once a week, and there is probably room for better audit and control. After all, we do not want these patients to get cremated, as Beethoven implies his heart will be in the final cadence of Adelaide:Eine Blume der Asche meines HerzensDeutlich schimmert auf jedem Purpurblättchen:Adelaïde!
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1491
1500 If I had advanced heart failure, I would want to keep open the exit of sudden arrhythmic death, knowing what the other exit is like. But plenty of HF patients, especially in the USA, have been expensively fitted with implantable cardioverter-defibrillators to prevent such an outcome. This meta-analysis shows that they do not in fact reduce all-cause mortality in women with advanced HF. The shocking truth.
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1500
1195 Another study from the indefatigable American Heart Association team looks at cardiopulmonary resuscitation outcomes in the USA. (Some readers will realise that when I use the word indefatigable it’s a sort of code name for Harlan Krumholz). If you are black, your chances of making it out of the hospital door alive are about 20% worse than for whites, and most of this is explained by the performance of the hospitals you are likely to get admitted to. Don’t socialize American medicine! Praise the Lord and shoot the moose.
http://jama.ama-assn.org/cgi/content/abstract/302/11/1195
BMJ 26 Sep 2009 Vol 339
735 A lot of women get pregnant while taking serotonin reuptake inhibitors for depression, and many of them continue taking them. This will probably remain the case following this comprehensive cohort study from Denmark, covering nearly half a million births from 1996 to 2003, even though it shows an overall doubling of septal heart defects in babies born to women taking SSRIs. The highest risk seems to come from sertraline and the lowest from fluoxetine. There is no additional risk of other major congenital malformations. It is unclear whether discontinuing these drugs after conception will make much difference.
http://www.bmj.com/cgi/content/full/339/sep23_1/b3569
736 Now for the thigh circumference paper which caused much furrowing of brows when it first appeared on the BMJ website. Denmark is famous for its hams but if these diminish below a certain size in humans of both sexes, then the risk of heart disease and premature death goes up steeply, irrespective of other biometrics. Odd. Strange. Queer. Puzzling. Your guess is as good as mine.http://www.bmj.com/cgi/content/full/339/sep03_2/b3292
Arch Intern Med 14 Sep 2009 Vol 169
1484 If you are going to use thrombolysis for occlusive stroke, the sooner you do it the better: if this sounds obvious now, consider how unobvious it sounded ten years ago, or even five to most people in the street. The number needed to treat is still very high, and if this German cluster-randomised trial of a public awareness campaign had used a hard end-point, like overall reduction of disability or death from stroke, it would have had a zero result. Instead, it yielded a 27% increase in women with stroke reaching hospital within three hours. I think that we can conclude that personal letters with bookmarks and stickers are not a cost-effective basis for a stroke awareness campaign.
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1484
1491 We move now to Adelaide, a city of free Australian settlers named after Her Serene Highness Princess Adelaide of Saxe-Meiningen. “She is doomed, poor dear innocent young creature, to be my wife”, wrote the vast libidinous Prince George, heir to the British throne, in 1818. In fact they were improbably happy together, living with a selection of the prince’s illegitimate children in Hanover, though all Adelaide’s pregnancies miscarried or the babies died early. So it came about that this five-syllable German girl’s name became a three syllable south Australian place name, scene of the CADENCE study looking at the prevalence of weekly angina among patients in primary care. Chronic stable angina is something we tend to consign to repeat prescribing and once a year nurse checks, but one in three of these patients gets an attack at least once a week, and there is probably room for better audit and control. After all, we do not want these patients to get cremated, as Beethoven implies his heart will be in the final cadence of Adelaide:Eine Blume der Asche meines HerzensDeutlich schimmert auf jedem Purpurblättchen:Adelaïde!
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1491
1500 If I had advanced heart failure, I would want to keep open the exit of sudden arrhythmic death, knowing what the other exit is like. But plenty of HF patients, especially in the USA, have been expensively fitted with implantable cardioverter-defibrillators to prevent such an outcome. This meta-analysis shows that they do not in fact reduce all-cause mortality in women with advanced HF. The shocking truth.
http://archinte.ama-assn.org/cgi/content/abstract/169/16/1500
Wednesday, 12 August 2009
Coronary Heart Magazine
Coronary Heart has a new website. Make sure you update your favourites to continue viewing this at
http://www.cardiologyhd.com/
You may need to update your browser to view it properly
http://www.cardiologyhd.com/
You may need to update your browser to view it properly
Wednesday, 24 June 2009
CHARITY BIKE RIDE
Bridget Tovey from Roding Ward at the Cardio Thoracic Centre, Basildon Hospital is entering the 59 mile, London to Southend bike ride, in aid of the British Heart Foundation Anyone wishing to donate to this charity, please contact Bridget at her workplace or via her website www.justgiving.co.uk/bridgettovey
Friday, 24 April 2009
BMJ / Guardian link
http://www.guardian.co.uk/lifeandstyle/besttreatments/heartandcirculation
Get the facts about the top treatment options
Guardian readers can now access the BMJ Group's independent, high quality patient information on a wide range of health issues, from cancer, depression and back pain to every day ailments like the common cold and period pains. Written in plain English, the British Medical Journal has detailed information about the causes and symptoms of your medical condition, and helps you understand how it might affect your life. All BMJ Group health information is updated once a year, or more often if there are significant changes to medical evidence or guidelines. The Guardian has teamed up with the British Medical Journal Group to help you make better decisions about health
More on the BMJ Group and Guardian partnership
Get the facts about the top treatment options
Guardian readers can now access the BMJ Group's independent, high quality patient information on a wide range of health issues, from cancer, depression and back pain to every day ailments like the common cold and period pains. Written in plain English, the British Medical Journal has detailed information about the causes and symptoms of your medical condition, and helps you understand how it might affect your life. All BMJ Group health information is updated once a year, or more often if there are significant changes to medical evidence or guidelines. The Guardian has teamed up with the British Medical Journal Group to help you make better decisions about health
More on the BMJ Group and Guardian partnership
Wednesday, 1 April 2009
Cardiovascular Disease - Public Health Articles
The following articles on cardiovascular disease have just been published on the NHS public health section
The coronary heart disease national service framework : building on excellence, maintaining progress - progress report for 2008 Department of Health
Partnering to Reduce Risks and Improve Cardiovascular Outcomes Circulation
Monday, 19 January 2009
Newslinks
Latest Newslinks:
National Heart Forum
National Heart Forum Weekly News Briefing 14/01/09
National Heart Forum Weekly News Briefing 07/01/09
National Heart Forum Weekly News Briefing 17/12/08
NHS ChoicesNHS Choices (Behind the headlines) 23rd December 2008
- 'Podginess' raises heart riskNHS Choices (Behind the headlines) 19th December 2008
- Children keep weight gainNHS Choices (Behind the headlines) 15th December 2008
- Genetics of obesityArrhythmia Alliance
E-bulletin for January 2009
E-bulletin for December 2008
National Heart Forum
National Heart Forum Weekly News Briefing 14/01/09
National Heart Forum Weekly News Briefing 07/01/09
National Heart Forum Weekly News Briefing 17/12/08
NHS ChoicesNHS Choices (Behind the headlines) 23rd December 2008
- 'Podginess' raises heart riskNHS Choices (Behind the headlines) 19th December 2008
- Children keep weight gainNHS Choices (Behind the headlines) 15th December 2008
- Genetics of obesityArrhythmia Alliance
E-bulletin for January 2009
E-bulletin for December 2008
Thursday, 20 November 2008
Facts about Fat and Heart Fitness
Being fat is not something to be ashamed of, but it is something to be scared of, because of the proven link between obesity and heart disease. The United Kingdom is getting significantly heavier – more than 66 percent of adults are overweight or obese, and over the past ten years, the number of obese six-year-olds has doubled while the number of obese 15-year-olds has tripled. And that’s not the end of the bad news – 33 percent of adults, 20 percent of boys and 33 percent of girls are expected to be obese by the year 2020. These statistics reflect on our current lifestyles, and are definitely not a good sign for the nation’s heart health, what with the rising incidence of heart disease being connected to obesity, smoking and diabetes, all interlinked conditions.
In the meantime, a new study conducted by doctors from Germany and Switzerland claims that fat people are likely to live longer after a heart attack. They based their study on a group of 1,676 patients who had unstable angina or had suffered a heart attack between 1996 and 1999. The European Heart Journal reports that of the group, 9.9 percent of those in the normal weight category, 7.7 percent in the overweight category, and 3.6 percent in the obese category, died. But not a single person categorized as extremely obese died.
The reason for this miraculous survival? Well, according to the team of doctors, the fatter people were more likely to respond to the drugs prescribed to control cholesterol and blood pressure. Besides, they had a higher level of cannabinoids, cannabis-like compounds, in the brain, which help in the dilation of blood vessels and reduction of blood platelet counts, both of which are protect the heart.
So is this a faint ray of hope at the end of the obesity tunnel? Does this mean that fat people are not at risk for heart attacks any more? No, not at all – in fact, the lead doctor of the study cautioned overweight people against taking this report literally and putting off losing weight, because, all said and done, it is true that being obese decreases your life span by 9 years. And if your heart attack kills you as it most likely will, there’s no point in rejoicing that you’re fat enough to survive after the attack.
So get moving today, start working out to shed those excess pounds which could very well turn out to be your death knell.
In the UK, two thirds of adults are now overweight or obese. In the past ten years obesity has doubled in six-year-olds and trebled among 15-year-olds
Heavy matters
— A third of adults, a fifth of boys and a third of girls will be obese by 2020
— Obesity reduces life expectancy by an average of nine years
— Obesity doesn’t happen overnight: it takes about 3,500 excess calories to gain only 1lb (0.5kg)
By-line:
This article is contributed by Sarah Scrafford, who regularly writes on the topic of Online EKG Programs (http://www.ekgclasses.org). She invites your questions, comments and freelancing job inquiries at her email address: sarah.scrafford25@gmail.com.
Editor's note - this article was contributed with no evidence to base the facts given
In the meantime, a new study conducted by doctors from Germany and Switzerland claims that fat people are likely to live longer after a heart attack. They based their study on a group of 1,676 patients who had unstable angina or had suffered a heart attack between 1996 and 1999. The European Heart Journal reports that of the group, 9.9 percent of those in the normal weight category, 7.7 percent in the overweight category, and 3.6 percent in the obese category, died. But not a single person categorized as extremely obese died.
The reason for this miraculous survival? Well, according to the team of doctors, the fatter people were more likely to respond to the drugs prescribed to control cholesterol and blood pressure. Besides, they had a higher level of cannabinoids, cannabis-like compounds, in the brain, which help in the dilation of blood vessels and reduction of blood platelet counts, both of which are protect the heart.
So is this a faint ray of hope at the end of the obesity tunnel? Does this mean that fat people are not at risk for heart attacks any more? No, not at all – in fact, the lead doctor of the study cautioned overweight people against taking this report literally and putting off losing weight, because, all said and done, it is true that being obese decreases your life span by 9 years. And if your heart attack kills you as it most likely will, there’s no point in rejoicing that you’re fat enough to survive after the attack.
So get moving today, start working out to shed those excess pounds which could very well turn out to be your death knell.
In the UK, two thirds of adults are now overweight or obese. In the past ten years obesity has doubled in six-year-olds and trebled among 15-year-olds
Heavy matters
— A third of adults, a fifth of boys and a third of girls will be obese by 2020
— Obesity reduces life expectancy by an average of nine years
— Obesity doesn’t happen overnight: it takes about 3,500 excess calories to gain only 1lb (0.5kg)
By-line:
This article is contributed by Sarah Scrafford, who regularly writes on the topic of Online EKG Programs (http://www.ekgclasses.org). She invites your questions, comments and freelancing job inquiries at her email address: sarah.scrafford25@gmail.com.
Editor's note - this article was contributed with no evidence to base the facts given
Wednesday, 10 September 2008
Cardiovascular Diseases eBulletin August 2008
Cardiovascular Diseases, Vascular and Stroke Specialist Libraries eBulletin: Issue No 34. August 2008
Visit the libraries at : www.library.nhs.uk/cardiovascular/ www.library.nhs.uk/stroke; www.library.nhs.uk/vascular
In this edition:
New Developments: Vascular Specialist Library
Latest news
Recent publications
Recent additions to the Database of Abstracts of Reviews of Effects
Hot off the press
Conferences
New developments: Vascular Specialist Library
The Vascular Specialist Library was made live in August. This is to allow us time to gather feedback and make changes prior to the library's official launch at the Vascular Society Annual Conference in Bournemouth 12th - 14th November 2008. A steering group has been set up to help in the development of this library. Details of which can be found on the library about us pages.
The library aims to cover those areas vascular disease not already included in the Stroke and Cardiovascular libraries so that the entire vascular area is covered. We would be pleased for your comment and feedback on the site so far. These can be submitted via the site's feedback form or simple via emailing the Project Manager (see details at end of bulletin).
Visit http://www.library.nhs.uk/vascular .
Latest News:
National Heart Forum Weekly News Briefing 20/08/08
National Heart Forum Weekly News Briefing 13/08/08
National Heart Forum Weekly News Briefing 06/08/08
NHS Choices (Behind the headlines) Aspirin for coronary heart disease 26/08/09
NHS Choices (Behind the headlines) Lunar Phases and Stroke-like symptoms 19/08/09
NHS Choices (Behind the headlines) HRT pill: Tibolone and stroke risk 14/08/09
NHS Choices - (Behind the Headlines): Stopping statins after a heart attack: 04/08/08
NHS Choices - (Behind the Headlines): Garlic and high blood pressure 01/08/08
NHS Choices - (Behind the Headlines): Heart Risk from 2 drinks a day 31/07/08
Recent Publications:
NICE Guidance
- Identification and management of familial hypercholesterolaemia 27/08/2008
Clinical Knowledge Summaries
- Nonsteroidal anti-inflammatory drugs (standard or coxibs) - prescribing issues 16/6/2008
- NSAIDs - prescribing issues: Prescribing an NSAID (standard or coxib) 16/6/2008
American Heart Association Guidance
- Implementation and Integration of Prehospital ECGs Into Systems of Care for Acute Coronary Syndrome 13/08/2008
- Ambulatory Blood Pressure Monitoring in Children and Adolescents: Recommendations for Standard Assessment 04/08/2008
- Sleep Apnea and Cardiovascular Disease 28/07/2008
- Guideline Update on Valvular Heart Disease: Focused Update on Infective Endocarditis 28/07/2008
NHS Improvement
The Heart Improvement Programme have produce some short video clips, vox pops, of team members commenting on their involvement in the improving 18 weeks patient pathways project.
- To view the clips, go to http://www.heart.nhs.uk/18weeks/voxpops.html
They have also added to the 18 weeks online resource tool are a number of case studies from cardiac networks focusing on the delivery of RTT pathways.
- To read the case studies, go to http://www.heart.nhs.uk/18weeks/voxpops.html
National Co-ordinating Centre for Health Technology Assessments
B French, M Leathley, C Sutton, J McAdam, L Thomas, A Forster, P Langhorne, C Price, A Walker and C Watkins*A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness. Health Technol Assess 2008;12(30):1–140
DUETs (Database of uncertainties of Reviews of Effectiveness)
The Cardiovascular Diseases, Stroke and Vascular Specialist Libraries team has started to scan DUETs to identify uncertainties.
Follow links to uncertainties identified by DUETs in the last 3 months on Cardiovascular and Stroke.
Department of Health
Learning networks for vascular checks 07/08/2008
This months additions to the Centre for Reviews and Dissemination’s Database of Abstracts of Reviews of Effects (DARE) and Economic Evaluations Database (EED) (1)
DARE
Svilaas T, van der Horst I C, Zijlstra F. A quantitative estimate of bare-metal stenting compared with balloon angioplasty in patients with acute myocardial infarction: angiographic measures in relation to clinical outcome. Heart 2007; 93(7): 792-800
De Luca G, Suryapranata H, Stone G W, Antoniucci D, Neumann F J, Chiariello M. Adjunctive mechanical devices to prevent distal embolization in patients undergoing mechanical revascularization for acute myocardial infarction: a meta-analysis of randomized trials. American Heart Journal 2007; 153(3): 343-353
Krasopoulos G, Brister S J, Beattie W S, Buchanan M R. Aspirin "resistance" and risk of cardiovascular morbidity: systematic review and meta-analysis. BMJ 2008; 336: 195
Sun Z. Diagnostic accuracy of multislice CT angiography in peripheral arterial disease. Journal of Vascular and Interventional Radiology 2006; 17(12): 1915-1921
Allemann S, Diem P, Egger M, Christ E R, Stettler C. Fibrates in the prevention of cardiovascular disease in patients with type 2 diabetes mellitus: meta-analysis of randomised controlled trials. Current Medical Research and Opinion 2006; 22(3): 617-623
Christou M A, Siontis G C, Katritsis D G, Ioannidis J P. Meta-analysis of fractional flow reserve versus quantitative coronary angiography and noninvasive imaging for evaluation of myocardial ischemia. American Journal of Cardiology 2007; 99(4): 450-456
Nasr I A, Bouzamondo A, Hulot J S, Dubourg O, Le Heuzey J Y, Lechat P. Prevention of atrial fibrillation onset by beta-blocker treatment in heart failure: a meta-analysis. European Heart Journal 2007; 28(4): 457-462
Warren O, Mandal K, Hadjianastassiou V, Knowlton L, Panesar S, John K, Darzi A, Athanasiou T. Recombinant activated factor VII in cardiac surgery: a systematic review. Annals of Thoracic Surgery 2007; 83(2): 707-714
Kashani A, Phillips C O, Foody J M, Wang Y, Mangalmurti S, Ko D T, Krumholz H M. Risks associated with statin therapy: a systematic overview of randomized clinical trials. Circulation 2006; 114(25): 2788-2797
Zhu X, Wu S, Dahut W L, Parikh C R. Risks of proteinuria and hypertension with bevacizumab, an antibody against vascular endothelial growth factor: systematic review and meta-analysis. American Journal of Kidney Diseases 2007; 49(2): 186-193
Sun Z, Mwipatayi B P, Semmens J B, Lawrence-Brown M M. Short to midterm outcomes of fenestrated endovascular grafts in the treatment of abdominal aortic aneurysms: a systematic review. Journal of Endovascular Therapy 2006; 13(6): 747-753
Reisfield G M, Wallace S K, Munsell M F, Webb F J, Alvarez E R, Wilson G R. Survival in cancer patients undergoing in-hospital cardiopulmonary resuscitation: a meta-analysis. Resuscitation 2006; 71 (2): 152-160
Dougall N J, Bruggink S, Ebmeier K P. Systematic review of the diagnostic accuracy of 99mTc- HMPAO-SPECT in dementia. American Journal of Geriatric Psychiatry 2004; 12(6): 554-570
Sampson F C, Goodacre S W, Thomas S M, van Beek E J. The accuracy of MRI in diagnosis of suspected deep vein thrombosis: systematic review and meta-analysis. European Radiology 2007; 17(1): 175-181
Matchar D B, McCrory D C, Orlando L A, Patel M R, Patel U D, Patwardhan M B, Powers B, Samsa G P, Gray R N. Systematic review: comparative effectiveness of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treating essential hypertension. Annals of Internal Medicine 2008; 148(1): 16-29
EED
Lavery L A, Boulton A J, Niezgoda J A, Sheehan P. A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care. International Wound Journal 2007; 4(2): 103-113, 138-139
Main C, Palmer S, Griffin S, Jones L, Orton V, Sculpher M, Henderson R, Sudlow C, Hawkins N, Riemsma R. Clopidogrel used in combination with aspirin compared with aspirin alone in the treatment of non-ST-segment-elevation acute coronary syndromes: a systematic review and economic evaluation. Health Technology Assessment, 2004; 8(40): 1-156
Leykum L, Pugh J, Diuguid D, Papadopoulos K. Cost utility of substituting enoxaparin for unfractionated heparin for prophylaxis of venous thrombosis in the hospitalized medical patient. Journal of Hospital Medicine 2006; 1(3): 168-176
Caro J J, Ward A, Deniz H B, O'Brien J A, Ehreth J L. Cost-benefit analysis of preventing sudden cardiac deaths with an implantable cardioverter defibrillator versus amiodarone. Value in Health 2007; 10(1): 13-22
Quaglini S, Rognoni C, Spazzolini C, Priori S G, Mannarino S, Schwartz P J. Cost-effectiveness of neonatal ECG screening for the long QT syndrome. European Heart Journal 2006; 27(15): 1824-1832
Joffres M R, Campbell N R, Manns B, Tu K. Estimate of the benefits of a population-based reduction in dietary sodium additives on hypertension and its related health care costs in Canada. Canadian Journal of Cardiology 2007; 23(6): 437-443
Wijnen E, Planken N, Keuter X, Kooman J P, Tordoir J H, de Haan M W, Leunissen K M, van der Sande F M. Impact of a quality improvement programme based on vascular access flow monitoring on costs, access occlusion and access failure. Nephrology Dialysis Transplantation 2006; 21(12): 3514-3519
Huse D M, Song X, Ozminkowski R J, Maguire J, Williams S A, Borok G M, McDonough K. Impact of rosuvastatin use on costs and outcomes in patients at high risk for cardiovascular disease in US managed care and Medicare populations: a data analysis. Clinical Therapeutics 2006; 28(9): 1425-1442
van Helvoort-Postulart D, Dirksen C D, Nelemans P J, Kroon A A, Kessels A G, de Leeuw P W, Vasbinder G B, van Engelshoven J M, Hunink M G. Renal artery stenosis: cost-effectiveness of diagnosis and treatment. Radiology 2007; 244(2): 505-513
Hot off the press:
Recently published articles from The Lancet, BMJ, NEJM and JAMA
For further information on appraising current awareness journal articles visit our literature appraisal guides
27/08/08 Effect of allopurinol on blood pressure of adolescents with newly diagnosed essential hypertension
JAMA 2008;300(8):924-932
22/08/08 Effect of integration of supplemental nutrition with public health programmes in pregnancy and early childhood on cardiovascular risk in rural Indian adolescents: long term follow-up of Hyderabad nutrition trial
BMJ 2008;337:a605
22/08/08 Physical control and coordination in childhood and adult obesity: longitudinal birth cohort study
BMJ 2008;337:a699
21/08/08 SLCO1B1 variants and statin-induced myopathy — a genomewide study
NEJM 2008;359:789-799
20/08/08 Mortality and Cardiovascular Events in Patients Treated With Homocysteine- Lowering...
JAMA 2008;300 795-804
15/08/08 Migraine, vascular risk, and cardiovascular events in women: prospective cohort study
BMJ 2008;337:a636
14/08/08 Bivalirudin versus unfractionated heparin during percutaneous coronary intervention
NEJM 2008;359:688-696
14/08/08 Effect of PCI on quality of life in patients with stable coronary disease
NEJM 2008;359:677-687
01/08/08 Changing perceptions of weight in Great Britain: comparison of two population surveys
BMJ 2008;337:a494
Conferences and events for next three months
September 2008 :: October 2008 :: November 2008
Please note correspondence details:
April Coombe (Project Manager)
West Midlands Library and Information Services Development Unit
Workforce Deanery
NHS West Midlands
St Chad's Court
213 Hagley Road
Edgbaston
Birmingham B16 9RG
Tel. 0121 695 2450
Email: april.coombe@westmidlands.nhs.uk
Websites : www.library.nhs.uk/cardiovasc ular :: www.library.nhs.uk/stroke :: www.library.nhs.uk/vascular
Our clinical lead is:
Professor Tom Quinn FRCN FESC
Co-Director Pre-hospital, Emergency and Cardiovascular Care
Applied Research Group (PHECC)
Faculty of Health and Life Sciences
Coventry University
Coventry CV1 5FB, UK
email t.quinn@coventry.ac.uk
[1] All systematic reviews included in DARE have meet DARE’s strict quality criteria. Due to this quality procedure and the critical commentary on the quality of the review, there may be a time difference between when the systematic review has been published and when it appears in DARE. This is also true of EED records.
Visit the libraries at : www.library.nhs.uk/cardiovascular/ www.library.nhs.uk/stroke; www.library.nhs.uk/vascular
In this edition:
New Developments: Vascular Specialist Library
Latest news
Recent publications
Recent additions to the Database of Abstracts of Reviews of Effects
Hot off the press
Conferences
New developments: Vascular Specialist Library
The Vascular Specialist Library was made live in August. This is to allow us time to gather feedback and make changes prior to the library's official launch at the Vascular Society Annual Conference in Bournemouth 12th - 14th November 2008. A steering group has been set up to help in the development of this library. Details of which can be found on the library about us pages.
The library aims to cover those areas vascular disease not already included in the Stroke and Cardiovascular libraries so that the entire vascular area is covered. We would be pleased for your comment and feedback on the site so far. These can be submitted via the site's feedback form or simple via emailing the Project Manager (see details at end of bulletin).
Visit http://www.library.nhs.uk/vascular .
Latest News:
National Heart Forum Weekly News Briefing 20/08/08
National Heart Forum Weekly News Briefing 13/08/08
National Heart Forum Weekly News Briefing 06/08/08
NHS Choices (Behind the headlines) Aspirin for coronary heart disease 26/08/09
NHS Choices (Behind the headlines) Lunar Phases and Stroke-like symptoms 19/08/09
NHS Choices (Behind the headlines) HRT pill: Tibolone and stroke risk 14/08/09
NHS Choices - (Behind the Headlines): Stopping statins after a heart attack: 04/08/08
NHS Choices - (Behind the Headlines): Garlic and high blood pressure 01/08/08
NHS Choices - (Behind the Headlines): Heart Risk from 2 drinks a day 31/07/08
Recent Publications:
NICE Guidance
- Identification and management of familial hypercholesterolaemia 27/08/2008
Clinical Knowledge Summaries
- Nonsteroidal anti-inflammatory drugs (standard or coxibs) - prescribing issues 16/6/2008
- NSAIDs - prescribing issues: Prescribing an NSAID (standard or coxib) 16/6/2008
American Heart Association Guidance
- Implementation and Integration of Prehospital ECGs Into Systems of Care for Acute Coronary Syndrome 13/08/2008
- Ambulatory Blood Pressure Monitoring in Children and Adolescents: Recommendations for Standard Assessment 04/08/2008
- Sleep Apnea and Cardiovascular Disease 28/07/2008
- Guideline Update on Valvular Heart Disease: Focused Update on Infective Endocarditis 28/07/2008
NHS Improvement
The Heart Improvement Programme have produce some short video clips, vox pops, of team members commenting on their involvement in the improving 18 weeks patient pathways project.
- To view the clips, go to http://www.heart.nhs.uk/18weeks/voxpops.html
They have also added to the 18 weeks online resource tool are a number of case studies from cardiac networks focusing on the delivery of RTT pathways.
- To read the case studies, go to http://www.heart.nhs.uk/18weeks/voxpops.html
National Co-ordinating Centre for Health Technology Assessments
B French, M Leathley, C Sutton, J McAdam, L Thomas, A Forster, P Langhorne, C Price, A Walker and C Watkins*A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness. Health Technol Assess 2008;12(30):1–140
DUETs (Database of uncertainties of Reviews of Effectiveness)
The Cardiovascular Diseases, Stroke and Vascular Specialist Libraries team has started to scan DUETs to identify uncertainties.
Follow links to uncertainties identified by DUETs in the last 3 months on Cardiovascular and Stroke.
Department of Health
Learning networks for vascular checks 07/08/2008
This months additions to the Centre for Reviews and Dissemination’s Database of Abstracts of Reviews of Effects (DARE) and Economic Evaluations Database (EED) (1)
DARE
Svilaas T, van der Horst I C, Zijlstra F. A quantitative estimate of bare-metal stenting compared with balloon angioplasty in patients with acute myocardial infarction: angiographic measures in relation to clinical outcome. Heart 2007; 93(7): 792-800
De Luca G, Suryapranata H, Stone G W, Antoniucci D, Neumann F J, Chiariello M. Adjunctive mechanical devices to prevent distal embolization in patients undergoing mechanical revascularization for acute myocardial infarction: a meta-analysis of randomized trials. American Heart Journal 2007; 153(3): 343-353
Krasopoulos G, Brister S J, Beattie W S, Buchanan M R. Aspirin "resistance" and risk of cardiovascular morbidity: systematic review and meta-analysis. BMJ 2008; 336: 195
Sun Z. Diagnostic accuracy of multislice CT angiography in peripheral arterial disease. Journal of Vascular and Interventional Radiology 2006; 17(12): 1915-1921
Allemann S, Diem P, Egger M, Christ E R, Stettler C. Fibrates in the prevention of cardiovascular disease in patients with type 2 diabetes mellitus: meta-analysis of randomised controlled trials. Current Medical Research and Opinion 2006; 22(3): 617-623
Christou M A, Siontis G C, Katritsis D G, Ioannidis J P. Meta-analysis of fractional flow reserve versus quantitative coronary angiography and noninvasive imaging for evaluation of myocardial ischemia. American Journal of Cardiology 2007; 99(4): 450-456
Nasr I A, Bouzamondo A, Hulot J S, Dubourg O, Le Heuzey J Y, Lechat P. Prevention of atrial fibrillation onset by beta-blocker treatment in heart failure: a meta-analysis. European Heart Journal 2007; 28(4): 457-462
Warren O, Mandal K, Hadjianastassiou V, Knowlton L, Panesar S, John K, Darzi A, Athanasiou T. Recombinant activated factor VII in cardiac surgery: a systematic review. Annals of Thoracic Surgery 2007; 83(2): 707-714
Kashani A, Phillips C O, Foody J M, Wang Y, Mangalmurti S, Ko D T, Krumholz H M. Risks associated with statin therapy: a systematic overview of randomized clinical trials. Circulation 2006; 114(25): 2788-2797
Zhu X, Wu S, Dahut W L, Parikh C R. Risks of proteinuria and hypertension with bevacizumab, an antibody against vascular endothelial growth factor: systematic review and meta-analysis. American Journal of Kidney Diseases 2007; 49(2): 186-193
Sun Z, Mwipatayi B P, Semmens J B, Lawrence-Brown M M. Short to midterm outcomes of fenestrated endovascular grafts in the treatment of abdominal aortic aneurysms: a systematic review. Journal of Endovascular Therapy 2006; 13(6): 747-753
Reisfield G M, Wallace S K, Munsell M F, Webb F J, Alvarez E R, Wilson G R. Survival in cancer patients undergoing in-hospital cardiopulmonary resuscitation: a meta-analysis. Resuscitation 2006; 71 (2): 152-160
Dougall N J, Bruggink S, Ebmeier K P. Systematic review of the diagnostic accuracy of 99mTc- HMPAO-SPECT in dementia. American Journal of Geriatric Psychiatry 2004; 12(6): 554-570
Sampson F C, Goodacre S W, Thomas S M, van Beek E J. The accuracy of MRI in diagnosis of suspected deep vein thrombosis: systematic review and meta-analysis. European Radiology 2007; 17(1): 175-181
Matchar D B, McCrory D C, Orlando L A, Patel M R, Patel U D, Patwardhan M B, Powers B, Samsa G P, Gray R N. Systematic review: comparative effectiveness of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treating essential hypertension. Annals of Internal Medicine 2008; 148(1): 16-29
EED
Lavery L A, Boulton A J, Niezgoda J A, Sheehan P. A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care. International Wound Journal 2007; 4(2): 103-113, 138-139
Main C, Palmer S, Griffin S, Jones L, Orton V, Sculpher M, Henderson R, Sudlow C, Hawkins N, Riemsma R. Clopidogrel used in combination with aspirin compared with aspirin alone in the treatment of non-ST-segment-elevation acute coronary syndromes: a systematic review and economic evaluation. Health Technology Assessment, 2004; 8(40): 1-156
Leykum L, Pugh J, Diuguid D, Papadopoulos K. Cost utility of substituting enoxaparin for unfractionated heparin for prophylaxis of venous thrombosis in the hospitalized medical patient. Journal of Hospital Medicine 2006; 1(3): 168-176
Caro J J, Ward A, Deniz H B, O'Brien J A, Ehreth J L. Cost-benefit analysis of preventing sudden cardiac deaths with an implantable cardioverter defibrillator versus amiodarone. Value in Health 2007; 10(1): 13-22
Quaglini S, Rognoni C, Spazzolini C, Priori S G, Mannarino S, Schwartz P J. Cost-effectiveness of neonatal ECG screening for the long QT syndrome. European Heart Journal 2006; 27(15): 1824-1832
Joffres M R, Campbell N R, Manns B, Tu K. Estimate of the benefits of a population-based reduction in dietary sodium additives on hypertension and its related health care costs in Canada. Canadian Journal of Cardiology 2007; 23(6): 437-443
Wijnen E, Planken N, Keuter X, Kooman J P, Tordoir J H, de Haan M W, Leunissen K M, van der Sande F M. Impact of a quality improvement programme based on vascular access flow monitoring on costs, access occlusion and access failure. Nephrology Dialysis Transplantation 2006; 21(12): 3514-3519
Huse D M, Song X, Ozminkowski R J, Maguire J, Williams S A, Borok G M, McDonough K. Impact of rosuvastatin use on costs and outcomes in patients at high risk for cardiovascular disease in US managed care and Medicare populations: a data analysis. Clinical Therapeutics 2006; 28(9): 1425-1442
van Helvoort-Postulart D, Dirksen C D, Nelemans P J, Kroon A A, Kessels A G, de Leeuw P W, Vasbinder G B, van Engelshoven J M, Hunink M G. Renal artery stenosis: cost-effectiveness of diagnosis and treatment. Radiology 2007; 244(2): 505-513
Hot off the press:
Recently published articles from The Lancet, BMJ, NEJM and JAMA
For further information on appraising current awareness journal articles visit our literature appraisal guides
27/08/08 Effect of allopurinol on blood pressure of adolescents with newly diagnosed essential hypertension
JAMA 2008;300(8):924-932
22/08/08 Effect of integration of supplemental nutrition with public health programmes in pregnancy and early childhood on cardiovascular risk in rural Indian adolescents: long term follow-up of Hyderabad nutrition trial
BMJ 2008;337:a605
22/08/08 Physical control and coordination in childhood and adult obesity: longitudinal birth cohort study
BMJ 2008;337:a699
21/08/08 SLCO1B1 variants and statin-induced myopathy — a genomewide study
NEJM 2008;359:789-799
20/08/08 Mortality and Cardiovascular Events in Patients Treated With Homocysteine- Lowering...
JAMA 2008;300 795-804
15/08/08 Migraine, vascular risk, and cardiovascular events in women: prospective cohort study
BMJ 2008;337:a636
14/08/08 Bivalirudin versus unfractionated heparin during percutaneous coronary intervention
NEJM 2008;359:688-696
14/08/08 Effect of PCI on quality of life in patients with stable coronary disease
NEJM 2008;359:677-687
01/08/08 Changing perceptions of weight in Great Britain: comparison of two population surveys
BMJ 2008;337:a494
Conferences and events for next three months
September 2008 :: October 2008 :: November 2008
Please note correspondence details:
April Coombe (Project Manager)
West Midlands Library and Information Services Development Unit
Workforce Deanery
NHS West Midlands
St Chad's Court
213 Hagley Road
Edgbaston
Birmingham B16 9RG
Tel. 0121 695 2450
Email: april.coombe@westmidlands.nhs.uk
Websites : www.library.nhs.uk/cardiovasc ular :: www.library.nhs.uk/stroke :: www.library.nhs.uk/vascular
Our clinical lead is:
Professor Tom Quinn FRCN FESC
Co-Director Pre-hospital, Emergency and Cardiovascular Care
Applied Research Group (PHECC)
Faculty of Health and Life Sciences
Coventry University
Coventry CV1 5FB, UK
email t.quinn@coventry.ac.uk
[1] All systematic reviews included in DARE have meet DARE’s strict quality criteria. Due to this quality procedure and the critical commentary on the quality of the review, there may be a time difference between when the systematic review has been published and when it appears in DARE. This is also true of EED records.
Tuesday, 15 April 2008
Cardiovascular Conference Archives
CARDIOVASCULAR CONFERENCE PRESENTATIONS
Conference Archives (CAI) has released Sessions Science OnDemand (SSOD) 2007, a digital archive of more than 2,700 oral presentations from the American Heart Association's (AHA) 2007 annual Scientific Sessions conference. SSOD 2007 is designed to give global medical professionals access to the latest advancements and knowledge presented at the AHA's Scientific Sessions annual meeting.
Nearly all oral presentations in SSOD 2007 are synchronised - audio and slides - to mimic the experience of an oral presentation's delivery. Each oral presentation is transcribed, and the transcription synchronised to the audio and slides of a presentation. Users can search for content across the archive or within a presentation.
This is the fourth year CAI has released presentations from the AHA's Scientific Sessions annual meeting. CAI has captured nearly 25,000 oral presentations from AHA meetings.
Conference Archives (CAI) has released Sessions Science OnDemand (SSOD) 2007, a digital archive of more than 2,700 oral presentations from the American Heart Association's (AHA) 2007 annual Scientific Sessions conference. SSOD 2007 is designed to give global medical professionals access to the latest advancements and knowledge presented at the AHA's Scientific Sessions annual meeting.
Nearly all oral presentations in SSOD 2007 are synchronised - audio and slides - to mimic the experience of an oral presentation's delivery. Each oral presentation is transcribed, and the transcription synchronised to the audio and slides of a presentation. Users can search for content across the archive or within a presentation.
This is the fourth year CAI has released presentations from the AHA's Scientific Sessions annual meeting. CAI has captured nearly 25,000 oral presentations from AHA meetings.
Latest from the DoH
Vascular checks will prevent thousands of heart attacks and strokes
Last modified date:
1 April 2008
A national programme to identify vulnerability to vascular diseases will prevent up to 9,500 heart attacks and strokes every year and save 2,000 lives, Health Secretary Alan Johnson announced today.
Everyone aged between 40 - 74 will be offered checks.
Collectively, vascular diseases - heart disease, stroke, diabetes and kidney disease - affect the lives of more than four million people and kill 170,000 every year. They also account for more than half the mortality gap between rich and poor.
Initial results from modelling work carried out by the Department shows that a vascular check programme would prevent 4,000 people a year from developing diabetes. It could also detect at least 25,000 cases of diabetes or kidney disease earlier, allowing cases to be better managed and improving outcomes.
Alan Johnson said:
"As we look to the future of the NHS in its 60th anniversary year, our vision is to create a modern service that meets the unique challenges of today's society.
"The case for a national programme of vascular checks is compelling. We could prevent 9,500 heart attacks and strokes every year and save 2,000 lives. It would also reduce the health inequalities that blight the lives of the country's most deprived families."
Read the full news release (opens new window)
Last modified date:
1 April 2008
A national programme to identify vulnerability to vascular diseases will prevent up to 9,500 heart attacks and strokes every year and save 2,000 lives, Health Secretary Alan Johnson announced today.
Everyone aged between 40 - 74 will be offered checks.
Collectively, vascular diseases - heart disease, stroke, diabetes and kidney disease - affect the lives of more than four million people and kill 170,000 every year. They also account for more than half the mortality gap between rich and poor.
Initial results from modelling work carried out by the Department shows that a vascular check programme would prevent 4,000 people a year from developing diabetes. It could also detect at least 25,000 cases of diabetes or kidney disease earlier, allowing cases to be better managed and improving outcomes.
Alan Johnson said:
"As we look to the future of the NHS in its 60th anniversary year, our vision is to create a modern service that meets the unique challenges of today's society.
"The case for a national programme of vascular checks is compelling. We could prevent 9,500 heart attacks and strokes every year and save 2,000 lives. It would also reduce the health inequalities that blight the lives of the country's most deprived families."
Read the full news release (opens new window)
Friday, 25 January 2008
Heart death rates article from HSJ
Heart death rates show a nation of inequalities
Published: 17 January 2008 09:00 in HSJ
Author: Sally Gainsbury
More by this Author
Research by HSJ has revealed the huge inequalities between healthcare need and NHS spending throughout England.
An HSJ analysis of the latest data on coronary heart disease premature death rates and primary care trust heart disease spending shows that some of the PCTs with the greatest health need spend the least.
The data, published by the Department of Health's Information Centre, shows that the premature death rate for coronary heart disease - defined as deaths between the ages of one and 75 - ranges from 2.1 premature deaths per 10,000 population in Kensington and Chelsea to 8.5 premature deaths in Hartlepool.
HSJ compared these death rates with DH figures on PCT spending on heart disease in 2006-07 and found that spending per heart disease death ranged from £166,151 at Wakefield PCT to just £17,241 at Calderdale PCT. This is despite the fact that Wakefield's premature death rate from heart disease is 14 per cent higher than Calderdale's.
"There is quite a range of spend per death and the relationship between the two is not as strong as you would like"
The DH has made heart disease one of its priority areas for tackling health inequalities. Together with cancer and respiratory disease it accounts for two thirds of the life expectancy gap between PCTs in the poorest areas and the rest of England. The DH has set the NHS a target of a 10 per cent reduction in those life expectancy gaps by 2011, but the latest data shows that some PCTs could struggle to do that without radical changes to their programmes and spending.
NHS Alliance chief officer Michael Sobanja said: "PCTs will have to take great notice of data such as this and turn their attention to it. They must do something.
"Many health service contracts have been based on rolling forward what was spent in previous years and that is not necessarily related to the prevalence of disease."
It was only relatively recently that PCTs were able to compare disease-prevalence data such as premature death statistics with their budgets, Mr Sobanja added.
Now they had that information they needed to act on it, even if that meant areas that had traditionally been well resourced were disadvantaged in favour of poorer areas, he said.
King's Fund chief economist John Appleby said: "You would hope that spending reflected need, but the data does not show that. There is quite a range of spend per death and the relationship between the two is not as strong as you would like."
Because the figures on premature death rates do not include deaths over the age of 75 they could make more affluent areas with higher life expectancies appear to spend more per premature death.
However, the figures show that the majority of those spending the most per premature death also spent higher than average per head of population.
Even PCTs with similar rates of premature death spend hugely different amounts. Hastings and Rother PCT has a premature death rate from heart disease of 5.5 per 10,000 population and spent £114,534 per death in 2006-07. Medway teaching PCT's death rate is slightly lower at 5.1 per 10,000, but at £39,288 its heart disease spend per premature death is a third of Hastings and Medway's.
The data on premature deaths was published by the NHS Information Centre in late December. It shows, for each PCT area as well as each local authority, the actual numbers and rates of premature death due to a selection of diseases, including heart disease. The data also gives an assessment of the severity of premature death by measuring the years of life lost up to 75 years.
Measured on that scale, Blackpool has the highest rate of years of life lost at 100 per 10,000 population. Its spend per premature death was £49,262, well below the English average of £75,072.
Published: 17 January 2008 09:00 in HSJ
Author: Sally Gainsbury
More by this Author
Research by HSJ has revealed the huge inequalities between healthcare need and NHS spending throughout England.
An HSJ analysis of the latest data on coronary heart disease premature death rates and primary care trust heart disease spending shows that some of the PCTs with the greatest health need spend the least.
The data, published by the Department of Health's Information Centre, shows that the premature death rate for coronary heart disease - defined as deaths between the ages of one and 75 - ranges from 2.1 premature deaths per 10,000 population in Kensington and Chelsea to 8.5 premature deaths in Hartlepool.
HSJ compared these death rates with DH figures on PCT spending on heart disease in 2006-07 and found that spending per heart disease death ranged from £166,151 at Wakefield PCT to just £17,241 at Calderdale PCT. This is despite the fact that Wakefield's premature death rate from heart disease is 14 per cent higher than Calderdale's.
"There is quite a range of spend per death and the relationship between the two is not as strong as you would like"
The DH has made heart disease one of its priority areas for tackling health inequalities. Together with cancer and respiratory disease it accounts for two thirds of the life expectancy gap between PCTs in the poorest areas and the rest of England. The DH has set the NHS a target of a 10 per cent reduction in those life expectancy gaps by 2011, but the latest data shows that some PCTs could struggle to do that without radical changes to their programmes and spending.
NHS Alliance chief officer Michael Sobanja said: "PCTs will have to take great notice of data such as this and turn their attention to it. They must do something.
"Many health service contracts have been based on rolling forward what was spent in previous years and that is not necessarily related to the prevalence of disease."
It was only relatively recently that PCTs were able to compare disease-prevalence data such as premature death statistics with their budgets, Mr Sobanja added.
Now they had that information they needed to act on it, even if that meant areas that had traditionally been well resourced were disadvantaged in favour of poorer areas, he said.
King's Fund chief economist John Appleby said: "You would hope that spending reflected need, but the data does not show that. There is quite a range of spend per death and the relationship between the two is not as strong as you would like."
Because the figures on premature death rates do not include deaths over the age of 75 they could make more affluent areas with higher life expectancies appear to spend more per premature death.
However, the figures show that the majority of those spending the most per premature death also spent higher than average per head of population.
Even PCTs with similar rates of premature death spend hugely different amounts. Hastings and Rother PCT has a premature death rate from heart disease of 5.5 per 10,000 population and spent £114,534 per death in 2006-07. Medway teaching PCT's death rate is slightly lower at 5.1 per 10,000, but at £39,288 its heart disease spend per premature death is a third of Hastings and Medway's.
The data on premature deaths was published by the NHS Information Centre in late December. It shows, for each PCT area as well as each local authority, the actual numbers and rates of premature death due to a selection of diseases, including heart disease. The data also gives an assessment of the severity of premature death by measuring the years of life lost up to 75 years.
Measured on that scale, Blackpool has the highest rate of years of life lost at 100 per 10,000 population. Its spend per premature death was £49,262, well below the English average of £75,072.
Friday, 14 December 2007
E-books
Finding it difficult to get to the library? There are a vast array of e-resources out there to be used. Electronically available books are there waiting for you. You will need an Athens user name and password to access them through MyiLibrary
http://www.myilibrary.com/Search/quicksearch.asp
or via EEL website
http://www.eel.nhs.uk/eel/index.htm >online books> MyiLibrary http://www.myilibrary.com/search/my_content.asp
I tried searching subjects in the quick search pane and retrieved the following results (some e-books are duplicated)
anaemia(141); anemia(52); atheroma(8); blood (403); "cardiac rehabilitation"(13); cardiothoracic(8); cardiology(59); "cardiovascular disease"(256); "congenital heart"(24); echocardiography(15); ECG(14); haematology(38); heart(379); "heart disease"(216); hematology(15); hypertension(206); thrombosis(66); "venous thromboembolism"(9)
of course there are many more examples eg coronary radiology etc.
OR LOOK UP BOOKS4FREE http://www.freebooks4doctors.com/fb/special.htm
AND ACCESS FOR EXAMPLE
L. Henry Edmunds, Jr.Cardiac Surgery in the Adult 1997 - The McGraw-Hill Companies, Inc., 1542 pp ISBN 0070189633
Cardiovascular Diseases
Alberto Hatim Ricardo, Enrique Flores DelgadoFisiopatología de la Hipertensión Arterial 1999 - Instituto Superior de Ciencias M‚dicas. CamagüeySpanish
Antonio Coca, Alejandro De La SierraHipertensión Arterial Guia de Tratamiento Spanish
Roca-Cusachs Coll, Alejandro, et al.Incremento Matutino de la Presión Arterial Spanish
NHLBI (National Heart Lung and Blood Institute)Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The Sixth Report of the Joint National Committee1997 - 73 pp; 0.5 MByte
Cardiology
Manuel Wilke DelgadoAtlas Diagnostic Dolor Toracico 2001Spanish
Eugene BraunwaldBraunwald Atlas of Heart Diseases Access only after previous registration
Stig S LundbäckCardiac pumping and Function of the Ventricular Septum 2nd edition, 1999
José F. Guadalajara BooCardiología Programa de Actualización para Médicos GeneralesSpanish
Ignacio Plaza PérezCardiología Preventiva - Sociedad Española de CardiologíaSpanish
Xavier André-FouëtCardiologie - Université Claude Bernard, Lyon IFrench
Cardiology 2002 - eMedicine, Inc.
James M. FoxCardiology University of Iowa Family Practice Handbook4th edition
Cardiovascular Disorders, in: Merck Manual 2000
Frank G. YanowitzECG Course 2001 - University of Utah School of Medicine
Dean Jenkins, Stephen GerredECG Library 2001
Nicola Binetti, Mario Cavazza, Tiziano Lenzi, Giuseppe TrisolinoElementi di Diagnosi e Terapia delle Aritmie Cardiache 1998Italian
Harald Becher, Peter N BurnsHandbook of Contrast Echocardiography 2000 - The John Radcliffe Hospital, University of Oxford, 200 pp; 2.0 MByte Access only after previous registration
National Heart, Lung & Blood InstituteHealthy Heart Handbook for Women ISBN 0-16-037976-8
Manual Práctico de Cardiología para no Especialistas - Centro de Investigación para la Electrocardiología y la TelemedicinaSpanish
Sue Apple, Joseph Lindsay, Jr.Principles and Practice of Interventional Cardiology 2000 - Lippincott Williams & Wilkins, 316 pp ISBN 0781710200
José Ramón González JuanateySistema Tutor en Electrocardiografía - Servicio de Cardiología UCC, Complejo Hospitalario Universitario de Santiago de CompostelaSpanish
Terence RaffertyTransesophageal Echocardiography - Yale University School of Medicine, Department of Anesthesiology
J. Willis HurstVentricular Electrocardiography 1998 - Medscape Access only after previous registration
Barry L. Zaret, Marvin Moser, Lawrence S. CohenYale Heart Book 1992 - Yale University School of Medicine, 362 pp
So go on and enjoy reading from your PC 24/7 now!
http://www.myilibrary.com/Search/quicksearch.asp
or via EEL website
http://www.eel.nhs.uk/eel/index.htm >online books> MyiLibrary http://www.myilibrary.com/search/my_content.asp
I tried searching subjects in the quick search pane and retrieved the following results (some e-books are duplicated)
anaemia(141); anemia(52); atheroma(8); blood (403); "cardiac rehabilitation"(13); cardiothoracic(8); cardiology(59); "cardiovascular disease"(256); "congenital heart"(24); echocardiography(15); ECG(14); haematology(38); heart(379); "heart disease"(216); hematology(15); hypertension(206); thrombosis(66); "venous thromboembolism"(9)
of course there are many more examples eg coronary radiology etc.
OR LOOK UP BOOKS4FREE http://www.freebooks4doctors.com/fb/special.htm
AND ACCESS FOR EXAMPLE
L. Henry Edmunds, Jr.Cardiac Surgery in the Adult 1997 - The McGraw-Hill Companies, Inc., 1542 pp ISBN 0070189633
Cardiovascular Diseases
Alberto Hatim Ricardo, Enrique Flores DelgadoFisiopatología de la Hipertensión Arterial 1999 - Instituto Superior de Ciencias M‚dicas. CamagüeySpanish
Antonio Coca, Alejandro De La SierraHipertensión Arterial Guia de Tratamiento Spanish
Roca-Cusachs Coll, Alejandro, et al.Incremento Matutino de la Presión Arterial Spanish
NHLBI (National Heart Lung and Blood Institute)Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The Sixth Report of the Joint National Committee1997 - 73 pp; 0.5 MByte
Cardiology
Manuel Wilke DelgadoAtlas Diagnostic Dolor Toracico 2001Spanish
Eugene BraunwaldBraunwald Atlas of Heart Diseases Access only after previous registration
Stig S LundbäckCardiac pumping and Function of the Ventricular Septum 2nd edition, 1999
José F. Guadalajara BooCardiología Programa de Actualización para Médicos GeneralesSpanish
Ignacio Plaza PérezCardiología Preventiva - Sociedad Española de CardiologíaSpanish
Xavier André-FouëtCardiologie - Université Claude Bernard, Lyon IFrench
Cardiology 2002 - eMedicine, Inc.
James M. FoxCardiology University of Iowa Family Practice Handbook4th edition
Cardiovascular Disorders, in: Merck Manual 2000
Frank G. YanowitzECG Course 2001 - University of Utah School of Medicine
Dean Jenkins, Stephen GerredECG Library 2001
Nicola Binetti, Mario Cavazza, Tiziano Lenzi, Giuseppe TrisolinoElementi di Diagnosi e Terapia delle Aritmie Cardiache 1998Italian
Harald Becher, Peter N BurnsHandbook of Contrast Echocardiography 2000 - The John Radcliffe Hospital, University of Oxford, 200 pp; 2.0 MByte Access only after previous registration
National Heart, Lung & Blood InstituteHealthy Heart Handbook for Women ISBN 0-16-037976-8
Manual Práctico de Cardiología para no Especialistas - Centro de Investigación para la Electrocardiología y la TelemedicinaSpanish
Sue Apple, Joseph Lindsay, Jr.Principles and Practice of Interventional Cardiology 2000 - Lippincott Williams & Wilkins, 316 pp ISBN 0781710200
José Ramón González JuanateySistema Tutor en Electrocardiografía - Servicio de Cardiología UCC, Complejo Hospitalario Universitario de Santiago de CompostelaSpanish
Terence RaffertyTransesophageal Echocardiography - Yale University School of Medicine, Department of Anesthesiology
J. Willis HurstVentricular Electrocardiography 1998 - Medscape Access only after previous registration
Barry L. Zaret, Marvin Moser, Lawrence S. CohenYale Heart Book 1992 - Yale University School of Medicine, 362 pp
So go on and enjoy reading from your PC 24/7 now!
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