Models of preventive care in clinical practice to achieve 25 by 25
|
|
- Sharon Pope
- 5 years ago
- Views:
Transcription
1 Models of preventive care in clinical practice to achieve 25 by 25 Professor David A Wood Garfield Weston Professor of Cardiovascular Medicine International Centre for Circulatory Health Imperial College London United Kingdom
2
3 Guidelines Implementation Evaluation
4 EUROASPIRE IV Ireland Netherlands Finland Russia Germany UK Latvia Sweden France Czech Republic Poland Lithuania Croatia Belgium Romania Hungary Spain Slovenia Greece Bulgaria Serbia Italy Cyprus Turkey Bosnia and Herzegovina Eur J Prevent Cardiol 2015 Ukraine
5 Prevalence of smoking, obesity* and central obesity** EUROASPIRE II EUROASPIRE III EUROASPIRE IV p=0.04 p=0.007 p=0.55 * BMI 30 kg/m²; **Waist circumference 88 cm for women and 102 cm for men
6 Prevalence of smoking by age and sex
7 Prevalence of raised BP*, elevated LDL-C** and diabetes*** P< EUROASPIRE II EUROASPIRE III EUROASPIRE IV p=0.01 p= p=0.78 * SBP/DBP 140/90 mmhg ( 140/80 mmhg for patients with diabetes); LDL 1.8 mmol/l ( 70 mg/dl); ***Fasting glucose 7 mmol/l ( 126 mg/dl) for patients without history of diabetes
8 Cardiovascular protective drug therapies P< P< EUROASPIRE II EUROASPIRE III EUROASPIRE IV P< P<0.0001
9 Cardiopulmonary rehabilitation Cardiac rehabilitation is a branch of rehabilitation medicine dealing with optimizing physical function in patients with cardiac disease or recent cardiac surgeries Wickipedia March 25 th 2015
10 Randomised controlled trials of cardiac rehabilitation Cardiac rehab 95% CI Secondary prevention 95% CI Total mortality , , 0.94 CHD mortality , Myocardial re-infarction , , 0.94 Taylor R et al, Am J Med 2004; 116: Clark A M et al Annals of Internal Medicine 2005;143: Heran B S, et al Cochrane Database of Systematic Reviews 2011
11 Programme with no exercise Programme with exercise Randomised controlled trials of secondary prevention All cause mortality Treatment Control Relative Risk 95% CI , , 1.04 Exercise only , 0.95 Overall* , 0.94 *p=0.001 Clark A M et al Annals of Internal Medicine 2005;143:
12 Randomised controlled trials of secondary prevention Recurrent myocardial infarction Programme with no exercise Programme with exercise Treatment Control Relative Risk 95% CI , , 0.87 Exercise only , 1.01 Overall* , 0.94 *p=0.002 Clark A M et al Annals of Internal Medicine 2005;143:
13 Cardiac rehabilitation + Secondary prevention
14 Cardiac rehabilitation is a branch of rehabilitation medicine dealing with optimizing physical function in patients with cardiac disease. While the glue of cardiac rehabilitation is exercise, programmes are evolving to become comprehensive prevention centers where all aspects of care are delivered. Wickipedia March 25 th 2015
15 Comprehensive prevention centers where all aspects of care are delivered. Wickipedia March 25 th 2015
16 Lifestyle (smoking cessation, diet, physical activity) intervention, taking account of psychosocial factors, and using a behavioural approach Measuring, monitoring and managing other risk factors (blood pressure, lipids and glucose) to target Understanding of, and adherence with, cardioprotective drug therapies for life
17 SCORE: the European Risk Prediction System Total risk assessment 3rd Joint European Societies Task Force Data from: 12 European cohort studies wide geographic spread of countries at different levels of cardiovascular risks 3-million person-years of observation 7,934 fatal cardiovascular events 2004 European Society of Cardiology SCORE Score enabled HeartScore, an interactive tool
18 SCORE
19 SCORE: the European Risk Prediction System Total risk assessment 3rd Joint European Societies Task Force Data from: 12 European cohort studies wide geographic spread of countries at different levels of cardiovascular risks 3-million person-years of observation 7,934 fatal cardiovascular events 2004 European Society of Cardiology SCORE Total risk management Score enabled HeartScore, an interactive tool
20 Lifestyle (smoking cessation, diet, physical activity) intervention, taking account of psychosocial factors, and using a behavioural approach Measuring, monitoring and managing other risk factors (blood pressure, lipids and glucose) to target Understanding of, and adherence with, cardioprotective drug therapies for life
21 EUROACTION A European Society of Cardiology demonstration project: 8 countries and 24 hospital and general practice centres Lancet 2008; 371:
22 General hospitals and general practices Dr Jorge Navarro and Gemma Medez Perez Centro de Salud de San Pau Dr Antonio Salvador, Cristina Buigues, Ana Bonet, Arancha Ruescas and Rosario Cuevas Hospital General de Dr. Peset
23 Ambulatory nurse-coordinated multidisciplinary approach The EUROACTION team in Boldrini Hospital, Thiene, Italy The EUROACTION nurse and the lead GP in Hoensbroek, The Netherlands
24 Healthy eating, Weight management Lifestyle change in families Smoking cessation Increasing Physical activity No smoking Saturated Fat: <10% total Energy Fruits and vegetables: >400g/day Fish: >20g/day Oily Fish: >3 times/week minutes of physical activity at 60 75% of the average maximum heart rate on four-five days of the week Weight reduction 5% Waist <94 cm in men and <80 cm in women
25 Family based lifestyle programme Sweden Poland
26 Health promotion workshops Gemona, Italy Valencia, Spain
27 Supervised hospital and home based physical activity programme Halmstad, Sweden Valencia, Spain Thiene, Italy
28 A CLUSTER RANDOMISED CONTROLLED TRIAL Randomisation INT UC Identification 2778 PATIENTS 1632 PARTNERS 2613 PATIENTS 1634 PARTNERS Initial assessment 2179 PATIENTS 910 PARTNERS 580 SUB-SAMPLE Intervention PROGRAMME 16 week hospital 1 year primary care One year assessment 1965 PATIENTS 626 PARTNERS 1999 PATIENTS 698 PARTNERS
29 EUROACTION: Hospital Smoking cessation at one year in coronary patients who were smokers in the month prior to their event + 10% ( - 0.3% to + 21%) p = 0.06
30 EUROACTION + Intensive Smoking Cessation with Varenicline UK Italy Netherlands Spain Eur Heart J 2014; 35:
31 Study Participants N=696 Eligible patients N=559 High-Risk patients N=137 Vascular patients EA+ ARM N=350 patients N=276 High-Risk patients N=74 Vascular patients USUAL CARE ARM N=346 patients N=283 High-Risk patients N=63 Vascular patients N=328 Baseline assessment N=313 Participated in EA+ N= % 16-weeks assessment N= % 16-weeks assessment N=346 Primary endpoint N=335 Primary endpoint
32 Smoking abstinence for last 7 days confirmed by CO in breath < 10 ppm PRIMARY ENDPOINT Odds Ratio (95% CI) = 4.52 (3.20 to 6.39)
33 EUROACTION A European Society of Cardiology demonstration project: 8 countries and 24 hospital and general practice centres Lancet 2008; 371:
34 Proportions of patients achieving the European targets for a healthy diet Hospital General Practice p = p = p = p = 0.91 p = 0.26 p = 0.04 p = 0.13 Intervention Usual Care
35 Proportions of partners achieving the European targets for a healthy diet Hospital General Practice p = 0.31 p = p = p = 0.98 p = 0.42 p = 0.77 p = 0.09 Intervention Usual Care
36 Proportion of patients achieving European Guidelines for physical activity Hospital + 36% (+20% to + 51%) General Practice + 29% ( + 11% to + 48%) P = P = 0.001
37 Proportion of partners achieving European Guidelines for physical activity Hospital General Practice + 19% (- 0.6% to + 38%) + 27% (+ 4% to + 50%) P = 0.06 p = 0.03
38 Proportion of patients achieving the European target for blood pressure Hospital General Practice + 10% (+ 0.6% to + 20%) + 17% (+ 2% to + 32%) P = 0.04 p = 0.03 Intervention Usual Care
39 Proportion of patients achieving European target for blood pressure % Patients without diabetes + 17% (+ 0.5% to + 33%) Patients with diabetes + 19% (+ 1% to + 37%) p = 0.04* * random effects modelling p = 0.04*
40 Proportion of patients on cardiovascular protective drug therapy Hospital General Practice p=0.28 p=0.16 p=0.04 p=0.26 p=0.03 p= p=0.06 p=0.91 p=0.02 p=0.24 Intervention Usual Care
41 EUROACTION set a new standard for preventive cardiology in both secondary and primary prevention
42 Terminology Cardiac rehabilitation Cardiovascular rehabilitation Rehabilitation and secondary prevention Cardiac rehabilitation and prevention Cardiovascular prevention and rehabilitation
43 NICE Guideline: MI - secondary prevention Cardiac rehabilitation programme is defined as: Exercise Health education and information Psychology and social support
44 NICE Guideline: MI - secondary prevention Cardiac rehabilitation does NOT include: Lifestyle changes after MI: Smoking cessation Changing dietary regimen Alcohol consumption Weight management Drug therapy after MI
45 Terminology Cardiac rehabilitation Cardiovascular rehabilitation Rehabilitation and secondary prevention Cardiac rehabilitation and prevention Cardiovascular prevention and rehabilitation
46 Cardiac rehabilitation and secondary prevention for patients with established atherosclerotic disease + Primary prevention for asymptomatic individuals at high risk of developing CVD including patients with diabetes mellitus, CKD and other high risk diseases
47 Primary Prevention Secondary Prevention
48 Integrate secondary and primary prevention in one programme
EUROACTION A model for secondary and primary preventive care to achieve 25 by 25
EUROACTION A model for secondary and primary preventive care to achieve 25 by 25 Professor David A Wood Garfield Weston Professor of Cardiovascular Medicine International Centre for Circulatory Health
More informationSecondary prevention and systems approaches: Lessons from EUROASPIRE and EUROACTION
Secondary prevention and systems approaches: Lessons from EUROASPIRE and EUROACTION Dr Kornelia Kotseva National Heart & Lung Insitute Imperial College London, UK on behalf of all investigators participating
More informationthe high CVD risk smoker
Smoking Cessation: population and patients A comprehensive approach to the smoker the high CVD risk smoker Catriona Jennings Cardiovascular Specialist Research Nurse Imperial College London European Society
More informationEUROPEAN SURVEY OF CARDIOVASCULAR DISEASE PREVENTION AND DIABETES EUROASPIRE IV. GUY DE BACKER Ghent University,Belgium
EUROPEAN SURVEY OF CARDIOVASCULAR DISEASE PREVENTION AND DIABETES EUROASPIRE IV GUY DE BACKER Ghent University,Belgium ESC Congress 2012, aug.25-29th, Munich, Germany ESC Congress 2012, aug.25-29th, Munich,
More informationEUROACTION. A European Society of Cardiology Demonstration Project in Preventive Cardiology FINAL RESULTS
EUROACTION A European Society of Cardiology Demonstration Project in Preventive Cardiology FINAL RESULTS Professor David Wood on behalf of the EUROACTION Group EUROACTION 8 countries 24 centres 962 subjects
More informationDECLARATION OF CONFLICT OF INTEREST. None
DECLARATION OF CONFLICT OF INTEREST None Dietary changes and its influence on cardiovascular diseases in Asian and European countries Problems of Eastern European countries for cardiovascular disease prevention
More informationPrevention in Europe
Prevention in Europe Geneviève Derumeaux Créteil University, France Ian M Graham Trinity College, Dublin ESC: 2016 Lipid guidelines 2016 Joint Prevention Guidelines Cardiovascular disease in Europe Nick
More information2016 EUROPEAN GUIDELINES ON CVD PREVENTION IN CLINICAL PRACTICE
2016 EUROPEAN GUIDELINES ON CVD PREVENTION IN CLINICAL PRACTICE Massimo F Piepoli, MD, PhD, FESC, Piacenza, Italy on behalf of the 6 th Joint Task Force 2 3 Guidelines still based upon the principles of
More informationGuidelines on cardiovascular risk assessment and management
European Heart Journal Supplements (2005) 7 (Supplement L), L5 L10 doi:10.1093/eurheartj/sui079 Guidelines on cardiovascular risk assessment and management David A. Wood 1,2 * 1 Cardiovascular Medicine
More informationWCPT COUNTRY PROFILE December 2017 HUNGARY
WCPT COUNTRY PROFILE December 2017 HUNGARY HUNGARY NUMBERS WCPT Members Practising physical therapists 727 Total number of physical therapist members in your member organisation 4,000 Total number of practising
More informationWCPT COUNTRY PROFILE December 2017 SWEDEN
WCPT COUNTRY PROFILE December 2017 SWEDEN SWEDEN NUMBERS WCPT Members Practising physical therapists 11,043 Total number of physical therapist members in your member organisation 17,906 Total number of
More informationWCPT COUNTRY PROFILE December 2017 SERBIA
WCPT COUNTRY PROFILE December 2017 SERBIA SERBIA NUMBERS WCPT Members Practising physical therapists 622 Total number of physical therapist members in your member organisation 3,323 Total number of practising
More informationThe EUROASPIRE surveys: lessons learned in cardiovascular disease prevention
Brief Report The EUROASPIRE surveys: lessons learned in cardiovascular disease prevention Kornelia Kotseva 1,2 ; on behalf of the EUROASPIRE Investigators 1 National Heart & Lung Institute, Imperial College
More informationAtherosclerotic Cardiovascular Diseases: ischaemic heart disease and stroke
«L Europe de la santé au service des patients» 13-14 October 2008 - Institut Pasteur Paris Atherosclerotic Cardiovascular Diseases: ischaemic heart disease and stroke Simona Giampaoli National Centre of
More informationPreventive Cardiology Scientific evidence
Preventive Cardiology Scientific evidence Professor David A Wood Garfield Weston Professor of Cardiovascular Medicine International Centre for Circulatory Health Imperial College London Primary prevention
More informationSmokefree Policies in Europe: Are we there yet?
Smokefree Policies in Europe: Are we there yet? 14 April 2015, 9:00 10:30am Rue de l Industrie 24, 1040 Brussels Permanent Partners: Temporary Partners: The research for the SFP Smokefree Map was partially
More informationAlcohol-related harm in Europe and the WHO policy response
Alcohol-related harm in Europe and the WHO policy response Lars Moller Programme Manager World Health Organization Regional Office for Europe Date of presentation NCD global monitoring framework: alcohol-related
More informationPARALLELISM AND THE LEGITIMACY GAP 1. Appendix A. Country Information
PARALLELISM AND THE LEGITIMACY GAP 1 Appendix A Country Information PARALLELISM AND THE LEGITIMACY GAP 2 Table A.1 Sample size by country 2006 2008 2010 Austria 2405 2255 0 Belgium 1798 1760 1704 Bulgaria
More informationOverview of drug-induced deaths in Europe - What does the data tell us?
Overview of drug-induced deaths in Europe - What does the data tell us? João Matias, Isabelle Giraudon, Julián Vicente EMCDDA expert group on the key-indicator Drug-related deaths and mortality among drug
More informationTHE CVD CHALLENGE IN NORTHERN IRELAND. Together we can save lives and reduce NHS pressures
THE CVD CHALLENGE IN NORTHERN IRELAND Together we can save lives and reduce NHS pressures The challenge of CVD continues today. Around 225,000 people in Northern Ireland live with the burden of cardiovascular
More informationWhere we stand in EFORT
Where we stand in EFORT Engaging with the new EU regulatory landscape for medical devices. Challenges & opportunities Brussel, Belgium April 6, 2018 Per Kjaersgaard-Andersen Associate Professor Section
More informationTable 7.1 Summary information for lung cancer in Ireland,
7 Lung cancer 7.1 Summary Lung cancer is the third most common cancer in Ireland, accounting for 15% of cancers in men and 9% in women, if non-melanoma skin cancer is excluded (table 7.1). Each year, approximately
More informationA report on the epidemiology of selected vaccine-preventable diseases in the European Region 30% 20% 10%
% of reported measles cases WHO EpiBrief A report on the epidemiology of selected vaccine-preventable diseases in the European Region No. /17 This issue of WHO EpiBrief provides an overview of selected
More informationEuropean Status report on Alcohol and Health
European Status report on Alcohol and Health Dr Lars Moller Regional Advisor a.i. WHO Regional Office for Europe Main killers in the WHO European Region Source: Preventing chronic diseases. A vital investment.
More informationFive chapters 1. What is CVD prevention 2. Why is CVD prevention needed 3. Who needs CVD prevention 4. How is CVD prevention applied 5. Where should CVD prevention be offered Shorter, more adapted to clinical
More informationLEBANON. WCPT COUNTRY PROFILE December 2018
LEBANON WCPT COUNTRY PROFILE December 2018 LEBANON NUMBERS 1600 1400 1200 1000 800 600 400 200 0 Physical therapists in the country Members in MO 1,480 1,480 Total PTs in country 800000 700000 600000 500000
More informationTable 6.1 Summary information for colorectal cancer in Ireland,
6 Colorectal cancer 6.1 Summary Colorectal cancer is the second most common cancer in Ireland (excluding non-melanoma skin cancer). It accounts for 12% of all malignant neoplasia in females and 15% in
More informationCross Border Genetic Testing for Rare Diseases
Cross Border Genetic Testing for Rare Diseases EUCERD Joint Action WP8 Helena Kääriäinen National Institute for Health an Welfare, Helsinki, Finland Starting point Possibilities and demand for genetic
More informationQ1 What age are you?
Q1 What age are you? Answered: 504 Skipped: 0 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 4.56% 23 3.77% 19 4.56% 23 6.15% 31 3.97% 20 6.55% 33 5.95% 30 6.75% 34 6.35% 32 4.37% 22 6.75% 34 5.56%
More informationEuropean Collaboration on Dementia. Luxembourg, 13 December 2006
European Collaboration on Dementia Luxembourg, 13 December 2006 2005 Call for projects Special attention has also to be given to information and definition of indicators on neurodegenerative, neurodevelopment,
More informationDENMARK. WCPT COUNTRY PROFILE December 2018
DENMARK WCPT COUNTRY PROFILE December 2018 DENMARK NUMBERS 14000 12000 10000 8000 6000 4000 2000 0 Physical therapists in the country Members in MO 11,720 12,975 Total PTs in country 800000 700000 600000
More informationBurden and cost of alcohol, tobacco and illegal drugs globally and in Europe
Burden and cost of alcohol, tobacco and illegal drugs globally and in Europe Jürgen Rehm 1-4 Kevin D. Shield 1,2,3 1) Centre for Addiction and Mental Health, Toronto, Canada 2) University of Toronto, Canada
More informationEngagement in language assessment / Regions of Europe
Summary table: Engagement in language / Regions of This table lists the statistically significant differences in the engagement in activities by the respondents from different s of : If the word or appears
More informationBEST PRACTICE MANAGEMENT: CARDIOVASCULAR RISKS
BEST PRACTICE MANAGEMENT: CARDIOVASCULAR RISKS Neil R Poulter ICCH, Imperial College London BHIVA: October 10th, 2008 Background CVD is the biggest single killer in the world CVD rates are increasing High
More informationInequalities in health: challenges and opportunities in Europe Dr Zsuzsanna Jakab WHO Regional Director for Europe
Inequalities in health: challenges and opportunities in Europe Dr Zsuzsanna Jakab WHO Regional Director for Europe 21st Congress of the European Association of Dental Public Health 1 October 2016 Budapest
More informationManuel Cardoso RARHA Executive Coordinator Public Health MD Senior Advisor Deputy General-Director of SICAD - Portugal
Manuel Cardoso RARHA Executive Coordinator Public Health MD Senior Advisor Deputy General-Director of SICAD - Portugal Public Health Public health is the science and art of preventing disease, prolonging
More informationGERMANY. WCPT COUNTRY PROFILE December 2018
GERMANY WCPT COUNTRY PROFILE December 2018 GERMANY NUMBERS 160000 140000 120000 100000 80000 60000 40000 20000 0 Physical therapists in the country Members in MO 21,502 136,000 Total PTs in country 800000
More informationUnderage drinking in Europe
Underage drinking in Europe There are two major studies on underage drinking which are published every 4 years: HBSC (Health Behaviour in School-aged Children) and ESPAD (The European School survey Project
More informationPrevenzione cardiovascolare e cambiamento degli stili di vita. Gian Franco Gensini
Prevenzione cardiovascolare e cambiamento degli stili di vita Gian Franco Gensini Main causes of death worldwide at all ages (year:: 2005) 17.5 milion Preventing Chronic Diseases A vital investiment. WHO
More informationNational Institute on Alcohol Abuse and Alcoholism. Environmental Approaches
Environmental Approaches Consumption of 10+ and 21+ Drinks on an Occasion At Least Once in the Past Year, 2013 30 25 20 15 10+ drinks 15 25 10+ drinks 16 25 10 5 0 21+ drinks 3 2 21+ drinks 18-20 21-24
More informationEuropean status report on alcohol and health Leadership, awareness and commitment
European status report on alcohol and health 2014 Leadership, awareness and commitment Leadership, awareness and commitment Background Strong leadership from national and local governments is essential
More informationPrevention of Oral Cancer Special Interest Working Group
Prevention of Oral Cancer Special Interest Working Group Dr Colwyn Jones, Consultant in Dental Public Health, NHS Health Scotland, 1 South Gyle Crescent, Edinburgh EH12 9EB, Scotland. colwyn.jones@nhs.net
More informationProf. Renata Cífková, MD, CSc.
Prof. Renata Cífková, MD, CSc. Head of the Department of Preventive Cardiology, Thomayer Teaching Hospital, Prague Focuses on arterial hypertension epidemiology, clinical trials, target organ damage prevention
More informationCurrent dietary habits in Europe far from plant based eating
Current dietary habits in Europe far from plant based eating Stefaan De Henauw Ghent University Department of Public Health Stefaan.dehenauw@ugent.be The menu What is plant based diet? Nutrition transition
More informationEuropean Association for Cardiovascular Prevention & Rehabilitation (EACPR) A Registered Branch of the ESC
Quality of life of cardiac patients in Europe: HeartQoL Project Stefan Höfer The HeartQol Questionnaire: methodological and analytical approaches Patients Treatment Is quality of life important in cardiovascular
More informationCardiac rehabilitation for coronary patients: lifestyle, risk factor and therapeutic management. Results from the EUROASPIRE II survey
European Heart Journal Supplements (2004) 6 (Supplement J), J17 J26 Cardiac rehabilitation for coronary patients: lifestyle, risk factor and therapeutic management. Results from the EUROASPIRE II survey
More informationEConDA Economics of Chronic Diseases
EConDA Economics of Chronic Diseases www.econdaproject.eu Funding from the European Union in the framework of the Health Programme Abbygail Jaccard Deputy Director of Public Health Modelling UK Health
More informationEuropean Association of Dental Public Health Prevention of Oral Cancer
European Association of Dental Public Health Prevention of Oral Cancer Special Interest Working Group Thursday 14th November 2013 PD Dr. Katrin Hertrampf, MPH Dr. Colwyn Jones, Associate Editor Malta 2013
More informationPRESS RELEASE ISSUED BY THE STATE UNIVERSITY OF NEW YORK AT ALBANY
PRESS RELEASE ISSUED BY THE STATE UNIVERSITY OF NEW YORK AT ALBANY EMBARGOED FOR RELEASE AT 6:00A.M. EST, FEBRUARY 20, 2001. NOTE TO EDITORS These results will be presented today (Tuesday, February 20,
More informationCritical immunity thresholds for measles elimination
Critical immunity thresholds for measles elimination Sebastian Funk Centre for the Mathematical Modelling of Infectious Diseases London School of Hygiene & Tropical Medicine 19 October, 2017!"vöå"!(}å!öZ&!
More informationThe cancer burden in the European Union and the European Region: the current situation and a way forward
The cancer burden in the European Union and the European Region: the current situation and a way forward Presented by Zsuzsanna Jakab WHO Regional Director for Europe Informal Meeting of Health Ministers
More informationBiology Report. Is there a relationship between Countries' Human Development Index (HDI) level and the incidence of tuberculosis?
Biology Report Is there a relationship between Countries' Human Development Index (HDI) level and the incidence of tuberculosis? Introduction Tuberculosis is a serious disease caused by the bacterium Mycobacterium
More informationThe challenge of obesity in the WHO European Region
Fact sheet EURO/13/05 Copenhagen, Bucharest, 12 September 2005 The challenge of obesity in the WHO European Region Obesity poses one of the greatest public health challenges for the 21st century, with
More informationMeasles and rubella monitoring January 2015
Measles and rubella monitoring January 215 Reporting on January December 214 surveillance data and epidemic intelligence data to the end of January 215 Main developments Measles During the 12-month period
More informationTable 9.1 Summary information for stomach cancer in Ireland,
9 Stomach cancer 9.1 Summary Stomach cancer ranks seventh in terms of the most common cancers in Ireland, accounting for 4.1% of all malignant neoplasia in men and 2.8% in women, when non-melanoma skin
More informationKornelia Kotseva 1,2 David Wood 1 and Dirk De Bacquer 2 ;on behalf of EUROASPIRE investigators. Introduction. Full research paper
Full research paper Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey European Journal
More informationThe 2012 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice
The 2012 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice Introduction «meet the Taskforce» Disclosure: no conflicts of interest On behalf of : The 5th Joint European Societies
More informationA logical approach to planning health care services in relation to need Dr Christopher A Birt University of Liverpool
EUREGIO III A logical approach to planning health care services in relation to need Dr Christopher A Birt University of Liverpool PURPOSE OF A HEALTH SERVICE To utilise resources allocated to the health
More informationNutrient profiles for foods bearing claims
Nutrient profiles for foods bearing claims Fields marked with * are mandatory. Background Regulation (EC) 1924/2006 (Nutrition and Health Claims NHC Regulation) establishes EU rules on nutrition and health
More informationFruit & Vegetable Consumption and Mental Health
Fruit & Vegetable Consumption and Mental Health Saverio Stranges, MD, PhD, FAHA Department of Epidemiology & Biostatistics, Western University Department of Family Medicine, Western University Department
More informationDepartment of Biological Standardisation OMCL Network & Healthcare (DBO)
Department of Biological Standardisation OMCL Network & Healthcare (DBO) Implementation of Pathogen Reduction Technologies for Blood Components for Transfusion: Updated Table 2009-2010 COUNCIL OF EUROPE
More informationOptimizing risk assessment of total cardiovascular risk What are the tools? Lars Rydén Professor Karolinska Institutet Stockholm, Sweden
Optimizing risk assessment of total cardiovascular risk What are the tools? Lars Rydén Professor Karolinska Institutet Stockholm, Sweden Cardiovascular Disease Prevention (CVD) Three Strategies for CVD
More informationPrimary and secondary prevention of sudden cardiac death in emerging economies
Primary and secondary prevention of sudden cardiac death in emerging economies Béla Merkely MD, PhD, DSc, FESC Heart Center Semmelweis University Budapest Common risk factors for sudden cardiac death Increasing
More informationWELLNESS COACHING. Wellness & Personal Fitness Solution Providers
WELLNESS COACHING Wellness & Personal Fitness Solution Providers Introducing Ourselves... We are Personal Wellness Coaches 2 We help people look and feel better by: - Educating on proper nutrition (80%)
More informationAlcohol in Europe and Brief Intervention. Dr Lars Møller Programme Manager World Health Organization Regional Office for Europe
Alcohol in Europe and Brief Intervention Dr Lars Møller Programme Manager World Health Organization Regional Office for Europe Global risk factors ranked by attributable burden of disease 2010 (GBD, Lancet,
More informationEuropean Community Pharmacy: a reference in Public Health
European Community Pharmacy: a reference in Public Health Ilaria Passarani PGEU Secretary General 4 October 2018, Burgos, Spain Pharmaceutical Group of European Union Members: Professional Bodies & Pharmacists
More informationFinnish international trade 2017 Figures and diagrams. Finnish Customs Statistics
Finnish international trade 217 Figures and diagrams Finnish Customs Statistics IMPORTS, EXPORTS AND TRADE BALANCE 199-217 Billion e 7 6 5 4 3 2 1-1 9 91 92 93 94 95 96 97 98 99 1 2 3 4 5 6 7 8 9 1 11
More informationEmerging Risks Mapping of Activities in Member States. 67th Advisory Forum meeting, Utrecht, The Netherlands, 6 February 2018
Emerging Risks Mapping of Activities in Member States 67th Advisory Forum meeting, Utrecht, The Netherlands, 6 February 2018 BACKGROUND 67 th Advisory Forum Meeting, Utrecht, The Netherlands, 6 February
More informationMedia Release. Inaugural study reveals that more than one in four women in European and Central Asian prisons locked up for drug offences
Media Release Embargoed 00.01 CET Monday 12 th March 2012 Inaugural study reveals that more than one in four women in European and Central Asian prisons locked up for drug offences Up to 70 percent of
More informationFinnish international trade 2017 Figures and diagrams. Finnish Customs Statistics
Finnish international trade 217 Figures and diagrams Finnish Customs Statistics IMPORTS, EXPORTS AND TRADE BALANCE 199-217 Billion e 7 6 5 4 3 2 1-1 9 91 92 93 94 95 96 97 98 99 1 2 3 4 5 6 7 8 9 1 11
More informationThe health economic landscape of cancer in Europe
1 Approval number The health economic landscape of cancer in Europe Bengt Jönsson, Professor Emeritus of Health Economics Stockholm School of Economics 2 Disclaimer This presentation was developed by Professor
More informationOverall survival: 1 st line therapy
1 3 Overall survival: 1 st line therapy 2-year OS phase III studies mm Prices per month of oncology medicin Bloomberg Business weekly 26 Feb 2015 Presented By Veena Shankaran at 2016 ASCO Annual Meeting
More informationEuropean Partnership for Screening
European Partnership for Screening Lawrence von Karsa Quality Assurance Group European Cancer Network for Screening and Prevention International Agency for Research on Cancer Lyon, France Work Package
More informationThis work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.
The State of Cardiovascular Disease in the Kyrgyz Republic Ryskul B. Kydyralieva The National Center of Cardiology and Internal Medicine named after academician M.Mirrahimov at Ministry of Health of the
More informationHighlighting in the WHO European Region: measles outbreaks rubella surveillance acute flaccid paralysis surveillance
No. 17 (September 2011) A monthly publication on vaccine preventable diseases and immunization data and analysis Issue 15, April 2011 Highlighting in the WHO European Region: measles outbreaks rubella
More informationTHE ESC/EAS LIPID GUIDELINES IN THE ELDERLY
THE ESC/EAS LIPID GUIDELINES IN THE ELDERLY Alberico L. Catapano alberico.catapano@unimi.it Alberico L. Catapano Potential Conflict Of Interest Prof. Catapano has received honoraria, lecture fees, or research
More informationDesign and Analysis of a Cancer Prevention Trial: Plans and Results. Matthew Somerville 09 November 2009
Design and Analysis of a Cancer Prevention Trial: Plans and Results Matthew Somerville 09 November 2009 Overview Objective: Review the planned analyses for a large prostate cancer prevention study and
More informationAccess to treatment and disease burden
Access to treatment and disease burden Robert Flisiak Department of Infectious Diseases and Hepatology Medical University in Białystok, Poland Moulin de Vernègues, 27-29 August 2015 Disclosures Advisor
More informationEFSA s Concise European food consumption database. Davide Arcella Data Collection and Exposure Unit
EFSA s Concise European food consumption database Davide Arcella Data Collection and Exposure Unit 1 The EFSA raison d être Risk assessment authority created in 2002 as part of a comprehensive program
More informationThe Current Status of Cardiac Electrophysiology in ESC Member Countries J. Brugada, P. Vardas, C. Wolpert
Albania. Algeria. Armenia. Austria. Belarus. Belgium. Bosnia & Herzegovina. Bulgaria. Croatia. Cyprus. Czech Republic Denmark. Egypt. Estonia. Finland. Former Yugoslav Republic of Macedonia. France. Georgia.
More informationCurrent levels and recent trends in health inequalities in the EU: Updates from the EU Report
Current levels and recent trends in health inequalities in the EU: Updates from the EU Report Anne Scott London Health Observatory Expert Working Group on Social Determinants and Health Inequalities Luxembourg,
More informationEstimating Smoking Related Cause of Death: a Cohort Approach Based on Lung Cancer Mortality in six European Countries
1 Estimating Smoking Related Cause of Death: a Cohort Approach Based on Lung Cancer Mortality in six European Countries Introduction Mariachiara Di Cesare and Mike Murphy Department of Social Policy, London
More informationMonthly measles and rubella monitoring report
SURVEILLANCE REPORT Monthly measles and rubella monitoring report December 2018 Period covered: 1 November 2017 to 31 October 2018 Introduction This monitoring report is based on measles and rubella data
More informationUK bowel cancer care outcomes: A comparison with Europe
UK bowel cancer care outcomes: A comparison with Europe What is bowel cancer? Bowel cancer, which is also known as colorectal or colon cancer, is a cancer that affects either the colon or the rectum. The
More informationThe Identification of Food Safety Priorities using the Delphi Technique
The Identification of Food Safety Priorities using the Delphi Technique Gene Rowe & Fergus Bolger, GRE 58th Advisory Forum Meeting, Luxembourg, 8-9 December 2015 EU RISK ASSESSMENT AGENDA (RAA) where priorities
More informationWHO REGIONAL OFFICE FOR EUROPE RECOMMENDATIONS ON INFLUENZA
WHO REGIONAL OFFICE FOR EUROPE RECOMMENDATIONS ON INFLUENZA September 2017 Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Marmorvej
More informationPalliative nursing care of children and young people across Europe
Palliative nursing care of children and young people across Europe Results of a postal survey in August 2016 Updated in April 2017 (presented at the 29th PNAE-meeting in Naples/Italy on 28th April 2017)
More informationThe Clinical Unmet need in the patient with Diabetes and ACS
The Clinical Unmet need in the patient with Diabetes and ACS Professor Kausik Ray (UK) BSc(hons), MBChB, MD, MPhil, FRCP (lon), FRCP (ed), FACC, FESC, FAHA Diabetes is a global public health challenge
More informationThe Polypill for Secondary Prevention Is Entering the Cardiovascular Field: Worldwide Interest Based on Better Adherence and Economics
The Polypill for Secondary Prevention Is Entering the Cardiovascular Field: Worldwide Interest Based on Better Adherence and Economics Jose M. Castellano, MD, PhD Clinical Trials Coordinator, CNIC, Madrid,
More informationThe health benefits of shellfish: What should we be promoting? Professor Bruce Griffin Nutrition Division Faculty of Health & Medical Sciences
The health benefits of shellfish: What should we be promoting? Professor Bruce Griffin Nutrition Division Faculty of Health & Medical Sciences What should we be promoting? Define health benefits in terms
More informationJohn J.P. Kastelein MD PhD Professor of Medicine Dept. of Vascular Medicine Academic Medial Center / University of Amsterdam
Latest Insights from the JUPITER Study John J.P. Kastelein MD PhD Professor of Medicine Dept. of Vascular Medicine Academic Medial Center / University of Amsterdam Inflammation, hscrp, and Vascular Prevention
More informationHighlighting in the WHO European Region: Summary. No. 21(February 2012)
No. 21(February 2012) Issue 15, April 2011 A monthly publication on vaccine preventable diseases and immunization data and analysis Highlighting in the WHO European Region: Update on measles in the European
More informationHypertension and Stroke: new data
Hypertension and Stroke: new data Antonio Coca, MD, PhD, FRCP Hypertension Unit. Institute of Internal Medicine and Dermatology. Hospital Clínic (IDIBAPS). University of Barcelona, Spain WG Seminars. Hellenic
More information