TY - JOUR
T1 - Management of NCD in low- And middle-income countries
AU - UnitedHealth Group
AU - Checkley, William
AU - Ghannem, Hassen
AU - Irazola, Vilma
AU - Kimaiyo, Sylvester
AU - Levitt, Naomi S.
AU - Miranda, J. Jaime
AU - Niessen, Louis
AU - Prabhakaran, Dorairaj
AU - Rabadán-Diehl, Cristina
AU - Ramirez-Zea, Manuel
AU - Rubinstein, Adolfo
AU - Sigamani, Alben
AU - Smith, Richard
AU - Tandon, Nikhil
AU - Wu, Yangfeng
AU - Xavier, Denis
AU - Yan, Lijing L.
AU - GRAND South Network, South Network
AU - National Heart, Lung,, Heart, Lung,
N1 - Publisher Copyright:
© 2014 World Heart Federation (Geneva). Published by Elsevier Ltd. All rights reserved.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.
AB - Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.
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U2 - 10.1016/j.gheart.2014.11.003
DO - 10.1016/j.gheart.2014.11.003
M3 - Review article
C2 - 25592798
AN - SCOPUS:84920859724
SN - 2211-8160
VL - 9
SP - 431
EP - 443
JO - Global Heart
JF - Global Heart
IS - 4
ER -