Methodological approaches to epidemiological surveillance of chronic non-infectious diseases

Authors

  • О.V. Berdnyk SI “O.M. Marzeiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine” Popudrenko str., 50, Kyiv, 02660, Ukraine https://orcid.org/0000-0002-8938-2687
  • М.Yu. Аntomonov SI “O.M. Marzeiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine” Popudrenko str., 50, Kyiv, 02660, Ukraine https://orcid.org/0000-0003-3939-6156
  • N.S. Polka SI “O.M. Marzeiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine” Popudrenko str., 50, Kyiv, 02660, Ukraine https://orcid.org/0000-0002-1551-9417
  • О.P. Rudnytska SI “O.M. Marzeiev Institute for Public Health of the National Academy of Medical Sciences of Ukraine” Popudrenko str., 50, Kyiv, 02660, Ukraine https://orcid.org/0000-0002-5065-3152

DOI:

https://doi.org/10.26641/2307-0404.2022.1.254382

Keywords:

chronic non-infectious diseases, chronicity of pathology, epidemiological surveillance, public health

Abstract

In the context of the constant growth of the burden of chronic non-infectious diseases, surveillance needs in supplementing traditional statistical health indicators with criteria characterizing the processes of chronicity of pathology. Aim: to scientifically substantiate and develop statistical characteristics of chronic non-infectious diseases suitable for surveillance in the public health system. Methods used: bibliographic; statistical (for analyzing materials about the health of the population); mathematical (for constructing formulas and indices); calculational (to calculate indicators of pathology chronicity); epidemiological (to assess the chronicity of diseases of different classes). The initial statistical information was the materials of the Ministry of Health of Ukraine on mortality, general and primary morbidity of the population for six classes of diseases, which include the most common chronic diseases. The proposed set of indicators, which includes both the indices available in the scientific literature and those developed by us, contains the following characteristics: statistical indicators of official reporting, indicators of pathology chronicity, mortality and survival of the population, and the hazard index of chronic diseases, which can be considered an integrated indicator characterizing chronic diseases. Diversified characteristics of chronic non-infectious diseases of different classes of diseases were established, which is reflected, in particular, on the relationship between chronic diseases with preserved and lost viability. For diseases of the musculoskeletal system, one fatal case accounts for more than 9000 cases of chronic diseases with preserved viability; for diseases of the circulatory system, this indicator reaches only 58, and for neoplasms – only 22. This corresponds with the assessment of the hazard index: chronic diseases (respectively, 0.7; 153.7; 328.5 cu). The use of the proposed set of indicators makes it possible to carry out a comparative analysis of the danger of chronicity of diseases of certain classes, to track the change in these processes over time, being an important part of managing the frequency and outcomes of chronic diseases.

References

Bantieva MN, Manoshkina EM, Matveev EN. [Morbidity dynamics in girls aged 15–17 in the Russian Federation. Russian Bulletin of Perinatology and Pediatrics]. 2020;65(3):100-108. Russian. doi: https://doi.org/10.21508/1027-4065-2020-65-3-100-108

Bulich EG, Muravov IV. [The problem of chronicity of the disease and the development of chronic diseases (literature review and own research)]. J. Clin. Exp. Med. Res. 2014;2(1):1-21. Russian. Available from: https://essuir.sumdu.edu.ua/handle/123456789/34333

Bulich EG, Muravov IV. [Paradoxes and Health Problems or Is Another Paradigm of Medicine Possible?]. Palmarium Academic Publishing. 2015. p. 147. Russian. URL: https://znanium.com/catalog/document?id=348211

Glinskaia TN, Shchavtltva MZ. [Methodological aspects of assessing population health using demographic indices: modified index of reversibility]. Medical news. 2015;9(252):32-35. Russian. URL: https://cyberleninka.ru/article/n/metodologicheskie-aspekty-otsenki-zdorovya-naseleniya-pri-pomoschidemograficheskih-indeksov-modifitsirovannyy-indeks-obratimosti/viewer

Lekhan VM, Kriachkova LV. [The system of measures to improve the health of the population of Ukraine based on the analysis of the global burden of disease and its risk factors]. Medical prospects. 2019;24(3):113-22. doi: https://doi.org/10.26641/2307-0404.2019.3.181893

Omran AP. [Epidemiological Transition Theory: A View 30 Years Later]. Demographic Review. 2019;6(1):177-216. Russian. doi: https://doi.org/10.17323/demreview.v6i1.9117

Basu J, Avila R, Ricciardi R. Hospital readmission rates in U.S. States: Are readmissions higher where more patients with multiple chronic conditions cluster? Health Serv. Res. 2016;51:1135-51. doi: https://doi.org/10.1111/1475-6773.12401

Brennan P, Perola M, van Ommen GJ, Elio R. Chronic disease research in Europe and the need for integrated population cohorts. Eur. J. Epidemiol. 2017;32:741-49. doi: https://doi.org/10.1007/s10654-017-0315-2

Goodman RA, Posner SF, Huang ES, Parekh AK, Koh HK. Defining and measuring chronic conditions: imperatives for research, policy, program, and practice. Prev Chronic Dis. 2013;10:66. doi: https://doi.org/10.5888/pcd10.120239

Hvidberg MF, Johnsen SP, Davidsen M, et al. A Nationwide Study of Prevalence Rates and Characteristics of 199 Chronic Conditions in Denmark. Pharmaco Eco¬nomics Open. 2020;4(20):361-80. doi: https://doi.org/10.1007/s41669-019-0167-7

Mercer A. Updating the epidemiological transition model. Epidemiology and Infection. 2018;146(6):680-7. doi: https://doi.org/10.1017/S0950268818000572

Raghupathi W, Raghupathi V. An Empirical Study of Chronic Diseases in the United States: A Visual Analytics Approach. Int J Environ Res Public Health. 2018;15(3):431. doi: https://doi.org/10.3390/ijerph15030431

Sienkiewicz D, Maassen A, Imaz-Iglesia I, Poses-Ferrer E, McAvoy H, Horgan R, et al. Shaping Policy on Chronic Diseases through National Policy Dialogs in CHRODIS PLUS. International Journal of Environmental Research and Public Health. 2020;17(19):7113-132. doi: https://doi.org/10.3390/ijerph17197113

[National strategy for reforming the health care system in Ukraine for the period 2015-2020]. Ministry of Health of Ukraine. [Internet]. 2014. p. 41. Available from: https://uoz.cn.ua/strategiya.pdf

Published

2022-03-30

How to Cite

1.
Berdnyk О, Аntomonov М, Polka N, Rudnytska О. Methodological approaches to epidemiological surveillance of chronic non-infectious diseases. Med. perspekt. [Internet]. 2022Mar.30 [cited 2024Jun.13];27(1):160-5. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/254382

Issue

Section

PREVENTIVE MEDICINE