Speaking at the opening of the workshop, Dr. Nguyen Trong Khoa, Deputy Director of the Department of Medical Examination and Treatment Management, said that cardiovascular-renal-metabolic diseases are a matter of special concern today with the number of diabetic patients in the world reaching 537 million people, heart failure patients over 60 million people and especially chronic kidney patients over 850 million people.
The combination of cardiovascular, renal and metabolic diseases is becoming a major challenge in modern medicine. These diseases not only increase the burden of disease on the health system but also seriously affect the quality of life of patients and their families, especially the elderly who have many diseases at the same time needing care and treatment.
According to Dr. Nguyen Trong Khoa, in recent years, the Ministry of Health has been making efforts to promote programs to prevent, control and manage non-communicable diseases, including cardiovascular, renal and urinary diseases and metabolic disorders.
Diagnostic guidelines for cardiovascular, endocrine-diabetic, and nephrology diseases have been issued quite comprehensively and are regularly updated, helping medical examination and treatment facilities have practical documents and improve the quality of disease management and treatment. However, the current reality requires us to have a more comprehensive and multidimensional approach, especially interdisciplinary coordination between cardiovascular, nephrology, and endocrinology specialties.
Dr. Duong Huy Lieu, Chairman of the Association of Health Economics, also said that cardiovascular-renal-metabolic diseases are often co-morbid and "mutually promote each other", making the patient's prognosis worse, while also creating an additional burden on diagnosis, treatment, and the health system if not screened, detected, treated, and managed comprehensively in all three aspects.
Therefore, the workshop is a very useful scientific activity for treating physicians, management agencies, and policy makers in Vietnam to join hands to find solutions to further improve the quality of diagnosis, treatment, and comprehensive management of this group of diseases, contributing to narrowing the gap with treatment like abroad.
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| Overview of the workshop. |
Associate Professor, Dr. Nguyen Thi Thu Hoai, Deputy Director of the Vietnam Heart Institute, said that cardiovascular-renal-metabolic diseases often seriously reduce the patient's life expectancy, especially if they coexist.
Diabetes and hypertension are responsible for more than 80% of end-stage renal disease (ESKD) globally. Cardiovascular disease affects 40% of people with diabetes, and at least 30% of people with diabetes have cardiovascular disease.
Cardiac dysfunction adds to the renal and metabolic burden. Cardiac abnormalities influence the progression and outcome of renal and metabolic disease.
In Vietnam, 55% of type 2 diabetes patients have complications, the cost of treating complications accounts for 70% of the total cost of treating diabetes patients, and among the complications, treatment of cardiovascular complications accounts for the largest cost.
Associate Professor, Dr. Vu Thi Thanh Huyen, Head of the Department of Endocrinology and Musculoskeletal, Central Geriatric Hospital said that primary care physicians play an important role in early screening for chronic kidney disease and have an important role in improving care for people with diabetes, heart failure or cardiovascular disease.
Early screening of high-risk patients and subsequent diagnostic decisions optimize renal and cardiovascular disease management. Collaboration with primary care physicians (clinicians) can help prevent diabetes, heart failure, and cardiovascular disease from being isolated problems.
At the workshop, experts also suggested that management agencies and clinical facilities need to have plans and solutions to work together to build a program for Management and Treatment of Cardio-Kidney-Metabolic Patients .
The recommended approach to treatment of multiple cardiovascular-renal-metabolic co-morbidities is patient-centered. The management and treatment of cardiovascular disease, combined with diabetes treatment, is covered by health insurance.
In addition, it is necessary to include cardiovascular-renal-metabolic content in the training programs of medical universities for students and postgraduates, and organize continuous training.
The Cardiovascular Association, Endocrinology-Diabetes Association, and Nephrology Association organize conferences and departmental activities to coordinate with each other... to build a patient management model, in which cardiologists, nephrologists, and endocrinologists increase interaction and share opinions on cases through direct or online consultations, using telemedicine. Collaborate with clinical pharmacists, nutritionists, rehabilitation specialists... in treatment and have a general consensus between cardiovascular, nephrology, endocrinology-diabetes recommendations.
Source: https://nhandan.vn/can-dua-noi-dung-tim-mach-than-chuyen-hoa-vao-chuong-trinh-dao-tao-o-cac-truong-dai-hoc-y-khoa-post837566.html
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