UPDATE OF THE CARDIOVASCULAR DISEASE POLICY MODEL TO PREDICT CARDIOVASCULAR EVENTS IN ARGENTINA.

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Title: UPDATE OF THE CARDIOVASCULAR DISEASE POLICY MODEL TO PREDICT CARDIOVASCULAR EVENTS IN ARGENTINA.
Alternate Title: Actualización del modelo de políticas en enfermedad cardiovascular en Argentina.
Authors: SALGADO, M. VICTORIA1, COXSON, PAM2,3, KONFINO, JONATAN1, PENKO, JOANNE2,3, IRAZOLA, VILMA E.4,5, GUTIÉRREZ, LAURA4,5, FERNÁNDEZ, ALICIA6, MEJÍA, RAÚL1
Source: Medicina (Buenos Aires). nov/dic2019, Vol. 79 Issue 6, p438-444. 7p.
Subjects: CARDIOVASCULAR diseases, COMPUTER simulation, MORTALITY, HEALTH policy
Geographic Terms: ARGENTINA
Abstract (English): Cardiovascular disease (CVD) is the leading cause of death in Argentina. Computer simulation models allow to extrapolate evidence to broader populations than the originally studied, over longer timeframes, and to compare different subpopulations. The Cardiovascular Disease Policy Model (CVDPM) is a computer simulation state transition model used to represent and project future CVD mortality and morbidity in the population 35 years-old and older. The objective of this study was to update Argentina's version of the CVDPM. For this purpose, information from the 2010 National Census, the 2013 National Risk Factor Survey, CESCAS I study, and PrEViSTA study were used to update the dynamics of population size, demographics, and CVD risk factor distributions over time. Model projections were later calibrated by comparing them to actual data on CVD events and mortality in the year 2010 (baseline year) in Argentina. Country statistics for people 35 years-old and older reported for 2010 a total of 41 219 myocardial infarctions (MIs), 58 658 strokes, and 281 710 total deaths. The CVDPM, in turn, predicted 41 265 MIs (difference: 0.11%), 58 584 strokes (difference: 0.13%), and 280 707 total deaths (difference: 0.36%) in the same population. In all cases, the final version of the model predicted the actual number of events with an accuracy superior to 99.5%, and could be used to forecast the changes in CVD incidence and mortality after the implementation of public policies. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La enfermedad cardiovascular (ECV) es la principal causa de muerte en Argentina. Los modelos de simulación por computadora permiten extrapolar evidencia a poblaciones más amplias que las originalmente estudiadas, a lo largo de períodos prolongados, y comparar diferentes subpoblaciones. El Cardiovascular Disease Policy Model (CVDPM, por sus siglas en inglés) es un modelo de simulación utilizado para representar y proyectar la mortalidad y morbilidad por ECV en la población de 35 o más años. El objetivo de este trabajo fue actualizar la versión argentina del CVDPM. Para esto, se utilizó información del Censo Nacional 2010, la Encuesta Nacional de Factores de Riesgo 2013, el estudio CESCAS I, y el estudio PrEViSTA, para actualizar la dinámica del tamaño de la población, sus características demográficas, y la distribución de factores de riesgo cardiovasculares a lo largo del tiempo. Las proyecciones del modelo se calibraron comparándolas con información sobre eventos de ECV y mortalidad en el año 2010 (año de referencia) en Argentina. Las estadísticas argentinas informaron que en 2010 la población de 35 o más años sufrió un total de 41 219 infartos de miocardio (IM), 58 658 accidentes cerebrovasculares y 281 710 muertes totales. El CVDPM predijo 41 265 IM (diferencia: 0.11%), 58 584 accidentes cerebrovasculares (diferencia: 0.13%) y 280 707 muertes totales (diferencia: 0.36%). En todos los casos, la versión final del modelo predijo el número real de eventos cardiovasculares con una precisión superior al 99.5%, pudiendo ser utilizado para pronosticar cambios en la incidencia y mortalidad de ECV debidos de la implementación de políticas públicas. [ABSTRACT FROM AUTHOR]
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: UPDATE OF THE CARDIOVASCULAR DISEASE POLICY MODEL TO PREDICT CARDIOVASCULAR EVENTS IN ARGENTINA.
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  Data: Actualización del modelo de políticas en enfermedad cardiovascular en Argentina.
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  Data: <searchLink fieldCode="JN" term="%22Medicina+%28Buenos+Aires%29%22">Medicina (Buenos Aires)</searchLink>. nov/dic2019, Vol. 79 Issue 6, p438-444. 7p.
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  Data: <searchLink fieldCode="DE" term="%22CARDIOVASCULAR+diseases%22">CARDIOVASCULAR diseases</searchLink><br /><searchLink fieldCode="DE" term="%22COMPUTER+simulation%22">COMPUTER simulation</searchLink><br /><searchLink fieldCode="DE" term="%22MORTALITY%22">MORTALITY</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+policy%22">HEALTH policy</searchLink>
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  Data: Cardiovascular disease (CVD) is the leading cause of death in Argentina. Computer simulation models allow to extrapolate evidence to broader populations than the originally studied, over longer timeframes, and to compare different subpopulations. The Cardiovascular Disease Policy Model (CVDPM) is a computer simulation state transition model used to represent and project future CVD mortality and morbidity in the population 35 years-old and older. The objective of this study was to update Argentina's version of the CVDPM. For this purpose, information from the 2010 National Census, the 2013 National Risk Factor Survey, CESCAS I study, and PrEViSTA study were used to update the dynamics of population size, demographics, and CVD risk factor distributions over time. Model projections were later calibrated by comparing them to actual data on CVD events and mortality in the year 2010 (baseline year) in Argentina. Country statistics for people 35 years-old and older reported for 2010 a total of 41 219 myocardial infarctions (MIs), 58 658 strokes, and 281 710 total deaths. The CVDPM, in turn, predicted 41 265 MIs (difference: 0.11%), 58 584 strokes (difference: 0.13%), and 280 707 total deaths (difference: 0.36%) in the same population. In all cases, the final version of the model predicted the actual number of events with an accuracy superior to 99.5%, and could be used to forecast the changes in CVD incidence and mortality after the implementation of public policies. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La enfermedad cardiovascular (ECV) es la principal causa de muerte en Argentina. Los modelos de simulación por computadora permiten extrapolar evidencia a poblaciones más amplias que las originalmente estudiadas, a lo largo de períodos prolongados, y comparar diferentes subpoblaciones. El Cardiovascular Disease Policy Model (CVDPM, por sus siglas en inglés) es un modelo de simulación utilizado para representar y proyectar la mortalidad y morbilidad por ECV en la población de 35 o más años. El objetivo de este trabajo fue actualizar la versión argentina del CVDPM. Para esto, se utilizó información del Censo Nacional 2010, la Encuesta Nacional de Factores de Riesgo 2013, el estudio CESCAS I, y el estudio PrEViSTA, para actualizar la dinámica del tamaño de la población, sus características demográficas, y la distribución de factores de riesgo cardiovasculares a lo largo del tiempo. Las proyecciones del modelo se calibraron comparándolas con información sobre eventos de ECV y mortalidad en el año 2010 (año de referencia) en Argentina. Las estadísticas argentinas informaron que en 2010 la población de 35 o más años sufrió un total de 41 219 infartos de miocardio (IM), 58 658 accidentes cerebrovasculares y 281 710 muertes totales. El CVDPM predijo 41 265 IM (diferencia: 0.11%), 58 584 accidentes cerebrovasculares (diferencia: 0.13%) y 280 707 muertes totales (diferencia: 0.36%). En todos los casos, la versión final del modelo predijo el número real de eventos cardiovasculares con una precisión superior al 99.5%, pudiendo ser utilizado para pronosticar cambios en la incidencia y mortalidad de ECV debidos de la implementación de políticas públicas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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        PageCount: 7
        StartPage: 438
    Subjects:
      – SubjectFull: CARDIOVASCULAR diseases
        Type: general
      – SubjectFull: COMPUTER simulation
        Type: general
      – SubjectFull: MORTALITY
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      – SubjectFull: HEALTH policy
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      – SubjectFull: ARGENTINA
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      – TitleFull: UPDATE OF THE CARDIOVASCULAR DISEASE POLICY MODEL TO PREDICT CARDIOVASCULAR EVENTS IN ARGENTINA.
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              Text: nov/dic2019
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