Heart failure among Indigenous Australians: a systematic review

BACKGROUND: Cardiovascular diseases contribute substantially to the poor health and reduced life expectancy of Indigenous Australians. Heart failure is a common, disabling, progressive and costly complication of these disorders. The epidemiology of heart failure and the adequacy of relevant health s...

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Autores principales: Woods, John A, Katzenellenbogen, Judith M, Davidson, Patricia M, Thompson, Sandra C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521206/
https://www.ncbi.nlm.nih.gov/pubmed/23116367
http://dx.doi.org/10.1186/1471-2261-12-99
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author Woods, John A
Katzenellenbogen, Judith M
Davidson, Patricia M
Thompson, Sandra C
author_facet Woods, John A
Katzenellenbogen, Judith M
Davidson, Patricia M
Thompson, Sandra C
author_sort Woods, John A
collection PubMed
description BACKGROUND: Cardiovascular diseases contribute substantially to the poor health and reduced life expectancy of Indigenous Australians. Heart failure is a common, disabling, progressive and costly complication of these disorders. The epidemiology of heart failure and the adequacy of relevant health service provision in Indigenous Australians are not well delineated. METHODS: A systematic search of the electronic databases PubMed, Embase, Web of Science, Cinahl Plus, Informit and Google Scholar was undertaken in April 2012 for peer-reviewed journal articles relevant to the topic of heart failure in Indigenous Australians. Additionally, a website search was done to identify other pertinent publications, particularly government reports. RESULTS: There was a paucity of relevant peer-reviewed research, and government reports dominated the results. Ten journal articles, 1 published conference abstract and 10 reports were eligible for inclusion. Indigenous Australians reportedly have higher morbidity and mortality from heart failure than their non-Indigenous counterparts (age-standardised prevalence ratio 1.7; age-standardised hospital separation ratio ≥3; crude per capita hospital expenditure ratio 1.58; age-adjusted mortality ratio >2). Despite the evident disproportionate burden of heart failure in Indigenous Australians, the accuracy of estimation from administrative data is limited by poor indigenous identification, inadequate case ascertainment and exclusion of younger subjects from mortality statistics. A recent journal article specifically documented a high prevalence of heart failure in Central Australian Aboriginal adults (5.3%), noting frequent undiagnosed disease. One study examined barriers to health service provision for Indigenous Australians in the context of heart failure. CONCLUSIONS: Despite the shortcomings of available published data, it is clear that Indigenous Australians have an excess burden of heart failure. Emerging data suggest that undiagnosed cases may be common in this population. In order to optimise management and to inform policy, high quality research on heart failure in Indigenous Australians is required to delineate accurate epidemiological indicators and to appraise health service provision.
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spelling pubmed-35212062012-12-14 Heart failure among Indigenous Australians: a systematic review Woods, John A Katzenellenbogen, Judith M Davidson, Patricia M Thompson, Sandra C BMC Cardiovasc Disord Research Article BACKGROUND: Cardiovascular diseases contribute substantially to the poor health and reduced life expectancy of Indigenous Australians. Heart failure is a common, disabling, progressive and costly complication of these disorders. The epidemiology of heart failure and the adequacy of relevant health service provision in Indigenous Australians are not well delineated. METHODS: A systematic search of the electronic databases PubMed, Embase, Web of Science, Cinahl Plus, Informit and Google Scholar was undertaken in April 2012 for peer-reviewed journal articles relevant to the topic of heart failure in Indigenous Australians. Additionally, a website search was done to identify other pertinent publications, particularly government reports. RESULTS: There was a paucity of relevant peer-reviewed research, and government reports dominated the results. Ten journal articles, 1 published conference abstract and 10 reports were eligible for inclusion. Indigenous Australians reportedly have higher morbidity and mortality from heart failure than their non-Indigenous counterparts (age-standardised prevalence ratio 1.7; age-standardised hospital separation ratio ≥3; crude per capita hospital expenditure ratio 1.58; age-adjusted mortality ratio >2). Despite the evident disproportionate burden of heart failure in Indigenous Australians, the accuracy of estimation from administrative data is limited by poor indigenous identification, inadequate case ascertainment and exclusion of younger subjects from mortality statistics. A recent journal article specifically documented a high prevalence of heart failure in Central Australian Aboriginal adults (5.3%), noting frequent undiagnosed disease. One study examined barriers to health service provision for Indigenous Australians in the context of heart failure. CONCLUSIONS: Despite the shortcomings of available published data, it is clear that Indigenous Australians have an excess burden of heart failure. Emerging data suggest that undiagnosed cases may be common in this population. In order to optimise management and to inform policy, high quality research on heart failure in Indigenous Australians is required to delineate accurate epidemiological indicators and to appraise health service provision. BioMed Central 2012-11-01 /pmc/articles/PMC3521206/ /pubmed/23116367 http://dx.doi.org/10.1186/1471-2261-12-99 Text en Copyright ©2012 Woods et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Woods, John A
Katzenellenbogen, Judith M
Davidson, Patricia M
Thompson, Sandra C
Heart failure among Indigenous Australians: a systematic review
title Heart failure among Indigenous Australians: a systematic review
title_full Heart failure among Indigenous Australians: a systematic review
title_fullStr Heart failure among Indigenous Australians: a systematic review
title_full_unstemmed Heart failure among Indigenous Australians: a systematic review
title_short Heart failure among Indigenous Australians: a systematic review
title_sort heart failure among indigenous australians: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521206/
https://www.ncbi.nlm.nih.gov/pubmed/23116367
http://dx.doi.org/10.1186/1471-2261-12-99
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