European Society of Cardiology: Cardiovascular Disease Statistics 2019
Why the study?
The report aimed to provide a contemporary analysis of cardiovascular disease statistics across 56 ESC member countries, focusing on international inequalities in disease burden and healthcare delivery and progress toward 2025 WHO targets.
Population
56 ESC member countries
Comparison
Middle-income vs high-income ESC member countries
Design
Observational analysis of repository and survey data
Authors
Discussion
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Member takes
Implication
Documents stark European CVD inequalities; extends prior atlases but leaves open strategies to meet 2025 WHO targets.
Key Points
- To evaluate contemporary cardiovascular disease statistics, health inequalities, and healthcare delivery across 56 member countries in relation to 2025 World Health Organization non-communicable disease targets.
- Synthesized cardiovascular disease epidemiological data from the European Society of Cardiology Atlas, incorporating metrics from the World Health Organization, the Institute for Health Metrics and Evaluation, and the World Bank.
- Collected health infrastructure, workforce capacity, and clinical procedure data using annual surveys distributed to national cardiac societies across 56 member countries.
- Over 30 years, obesity (BMI ≥30 kg/m²) and diabetes prevalence surged two- to three-fold across member countries, while smoking prevalence declined from 28% to 21% over 20 years.
- Middle-income countries experienced higher median age-standardized rates of hypertension (23.8% [IQR 22.5–23.1%] vs. 15.7% [IQR 14.5–21.1%]) and diabetes (7.7% [IQR 7.1–10.1%] vs. 5.6% [IQR 4.8–7.0%]), as well as higher cardiovascular disability-adjusted life years per 100,000 people (7,160 [IQR 5,655–8,115] vs. 2,235 [IQR 1,896–3,602]) than high-income countries.
- Cardiovascular mortality drove a greater proportion of potential years of life lost in middle-income versus high-income countries for females (43% vs. 28%) and males (39% vs. 28%), coinciding with severe deficits in clinical personnel, coronary interventions, device implantations, and cardiac surgeries.
Structured PICO
P
Population
Populations of 56 European Society of Cardiology (ESC) member countries
O
Outcome
Cardiovascular disease burden, risk factor prevalence, and healthcare delivery
There are significant inequalities in cardiovascular disease burden and healthcare delivery between middle-income and high-income ESC member countries, with rising obesity and diabetes challenging WHO 2025 targets.
Cite This Study
Timmis et al. (2019) studied this question.