Demographic change and its impact on the health-care budget for heart failure inpatients in Germany during 1995–2025

Schmidt, Simone; Hendricks, Verena; Griebenow, R.; Riedel, Rainer

doi:10.1007/s00059-013-3955-3

Cited by 25 publications

(20 citation statements)

References 14 publications

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“…According to the first study, the incidence of hospitalized HF ranged from 2 to 3 per 100,000 population among children and adolescents (aged 0 to < 15 years; period covered from 2000 to 2006) [ 14 ]. A similar incidence of hospitalized HF of 2 per 100,000 population was reported in the second German study over two distinct 1-year periods in 1995 and 2009 [ 15 ].…”

Section: Resultssupporting

confidence: 74%

“…Two German studies reported on the nationwide incidence of HF hospitalizations [ 14 , 15 ]. According to the first study, the incidence of hospitalized HF ranged from 2 to 3 per 100,000 population among children and adolescents (aged 0 to < 15 years; period covered from 2000 to 2006) [ 14 ].…”

Section: Resultsmentioning

confidence: 99%

“…In studies reporting HF as a primary diagnosis, there appears to be a relatively higher incidence of HF in Taiwan (7.4 per 100,000 population) [ 16 ] compared with the European (0.87–3 per 100,000 population) pediatric population [ 13 – 15 ]. Possible reasons for the variation in the reported incidence rates include different definitions of HF used across studies, statistical methods (crude incidence [ 16 ] versus adjusted incidence [ 14 , 15 ] rates reported), definitions of the study populations (e.g., defined population such as children with ‘heart muscle disease’ (cardiomyopathy/myocarditis, etc.) [ 13 ] versus overall HF diagnosis rates [ 14 – 16 ]).…”

Section: Discussionmentioning

confidence: 99%

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Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents

Shaddy

George

Jaecklin³

et al. 2017

Pediatr Cardiol

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While the epidemiology of adult heart failure has been extensively researched, this systematic review addresses the less well characterized incidence and prevalence of pediatric HF. The search strategy used Cochrane methodology and identified 83 unique studies for inclusion. Studies were categorized according to whether the HF diagnosis was reported as primary (n = 10); associated with other cardiovascular diseases (CVDs) (n = 49); or associated with non-CVDs (n = 24). A narrative synthesis of the evidence is presented. For primary HF, the incidence ranged from 0.87/100,000 (UK and Ireland) to 7.4/100,000 (Taiwan). A prevalence of 83.3/100,000 was reported in one large population-based study from Spain. HF etiology varied across regions with lower respiratory tract infections and severe anemia predominating in lower income countries, and cardiomyopathies and congenital heart disease major causes in higher income countries. Key findings for the other categories included a prevalence of HF associated with cardiomyopathies ranging from 36.1% (Japan) to 79% (US); associated with congenital heart disease from 8% (Norway) to 82.2% (Nigeria); associated with rheumatic heart diseases from 1.5% (Turkey) to 74% (Zimbabwe); associated with renal disorders from 3.8% (India) to 24.1% (Nigeria); and associated with HIV from 1% (US) to 29.3% (Brazil). To our knowledge, this is the first systematic review of the topic and strengthens current knowledge of pediatric HF epidemiology. Although a large body of research was identified, heterogeneity in study design and diagnostic criteria limited the ability to compare regional data. Standardized definitions of pediatric HF are required to facilitate cross-regional comparisons of epidemiological data.Electronic supplementary materialThe online version of this article (10.1007/s00246-017-1787-2) contains supplementary material, which is available to authorized users.

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Section: Resultssupporting

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents

Shaddy

George

Jaecklin³

et al. 2017

Pediatr Cardiol

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“…Health and social care organizations face challenges as a result of the aging population, as well as the increasing number of patients with chronic and multiple diseases. Together with the increasing shortage of specialists and the decline in employment, potentially resulting from demographic trends in high-income countries, the quality of care is at risk [ 1 , 2 ]. Quality is further compromised by growing demands on employees arising from increasingly complex technologies or organizational deficits [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Does Value Stream Mapping affect the structure, process, and outcome quality in care facilities? A systematic review

2017

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BackgroundQuality improvement within health and social care facilities is needed and has to be evidence-based and patient-centered. Value Stream Mapping, a method of Lean management, aims to increase the patients’ value and quality of care by a visualization and quantification of the care process. The aim of this research is to examine the effectiveness of Value Stream Mapping on structure, process, and outcome quality in care facilities.MethodsA systematic review is conducted. PubMed, EBSCOhost, including Business Source Complete, Academic Search Complete, PSYCInfo, PSYNDX, SocINDEX with Full Text, Web of Knowledge, and EMBASE ScienceDirect are searched in February 2016. All peer-reviewed papers evaluating Value Stream Mapping and published in English or German from January 2000 are included. For data synthesis, all study results are categorized into Donabedian’s model of structure, process, and outcome quality. To assess and interpret the effectiveness of Value Stream Mapping, the frequencies of the results statistically examined are considered.ResultsOf the 903 articles retrieved, 22 studies fulfill the inclusion criteria. Of these, 11 studies are used to answer the research question. Value Stream Mapping has positive effects on the time dimension of process and outcome quality. It seems to reduce non-value-added time (e.g., waiting time) and length of stay. All study designs are before and after studies without control, and methodologically sophisticated studies are missing.ConclusionsFor a final conclusion about Value Stream Mapping’s effectiveness, more research with improved methodology is needed. Despite this lack of evidence, Value Stream Mapping has the potential to improve quality of care on the time dimension. The contextual influence has to be investigated to make conclusions about the relationship between different quality domains when applying Value Stream Mapping. However, for using this review’s conclusion, the limitation of including heterogeneous and potentially biased results has to be considered.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0563-y) contains supplementary material, which is available to authorized users.

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“…Damit verbunden ist auch ein entsprechender Anstieg der Kosten im Gesundheitswesen, die allein bei stationären Patienten mit Herzversagen in Deutschland bis 2025 um 50 % auf 1,8 Mrd. € zunehmen werden [2]. Dies hat eine umfangreiche Debatte zur Priorisierung, also zur Rationierung medizinischer Versorgungsleistungen, im Gesundheitswesen ausgelöst [3].…”

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Der Nutzen großer Kohortenstudien für die Gesundheitsforschung am Beispiel der Nationalen Kohorte

Ahrens

Jöckel

2015

Bundesgesundheitsbl.

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The prospective nature of large-scale epidemiological multi-purpose cohort studies with long observation periods facilitates the search for complex causes of diseases, the analysis of the natural history of diseases and the identification of novel pre-clinical markers of disease. The German National Cohort (GNC) is a population-based, highly standardised and in-depth phenotyped cohort. It shall create the basis for new strategies for risk assessment and identification, early diagnosis and prevention of multifactorial diseases. The GNC is the largest population-based cohort study in Germany to date. In the year 2014 the examination of 200,000 women and men aged 20-69 years started in 18 study centers. The study facilitates the investigation of the etiology of chronic diseases in relation to lifestyle, genetic, socioeconomic, psychosocial and environmental factors. By this the GNC creates the basis for the development of methods for early diagnosis and prevention of these diseases. Cardiovascular and respiratory diseases, cancer, diabetes, neurodegenerative/-psychiatric diseases, musculoskeletal and infectious diseases are in focus of this study. Due to its mere size, the study could be characterized as a Big Data project. We deduce that this is not the case.

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Demographic change and its impact on the health-care budget for heart failure inpatients in Germany during 1995–2025

Abstract: It is important to reduce the number of inpatient cases; this can be achieved, for example, by the implementation of adequate guideline-oriented patient-care programs, as well as patient education for the improvement of therapy adherence.

Cited by 25 publications

References 14 publications

Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents

Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents

Does Value Stream Mapping affect the structure, process, and outcome quality in care facilities? A systematic review

Der Nutzen großer Kohortenstudien für die Gesundheitsforschung am Beispiel der Nationalen Kohorte

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