TY - JOUR
T1 - Trends in cardiovascular diseases burden and vascular risk factors in Italy
T2 - The Global Burden of Disease study 1990–2017
AU - on behalf of the GBD 2017 Italy Cardiovascular Diseases Collaborators
AU - Cortesi, Paolo A.
AU - Fornari, Carla
AU - Madotto, Fabiana
AU - Conti, Sara
AU - Naghavi, Mohsen
AU - Bikbov, Boris
AU - Briant, Paul S.
AU - Caso, Valeria
AU - Crotti, Giacomo
AU - Johnson, Catherine
AU - Nguyen, Minh
AU - Palmieri, Luigi
AU - Perico, Norberto
AU - Profili, Francesco
AU - Remuzzi, Giuseppe
AU - Roth, Gregory A.
AU - Traini, Eugenio
AU - Voller, Fabio
AU - Yadgir, Simon
AU - Mazzaglia, Giampiero
AU - Monasta, Lorenzo
AU - Giampaoli, Simona
AU - Mantovani, Lorenzo G.
N1 - Publisher Copyright:
© The European Society of Cardiology 2020.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Aims: An exhaustive and updated estimation of cardiovascular disease burden and vascular risk factors is still lacking in European countries. This study aims to fill this gap assessing the global Italian cardiovascular disease burden and its changes from 1990 to 2017 and comparing the Italian situation with European countries. Methods: All accessible data sources from the 2017 Global Burden of Disease study were used to estimate the cardiovascular disease prevalence, mortality and disability-adjusted life years and cardiovascular disease attributable risk factors burden in Italy from 1990 to 2017. Furthermore, we compared the cardiovascular disease burden within the 28 European Union countries. Results: Since 1990, we observed a significant decrease of cardiovascular disease burden, particularly in the age-standardised prevalence (–12.7%), mortality rate (–53.8%), and disability-adjusted life years rate (–55.5%). Similar improvements were observed in the majority of European countries. However, we found an increase in all-ages prevalence of cardiovascular diseases from 5.75 m to 7.49 m Italian residents. Cardiovascular diseases still remain the first cause of death (34.8% of total mortality). More than 80% of the cardiovascular disease burden could be attributed to known modifiable risk factors such as high systolic blood pressure, dietary risks, high low density lipoprotein cholesterol, and impaired kidney function. Conclusions: Our study shows a decline in cardiovascular mortality and disability-adjusted life years, which reflects the success in reducing disability, premature death and early incidence of cardiovascular diseases. However, the burden of cardiovascular diseases is still high. An approach that includes the cooperation and coordination of all stakeholders of the Italian National Health System is required to further reduce this burden.
AB - Aims: An exhaustive and updated estimation of cardiovascular disease burden and vascular risk factors is still lacking in European countries. This study aims to fill this gap assessing the global Italian cardiovascular disease burden and its changes from 1990 to 2017 and comparing the Italian situation with European countries. Methods: All accessible data sources from the 2017 Global Burden of Disease study were used to estimate the cardiovascular disease prevalence, mortality and disability-adjusted life years and cardiovascular disease attributable risk factors burden in Italy from 1990 to 2017. Furthermore, we compared the cardiovascular disease burden within the 28 European Union countries. Results: Since 1990, we observed a significant decrease of cardiovascular disease burden, particularly in the age-standardised prevalence (–12.7%), mortality rate (–53.8%), and disability-adjusted life years rate (–55.5%). Similar improvements were observed in the majority of European countries. However, we found an increase in all-ages prevalence of cardiovascular diseases from 5.75 m to 7.49 m Italian residents. Cardiovascular diseases still remain the first cause of death (34.8% of total mortality). More than 80% of the cardiovascular disease burden could be attributed to known modifiable risk factors such as high systolic blood pressure, dietary risks, high low density lipoprotein cholesterol, and impaired kidney function. Conclusions: Our study shows a decline in cardiovascular mortality and disability-adjusted life years, which reflects the success in reducing disability, premature death and early incidence of cardiovascular diseases. However, the burden of cardiovascular diseases is still high. An approach that includes the cooperation and coordination of all stakeholders of the Italian National Health System is required to further reduce this burden.
KW - burden of diseases
KW - Cardiovascular diseases
KW - disability-adjusted life years
KW - mortality
KW - prevalence
KW - risk factors
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U2 - 10.1177/2047487320949414
DO - 10.1177/2047487320949414
M3 - Article
AN - SCOPUS:85088816321
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
SN - 2047-4873
ER -