In his opening remarks at the workshop, Dr. Nguyen Trong Khoa, Deputy Director of the Department of Medical Examination and Treatment Management, stated that cardiovascular, renal, and metabolic diseases are currently a matter of particular concern, with the number of diabetes patients worldwide reaching 537 million, heart failure patients over 60 million, and especially chronic kidney disease patients over 850 million.
Co-morbidities involving cardiovascular, renal, and metabolic diseases are becoming a major challenge in modern healthcare . These conditions not only increase the burden of disease on the healthcare system but also severely impact the quality of life for patients and their families, especially the elderly who often have multiple illnesses requiring care and treatment simultaneously.
According to Dr. Nguyen Trong Khoa, over the years the Ministry of Health has been making efforts to promote programs for the prevention, control, and management of non-communicable diseases, including cardiovascular diseases, kidney and urinary tract diseases, and metabolic disorders.
Diagnostic guidelines for cardiovascular diseases, endocrine-diabetes, and nephrology/urology have been issued quite comprehensively and are regularly updated, providing healthcare facilities with practical materials and improving the quality of disease management and treatment. However, current realities demand a more holistic and multifaceted approach, especially interdisciplinary collaboration between the cardiovascular, nephrological, and endocrine specialties.
Dr. Duong Huy Lieu, Chairman of the Health Economics Science Association, also believes that cardiovascular, renal, and metabolic diseases often coexist and "combine" with each other, worsening the patient's prognosis and adding a burden to diagnosis, treatment, and the healthcare system if not comprehensively screened, detected, treated, and managed across all three aspects.
Therefore, the workshop is a very useful scientific activity for treating physicians, management agencies, and policymakers in Vietnam to work together to find solutions to further improve the quality of diagnosis, treatment, and comprehensive management of this group of diseases, contributing to narrowing the gap with treatment standards abroad.
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| Overview of the conference. |
Associate Professor, Dr. Nguyen Thi Thu Hoai, Deputy Director of the Vietnam National Heart Institute, said that cardiovascular, renal, and metabolic diseases often severely reduce patients' life expectancy, especially if they coexist.
Diabetes and hypertension account for over 80% of end-stage renal disease (ESKD) cases globally. Cardiovascular disease affects 40% of people with diabetes, and at least 30% of people with diabetes have cardiovascular disease.
Cardiac dysfunction increases the burden on the kidneys and metabolism. Cardiac abnormalities affect the progression and outcome of kidney and metabolic diseases.
In Vietnam, 55% of type 2 diabetes patients have developed complications, and the cost of treating complications accounts for 70% of the total cost of diabetes treatment. Among these complications, the treatment of cardiovascular complications is the most expensive.
Associate Professor, Dr. Vu Thi Thanh Huyen, Head of the Department of Endocrinology and Musculoskeletal Diseases at the Central Geriatric Hospital, stated that primary care physicians play a crucial role in early screening for chronic kidney disease and are vital in improving care for individuals with diabetes, heart failure, or cardiovascular disease.
Early screening of high-risk patients and subsequent diagnostic decisions optimize the management of kidney and cardiovascular disease. Collaboration with primary care physicians (clinic physicians) can help to make diabetes, heart failure, and cardiovascular disease less of a specialized issue.
At the workshop, experts also suggested that regulatory agencies and clinical facilities need to develop plans and strategies to jointly build a program for managing and treating patients with cardiovascular, renal, and metabolic disorders .
The approach to treatment focuses on the recommended management of multiple cardiovascular-renal-metabolic comorbidities in the patient. The management and treatment of cardiovascular disease, combined with diabetes management, is covered by health insurance.
In addition, it is necessary to include content on cardiovascular, renal, and metabolic diseases in the training programs of medical universities for undergraduate and postgraduate students, and to organize continuous training.
Cardiology Societies, Endocrinology-Diabetes Societies, and Nephrology Societies organize conferences and collaborative departmental activities... to build a patient management model in which cardiologists, nephrologists, and endocrinologists enhance interaction and share opinions on cases through direct or online consultations and the application of telemedicine. They also collaborate with clinical pharmacists, nutritionists, and rehabilitation specialists... in treatment and achieve consensus on recommendations for cardiology, nephrology, endocrinology-diabetes.
Source: https://nhandan.vn/can-dua-noi-dung-tim-mach-than-chuyen-hoa-vao-chuong-trinh-dao-tao-o-cac-truong-dai-hoc-y-khoa-post837566.html
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