@article{21473, author = {Yan L. and Sigamani A. and Tandon N. and Xavier D. and Wu Y. and Prabhakaran D. and Smith R. and Checkley W. and Ghannem H. and Irazola V. and Kimaiyo S. and Levitt N. and Miranda J. and Niessen L. and Rabadan-Diehl C. and Ramirez-Zea M. and Rubinstein A.}, title = {Management of NCD in low- and middle-income countries}, abstract = {

Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.

}, year = {2014}, journal = {Global Heart}, volume = {9}, edition = {2015/01/17}, number = {4}, pages = {431-43}, isbn = {2211-8179 (Electronic)}, note = {Checkley, William
Ghannem, Hassen
Irazola, Vilma
Kimaiyo, Sylvester
Levitt, Naomi S
Miranda, J Jaime
Niessen, Louis
Prabhakaran, Dorairaj
Rabadan-Diehl, Cristina
Ramirez-Zea, Manuel
Rubinstein, Adolfo
Sigamani, Alben
Smith, Richard
Tandon, Nikhil
Wu, Yangfeng
Xavier, Denis
Yan, Lijing L
GRAND South Network, UnitedHealth Group/National Heart, Lung, and Blood Institute Centers of Excellence
HHSN268200900033C/HL/NHLBI NIH HHS/United States
England
Glob Heart. 2014 Dec;9(4):431-43. doi: 10.1016/j.gheart.2014.11.003.}, language = {eng}, }