Volume 28, Issue 10(209) 2018
The gaps in evidence of cardiovascular disease control: A systematic review of Hanoi Medical University theses from 2013 to 2017
Author: Le Duc Tung, Dao Thi Minh An and Michell Le
In 2016, cardiovascular diseases (CVDs) were the leading contributor of deaths amongst NCDs in Vietnam, accounting for 31% of the total burden of disease. The 2013 World Health Assembly established 25 indicators to help state members address NCDs. The indicators have been categorized into 4 main themes; mortality, disease and metabolic factors, behavioral factors and system response. This study aims to analyze the gaps of CVD research conducted by Hanoi Medical University (HMU) graduate students regarding these four themes. Systematic literature review was reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The HMU electronic library database was used to extract graduate published theses from 2013-2017. The search strategy included four World Health Organization (WHO) key themes and CVD public health control. Of 5726 HMU graduate theses, 276 eligible theses were identified and only 98 studies (1.7%) were relevant to public health CVD control outcomes. Only 8/20 CVD indicators have been addressed with most studies focusing on disease and metabolic factors. The other three themes; mortality, risk behavior and system response remain neglected. Most study designs were cross-sectional (83.7%), did not use random sampling (79.6%), lacked a sample size formula (62.6%) and most research subjects were in-patients (92%). Future HMU graduate students should focus on CVD research guided by the WHO NCD Action Plan. Strengthening on research methodologies training should be prioritized.
CVD; NCD; risk factors; controls; evidence
1. Le Duc Tung- EL 2019.pdf