Author(s)
Miranda PA1, Salcedo Mejía F2, Parra Padilla D3, Gómez De la Rosa F2, Carrasquilla M4, PAZ Wilchez J5, Fernandez Mercado JC6, Jerez Arias M7, Vargas-Moranth R8, Alvis-Guzman N9, De La Hoz F10
1ALZAK Foundation. University of Cartagena., Cartagena, Colombia, 2ALZAK Foundation, Cartagena, Colombia, 3ALZAK Foundation, Cartagena, BOL, Colombia, 4Alzak Foundation. Universidad de Cartagena., Cartagena de Indias, Colombia, 5MUTUALSER EPS, CARTAGENA DE INDIAS, Colombia, 6MUTUALSER EPS, University of Cartagena Clínica Crecer, CARTAGENA DE INDIAS, Colombia, 7Fundación Ser Social, Cartagena, Colombia, 8ALZAK Foundation. University of Cartagena., Barranquilla, ATL, Colombia, 9ALZAK Foundation, Universidad de la Costa, Barranquilla - Colombia, Cartagena, BOL, Colombia, 10Universidad Nacional de Colombia, Bogota, Colombia
OBJECTIVES : Evaluate the effectiveness of a cardiovascular risk management program “De Todo Corazon” (DTC) on the incidence of cardiovascular events (CVE) in a low-income population from the Caribbean region of Colombia. METHODS : This was a retrospective cohort study. Patients with 20 to 76 years affiliated to insurer company and enrolled to the DTC program were considered as the study population. The data source was an administrative database of all 128,263 patients between Jan 2015 and Dec 2018. The main outcome was the reduction in the risk of a CVE (stroke, AMI or CHF) based in the time-person exposed to the intervention. Four different time thresholds were considered for stablishing exposure status: six months, one year, two years and four years. Propensity score-weighted Cox regression models were used to evaluate the association between exposure to the program and the incidence of CVE. RESULTS : Exposed to the DTC program had a significantly lower risk of a cardiovascular outcome in the 1-year ( HR : 0.878, (IC95% 0.770 – 1.001), p = 0.051), 2 years ( HR : 0.517, (IC95% 0.472 – 0.565), p < 0.001) and 4 years ( HR : 0.447, (IC95% 0.418 – 0.479), p < 0.001) but not in the 6-month (HR : 1.046, (IC95% 0.879 – 1.245), p = 0.612). Control of blood pressure was associated to a lower risk of a CVO in all scenarios of exposure (6-month = HR : 0.373, (IC95% 0.339 – 0.410), 1-year = HR : 0.375 (IC95% 0.327 – 0.390), 2 years = HR : 0.366 (IC95% 0.329 – 0.407), 4 years = HR : 0.358 (IC95% 0.332 – 0.385)(p<0.001). CONCLUSIONS : The DTC program was shown to be effective in the reduction of the risk of a CVE after one year of exposure. Population-based interventions may be an important strategy for the prevention of CVE in low-income individuals.
Conference/Value in Health Info
2020-05, ISPOR 2020, Orlando, FL, USA
Value in Health, Volume 23, Issue 5, S1 (May 2020)
Code
PCV53
Topic
Clinical Outcomes, Epidemiology & Public Health, Methodological & Statistical Research, Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems, Performance-based Outcomes, Public Health
Disease
Cardiovascular Disorders, Diabetes/Endocrine/Metabolic Disorders
