Untangling the Complex Multidimensionality of the Social Determinants of Cardiovascular Health: A systematic review.
Journal
The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280
Informations de publication
Date de publication:
19 Mar 2024
19 Mar 2024
Historique:
received:
31
10
2023
revised:
21
02
2024
accepted:
09
03
2024
medline:
22
3
2024
pubmed:
22
3
2024
entrez:
21
3
2024
Statut:
aheadofprint
Résumé
The cardiovascular literature is limited by the lack of consensus on what are the best metrics for reporting social determinants of health (SDH)/social deprivation and if they should be reported as a single metric or separately by their domains. A systematic review of the literature on cardiovascular surgeries and procedures was conducted, identifying articles from January 1 After screening 638 articles, we identified 47 papers that met our inclusion and exclusion criteria. The most common procedure evaluated was CABG and PCI - 46 of the studies focused on these 2 procedures. Almost all the articles reported a different metric for SDH/social deprivation (41 different metrics); despite this, all the metrics showed a consistent relationship with worse outcomes associated with greater degrees of SDH/deprivation. Only 9 reported on the individual domains of SDH/social deprivation; 3 studies showed a discordant relationship. Although our systematic review identified numerous articles evaluating the relationship between SDH/social deprivation in cardiovascular disease, there was substantial heterogeneity in which metric was used and how it was reported. This reinforces the need for standards as to what are the best metrics for SDH/social deprivation as well as best practice for reporting.
Sections du résumé
BACKGROUND
BACKGROUND
The cardiovascular literature is limited by the lack of consensus on what are the best metrics for reporting social determinants of health (SDH)/social deprivation and if they should be reported as a single metric or separately by their domains.
METHODS
METHODS
A systematic review of the literature on cardiovascular surgeries and procedures was conducted, identifying articles from January 1
RESULTS
RESULTS
After screening 638 articles, we identified 47 papers that met our inclusion and exclusion criteria. The most common procedure evaluated was CABG and PCI - 46 of the studies focused on these 2 procedures. Almost all the articles reported a different metric for SDH/social deprivation (41 different metrics); despite this, all the metrics showed a consistent relationship with worse outcomes associated with greater degrees of SDH/deprivation. Only 9 reported on the individual domains of SDH/social deprivation; 3 studies showed a discordant relationship.
CONCLUSION
CONCLUSIONS
Although our systematic review identified numerous articles evaluating the relationship between SDH/social deprivation in cardiovascular disease, there was substantial heterogeneity in which metric was used and how it was reported. This reinforces the need for standards as to what are the best metrics for SDH/social deprivation as well as best practice for reporting.
Identifiants
pubmed: 38513932
pii: S0828-282X(24)00269-1
doi: 10.1016/j.cjca.2024.03.008
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024. Published by Elsevier Inc.