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Construction of the Chinese Veteran Clinical Research (CVCR) Platform for the assessment of non-communicable diseases

摘要Background Based on the excellent medical care and management system for Chinese veterans,as well as the detailed medical documentation available,we aim to construct a Chinese Veteran Clinical Research (CVCR) platform on noncommunicable diseases (NCDs) and carry out studies of the primary disabling NCDs.Methods The Geriatric Neurology Department of Chinese People's Liberation Army General Hospital and veterans' hospitals serve as the leading and participating units in the platform construction.The fundamental constituents of the platform are veteran communities.Stratified typical cluster sampling is adopted to recruit veteran communities.A cross-sectional study of mental,neurological,and substance use (MNS) disorders are performed in two stages using screening scale such as the Mini-Mental State Examination and Montreal cognitive assessment,followed by systematic neuropsychological assessments to make clinical diagnoses,evaluated disease awareness and care situation.Results A total of 9 676 among 277 veteran communities from 18 cities are recruited into this platform,yielding a response rate of 83.86%.8 812 subjects complete the MNS subproject screening and total response rate is 91.70%.The average participant age is (82.01±4.61) years,69.47% of veterans are 80 years or older.Most participants are male (94.01%),83.36% of subjects have at least a junior high school degree.The overall health status of veterans is good and stable.The most common NCD are cardiovascular disorders (86.44%),urinary and genital diseases (73.14%),eye and ear problems (66.25%),endocrine (56.56%) and neuro-psychiatric disturbances (50.78%).Conclusion We first construct a veterans' comprehensive clinical research platform for the study of NCDs that is primarily composed of highly educated Chinese males of advanced age and utilize this platform to complete a cross-sectional national investigation of MNS disorders among veterans.The good and stable health condition of the veterans could facilitate the long-term follow-up studies of NCDs and provide prospective data to the prevention and management of NCDs.

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作者单位 Department of Geriatric Neurology, Chinese People's Liberation Army General Hospital, Beijing 100853, China [1] Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191, China [2] Department of Neurology, Peking Union Medical College Hospital, Beijing 100730, China [3] Health Bureau of the Ministry of Health of the General Logistics Department of PLA, Beijing 100038, China [4] Department of Neurology, General Hospital of Lanzhou Military Command, Lanzhou, Gansu 730050, China [5] Department of Gerontology, Bethune International Peace Hospital, Shijiazhuang, Hebei 050082, China [6]
栏目名称 ORIGINAL ARTICLES
DOI 10.3760/cma.j.issn.0366-6999.20132399
发布时间 2014-03-12
基金项目
The study was supported by grants (No.07BJZ04, 10BJZ19,11BJZ09, 12BJZ46) from the Special Health Research Foundation of the Health Department of the PLA General Logistics Department and National Key Technology R&D Program
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中华医学杂志(英文版)

中华医学杂志(英文版)

2014年127卷3期

448-456页

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