ZHANG Hao, LI Shoujun, SU Zhanhao. Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 287-290. DOI: 10.12290/xhyxzz.20200280
Citation: ZHANG Hao, LI Shoujun, SU Zhanhao. Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 287-290. DOI: 10.12290/xhyxzz.20200280

Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery

Funds: 

National Science Fund for Distinguished Young Scholars 81525002

National Key R&D Program of China 2017YFC1308100

Program for Outstanding Medical Academic Leader in Shanghai 2019LJ22

More Information
  • Corresponding author:

    ZHANG Hao  Tel: 86-21-38626868, E-mail: drzhanghao@yahoo.com

  • Received Date: November 26, 2020
  • Accepted Date: March 28, 2020
  • Issue Publish Date: May 29, 2021
  • Cardiac surgery is one of the major treatments for congenital heart disease(CHD). At present, the diagnosis and treatment in top congenital heart surgical centers in China has approached the international first-class standard, and a large number of patients have received standardized treatment. However, the overall prognosis of patients with CHD in China remains to be improved. This article analyzed current gaps between China and western developed countries in terms of the distribution and accessibility of surgical resources for CHD, and proposed feasible paths to improve the diagnosis and treatment of CHD in China in the context of regionalization of health care.
  • [1]
    中国生物医学工程学会体外循环分会. 2019年中国心外科手术和体外循环数据白皮书[J]. 中国体外循环杂志, 2020, 18: 193-196. https://www.cnki.com.cn/Article/CJFDTOTAL-TWXH202004001.htm
    [2]
    苏展豪, 李守军, 陈会文, 等. 中国和北美地区1990-2017年先天性心脏病死亡率变化趋势比较[J]. 中华心血管病杂志, 2021, 49: 269-275. DOI: 10.3760/cma.j.cn112148-20200618-00496
    [3]
    GBD 2016 Healthcare Access and Quality Collaborators. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016[J]. Lancet, 2018, 391: 2236-2271. DOI: 10.1016/S0140-6736(18)30994-2
    [4]
    Cui H, He C, Kand L, et al. Under-5-Years Child Mortality Due to Congenital Anomalies: A Retrospective Study in Urban and Rural China in 1996-2013[J]. Am J Prev Med, 2016, 50: 663-671. DOI: 10.1016/j.amepre.2015.12.013
    [5]
    Zilla P, Yacoub M, Zuhlke L, et al. Global Unmet Needs in Cardiac Surgery[J]. Glob Heart, 2018, 13: 293-303. DOI: 10.1016/j.gheart.2018.08.002
    [6]
    Liu Y, Yand LL, Xu SY, et al. Pediatrics in China: challenges and prospects[J]. World J Pediatr, 2018, 14: 1-3. DOI: 10.1007/s12519-017-0117-3
    [7]
    Vervoort D, Meuris B, Meyns B, et al. Global cardiac surgery: access to cardiac surgical care around the world[J]. J Thorac Cardiovasc Surg, 2020, 159: 987-996. e6. DOI: 10.1016/j.jtcvs.2019.04.039
    [8]
    American Board of Pediatrics. Pediatric Physicians Work-force Data Book, 2017-2018[M/OL ]. https://www.abp.org/sites/abp/files/pdf/pediatricphysiciansworkforcedatabook2017-2018.pdf.
    [9]
    Welke KF, Pasquali SK, Lin P, et al. Hospital Distribution and Patient Travel Patterns for Congenital Cardiac Surgery in the United States[J]. Ann Thorac Surg, 2019, 107: 574-581. DOI: 10.1016/j.athoracsur.2018.07.047
    [10]
    Su ZH, Xiang L, Liu ZY, et al. The Current Landscape of Congenital Heart Surgery in North China: A Geographic and Population-based Analysis[J]. Front Pediatr, 2021. doi: 10.3389/fped.2021.555141.
    [11]
    Xiang L, Su Z, Liu Y, et al. Effect of family socioeconomic status on the prognosis of complex congenital heart disease in children: an observational cohort study from China[J]. Lancet Child Adolesc Health, 2018, 2: 430-439. DOI: 10.1016/S2352-4642(18)30100-7
    [12]
    Luo Q, Zhao W, Su Z, et al. Risk Factors for Prolonged Pleural Effusion Following Total Cavopulmonary Connection Surgery: 9 Years' Experience at Fuwai Hospital[J]. Front Pediatr, 2019, 7: 456. DOI: 10.3389/fped.2019.00456
    [13]
    Akintoye E, Miranda WR, Veldtman GR, et al. National trends in Fontan operation and in-hospital outcomes in the USA[J]. Heart(British Cardiac Society), 2019, 105: 708-714. http://heart.bmj.com/content/105/9/708.full
    [14]
    Morris SA, Ethen MK, Penny DJ, et al. Prenatal diagnosis, birth location, surgical center, and neonatal mortality in infants with hypoplastic left heart syndrome[J]. Circulation, 2014, 129: 285-292. DOI: 10.1161/CIRCULATIONAHA.113.003711
    [15]
    Kaltman JR, Burns KM, Pearson GD, et al. Disparities in Congenital Heart Disease Mortality Based on Proximity to a Specialized Pediatric Cardiac Center[J]. Circulation, 2020, 141: 1034-1036. DOI: 10.1161/CIRCULATIONAHA.119.043392
    [16]
    Xiang L, Su Z, Liu Y, et al. Impact of Family Socioe-conomic Status on Health-Related Quality of Life in Children With Critical Congenital Heart Disease[J]. J Am Heart Assoc, 2019, 8: e010616.
    [17]
    Welke KF, O'Brien SM, Peterson ED, et al. The complex relationship between pediatric cardiac surgical case volumes and mortality rates in a national clinical database[J]. J Thorac Cardiovasc Surg, 2009, 137: 1133-1140. DOI: 10.1016/j.jtcvs.2008.12.012
    [18]
    Kansy YA, Ebels T, Schreiber C, et al. Association of center volume with outcomes: analysis of verified data of European Association for Cardio-Thoracic Surgery Congenital Database[J]. Ann Thorac Surg, 2014, 98: 2159-2164. DOI: 10.1016/j.athoracsur.2014.07.065
    [19]
    Husain SA, Pasquali SK, Jacobs JP, et al. Congenital heart operations performed in the first year of life: does geographic variation exist?[J]. Ann Thorac Surg, 2014, 98: 912-918. DOI: 10.1016/j.athoracsur.2014.04.127
    [20]
    Backer CL, Pasquali SK, Dearani JA. Improving National Outcomes in Congenital Heart Surgery: The Time Has Come for Regionalization of Care[J]. Circulation, 2020, 141: 943-945. DOI: 10.1161/CIRCULATIONAHA.119.045542
  • Related Articles

    [1]TIAN Kunling, CHEN Chuanning. Notch Signaling Pathway and Congenital Heart Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(3): 649-654. DOI: 10.12290/xhyxzz.2023-0594
    [2]LIU Wenjia, ZHOU Runshi, LI Zunzhu, SU Longxiang, CUI Wenbo, LONG Yun, HE Huaiwu. Applying the Electrical Impedance Tomography to Assess Lung Regional Ventilation Distribution in ICU Patients After Cardiac Surgery and Exploring Its Preliminary Values[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(3): 573-579. DOI: 10.12290/xhyxzz.2023-0626
    [3]ZHANG Lu, LI Jian. Castleman Disease in China: State-of-the-art Technology Before the Era of IL-6 Targeted Therapy[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 911-914. DOI: 10.12290/xhyxzz.2023-0227
    [4]QIN Yongwen, BAI Yuan. History and Development of Interventional Devices forCongenital Heart Diseases in China[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 309-312. DOI: 10.12290/xhyxzz.2021-0148
    [5]XIAO Jiawang, ZHU Xianyang. Evolution of Interventional Treatment of Congenital Heart Disease in China[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 303-308. DOI: 10.12290/xhyxzz.2021-0157
    [6]AI Shanshan, HE Aibin. Advances in Basic Research of Congenital Heart Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 291-297. DOI: 10.12290/xhyxzz.2021-0055
    [7]Shuai HU, Zhi-yan HAN, Xiao-jian WANG, Jing-jun HAN, De-qiang WU, Lei ZHANG, Yan-gui LIN, Jian-wen LIANG, Wen-bin WEI, Wen-lin ZHANG, Cun-fu MU, Yi WANG, Dian-yuan LI. Monitoring Value of Central Venous Oxygen Saturation, the Substitute for Mixed Venous Oxygen Saturation, in Postoperative Care of Congenital Heart Disease with Pulmonary Arterial Hypertension:a Multicenter Prospective Study[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(3): 228-233. DOI: 10.3969/j.issn.1674-9081.2018.03.008
    [8]Beyond the NICU: Comprehensive Care of the High-risk Infant(2015)[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(6): 449-449.
    [9]Cardiovascular Intervention: A Companion to Braunwald's Heart Disease(2016)[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(1): 65-65.
    [10]Ying ZHANG, Jin-song GAO, Jun-tao LIU, Hai-yuan LIU, Ying-na SONG, Xiao-ming GONG, Zhi-jing SUN. Effectiveness of B-lynch Suture in Treatment and Prevention of Postpartum Hemorrhage[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 174-177. DOI: 10.3969/j.issn.1674-9081.2013.02.019

Catalog

    Article Metrics

    Article views (768) PDF downloads (97) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close