{"id":4174,"date":"2015-03-20T00:00:00","date_gmt":"2015-03-20T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/cardiovascular-disease-rates-outcomes-and-quality-of-care-in-ontario-metis-a-population-based-cohort-study\/"},"modified":"2023-06-14T19:27:54","modified_gmt":"2023-06-14T23:27:54","slug":"cardiovascular-disease-rates-outcomes-and-quality-of-care-in-ontario-metis-a-population-based-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/cardiovascular-disease-rates-outcomes-and-quality-of-care-in-ontario-metis-a-population-based-cohort-study\/","title":{"rendered":"Cardiovascular disease rates, outcomes and quality of care in Ontario M\u00e9tis: a population-based cohort study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; The burden of cardiovascular disease in the M&#xe9;tis, Canada&#x2019;s fastest growing Aboriginal group, is not well studied. The researchers determined rates of five cardiovascular diseases and associated outcomes in Ontario M&#xe9;tis, compared to the general Ontario population. <\/p>\n<p><strong>Methods<\/strong> &#x2014; M&#xe9;tis persons were identified using the M&#xe9;tis Nation of Ontario Citizenship Registry. M&#xe9;tis citizens aged 20&#x2013;105 were linked to Ontario health databases for the period of April 2006 to March 2011. Age- and sex-standardized prevalence and incidence of acute coronary syndromes (ACS), congestive heart failure (CHF), cerebrovascular disease (stroke), atrial fibrillation, and hypertension were compared between the M&#xe9;tis and the general population. Secondary outcome measures included one-year hospitalizations and mortality following the incident cardiovascular diagnosis, as well as quality-of-care measures. <\/p>\n<p><strong>Results<\/strong> &#x2014; There were 12,550 eligible M&#xe9;tis persons and 10,144,002 in the general population. The adjusted prevalence of each disease was higher (p&lt;0.05) among the M&#xe9;tis compared to the general population: ACS 5.3% vs. 3.0%; CHF 5.1% vs. 3.9%; stroke 1.4% vs. 1.1%; atrial fibrillation 2.1% vs. 1.4%; hypertension 34.9% vs. 29.8%. Incident ACS, stroke, and atrial fibrillation were also higher (p&lt;0.05) among the M&#xe9;tis: ACS 2.4% vs. 1.5%; stroke 0.8% vs. 0.6%; atrial fibrillation 0.6% vs. 0.3%. One-year all-cause and cardiovascular-related mortality were not significantly different. Hospitalizations were higher for M&#xe9;tis persons with CHF (OR 1.93; 95% CI 1.34&#x2013;2.78) and hypertension (OR 2.27; 95% CI 1.88&#x2013;2.74). M&#xe9;tis with CHF made more emergency department (ED) visits in the year after diagnosis compared to non-M&#xe9;tis with CHF, while M&#xe9;tis aged &#x2265;65 with ACS were more likely to be on beta-blockers following diagnosis. <\/p>\n<p><strong>Conclusions<\/strong> &#x2014; The burden of cardiovascular disease was markedly higher in the M&#xe9;tis compared to the general population: prevalence rates for five cardiovascular conditions were 25% to 77% higher. M&#xe9;tis persons with CHF had more frequent hospitalizations and ED visits following their diagnosis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; The burden of cardiovascular disease in the M&#xe9;tis, Canada&#x2019;s fastest growing Aboriginal group, is not well studied. The researchers determined rates of five cardiovascular diseases and associated outcomes in Ontario M&#xe9;tis, compared to the general Ontario population. Methods &#x2014; M&#xe9;tis persons were identified using the M&#xe9;tis Nation of Ontario Citizenship Registry. M&#xe9;tis citizens [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[40,22],"migration-helper-qa-sample-set":[],"class_list":["post-4174","journal_article","type-journal_article","status-publish","hentry","topic-cardiovascular-disease","topic-indigenous-peoples"],"acf":{"citation":"Atzema CL, Khan S, Lu H, Allard YE, Russell SJ, Gravelle MR, Klein-Geltink J, Austin PC.<em> PLoS One.<\/em> 2015; 10(3):e0121779. Epub 2015 Mar 20.","source_url":"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0121779","ices_scientist":[1383,1385],"site":[6733],"research_program":[6742],"news_release":[7848],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"FF54C889-8B61-44D2-B54F-2D2067417F30","sitecore_item_name":"Cardiovascular-disease-rates-outcomes-and-quality-of-care-in-Ontario-Metis","sitecore_field_values":"{\n  \"Title\": \"Cardiovascular disease rates, outcomes and quality of care in Ontario M\u00e9tis: a population-based cohort study\",\n  \"Short title\": \"Cardiovascular disease rates, outcomes\",\n  \"Summary\": \"The researchers determined rates of five cardiovascular diseases and associated outcomes in Ontario M\u00e9tis, compared to the general Ontario population.\",\n  \"Citation\": \"<p>Atzema CL, Khan S, Lu H, Allard YE, Russell SJ, Gravelle MR, Klein-Geltink J, Austin PC.<em> PLoS One.<\/em> 2015; 10(3):e0121779. Epub 2015 Mar 20.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; The burden of cardiovascular disease in the M&eacute;tis, Canada&rsquo;s fastest growing Aboriginal group, is not well studied. The researchers determined rates of five cardiovascular diseases and associated outcomes in Ontario M&eacute;tis, compared to the general Ontario population. <\/p>n<p><strong>Methods<\/strong> &mdash; M&eacute;tis persons were identified using the M&eacute;tis Nation of Ontario Citizenship Registry. M&eacute;tis citizens aged 20&ndash;105 were linked to Ontario health databases for the period of April 2006 to March 2011. Age- and sex-standardized prevalence and incidence of acute coronary syndromes (ACS), congestive heart failure (CHF), cerebrovascular disease (stroke), atrial fibrillation, and hypertension were compared between the M&eacute;tis and the general population. Secondary outcome measures included one-year hospitalizations and mortality following the incident cardiovascular diagnosis, as well as quality-of-care measures. <\/p>n<p><strong>Results<\/strong> &mdash; There were 12,550 eligible M&eacute;tis persons and 10,144,002 in the general population. The adjusted prevalence of each disease was higher (p&lt;0.05) among the M&eacute;tis compared to the general population: ACS 5.3% vs. 3.0%; CHF 5.1% vs. 3.9%; stroke 1.4% vs. 1.1%; atrial fibrillation 2.1% vs. 1.4%; hypertension 34.9% vs. 29.8%. Incident ACS, stroke, and atrial fibrillation were also higher (p&lt;0.05) among the M&eacute;tis: ACS 2.4% vs. 1.5%; stroke 0.8% vs. 0.6%; atrial fibrillation 0.6% vs. 0.3%. One-year all-cause and cardiovascular-related mortality were not significantly different. Hospitalizations were higher for M&eacute;tis persons with CHF (OR 1.93; 95% CI 1.34&ndash;2.78) and hypertension (OR 2.27; 95% CI 1.88&ndash;2.74). M&eacute;tis with CHF made more emergency department (ED) visits in the year after diagnosis compared to non-M&eacute;tis with CHF, while M&eacute;tis aged &ge;65 with ACS were more likely to be on beta-blockers following diagnosis. <\/p>n<p><strong>Conclusions<\/strong> &mdash; The burden of cardiovascular disease was markedly higher in the M&eacute;tis compared to the general population: prevalence rates for five cardiovascular conditions were 25% to 77% higher. M&eacute;tis persons with CHF had more frequent hospitalizations and ED visits following their diagnosis.<\/p>n<p><a href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0121779\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{978544E1-7B80-4D82-B818-2427B3896B46}|{92E2791D-5DAB-4244-8A85-434D524D9A12}\",\n  \"Related Products\": \"<h2>News release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=BD7B83A4673445A9AAB06EA3EDBAE63E&amp;_z=z\">The M&eacute;tis population suffers from significantly greater risk of cardiovascular disease than the general Ontario population: ICES study<\/a><\/h3>\",\n  \"Research Programs\": \"{BEC72DE0-BA8C-42B8-ACE5-EE29FFB2CB3B}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{C64B6343-F278-4DA2-B6AC-6717844BC77D}|{7D498E8B-5801-4F9E-AC41-11ED50F3C34E}\",\n  \"Posted Date\": \"20150320T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2015\/January\/Cardiovascular-disease-rates-outcomes-and-quality-of-care-in-Ontario-Metis"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Cardiovascular disease rates, outcomes and quality of care in Ontario M\u00e9tis: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; The burden of cardiovascular disease in the M&#xe9;tis, Canada&#x2019;s fastest growing Aboriginal group, is not well studied. 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