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

Jiping Tan; Nan LI; Jing Gao; Yuhe Guo; Wei HU; Jinsheng Yang; Baocheng YU; Jianmin YU; Wei DU; Wenjun Zhang; Lianqi Cui; Qingsong Wang; Xiangnan Xia; Jianjun LI; Peiyi Zhou; Baohe Zhang; Zhiying Liu; Shaogang Zhang; Lanying Sun; Nan Liu; Ruixiang Deng; Wenguang Dai; Fang YI; Wenjun Chen; Yongqing Zhang; Shenwu Xue; Bo Cui; Yiming Zhao; Luning Wang

Return

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

Author: Jiping TAN ¹ ; Nan LI ² ; Jing GAO ³ ; Yuhe GUO ⁴ ; Wei HU ⁴ ; Jinsheng YANG ⁵ ; Baocheng YU ⁶ ; Jianmin YU ⁷ ; Wei DU ⁸ ; Wenjun ZHANG ⁹ ; Lianqi CUI ¹⁰ ; Qingsong WANG ¹¹ ; Xiangnan XIA ¹² ; Jianjun LI ¹³ ; Peiyi ZHOU ¹⁴ ; Baohe ZHANG ¹⁵ ; Zhiying LIU ¹⁶ ; Shaogang ZHANG ¹⁷ ; Lanying SUN ¹⁸ ; Nan LIU ¹⁹ ; Ruixiang DENG ²⁰ ; Wenguang DAI ²¹ ; Fang YI ²² ; Wenjun CHEN ²³ ; Yongqing ZHANG ²⁴ ; Shenwu XUE ²⁵ ; Bo CUI ¹ ; Yiming ZHAO ² ; Luning WANG ²⁶
Author Information

1. Department of Geriatric Neurology, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
2. Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191, China.
3. Department of Neurology, Peking Union Medical College Hospital, Beijing 100730, China.
4. Health Bureau of the Ministry of Health of the General Logistics Department of PLA, Beijing 100038, China.
5. Department of Neurology, General Hospital of Lanzhou Military Command, Lanzhou, Gansu 730050, China.
6. Department of Gerontology, Bethune International Peace Hospital, Shijiazhuang, Hebei 050082, China.
7. Department of Neurology, Chinese People's Liberation Army 107 Hospital, Yantai, Shandong 264002, China.
8. Department of Neurology, Chinese People's Liberation Army 201 Hospital, Dalian, Liaoning 116021, China.
9. Department of Gerontology, Changhai Hospital, Shanghai 200433, China.
10. Department of Neurology, Chinese People's Liberation Army 401 Hospital, Qingdao, Shandong 266071, China.
11. Department of Neurology, General Hospital of Chengdu Military Command, Chengdu, Sichuan 610083, China.
12. First Cadre Department, Fuzhou General Hospital of Nanjing Military Command, Fuzhou, Fujian 350025, China.
13. Department of Neurology, Chinese People's Liberation Army 323 Hospital, Xi'an, Shaanxi 710054, China.
14. Forth Cadre Department, General Hospital of Guangzhou Military Command, Guangzhou, Guangdong 510010, China.
15. Cadre Department, Navy General Hospital, Beijing 10048, China.
16. Department of Neurology, Chinese People's Liberation Army 264 Hospital, Taiyuan, Shanxi 030001, China.
17. Third Cadre Department, Chinese People's Liberation Army 254 Hospital, Tianjin 300142, China.
18. Third Internal Medicine Department, Chinese People's Liberation Army 44 Hospital, Guiyang, Guizhou 550009, China.
19. Department of Neurology, Chinese People's Liberation Army 451 Hospital, Xi'an, Shaanxi 710054, China.
20. Cadre Department, Chinese People's Liberation Army 252 Hospital, Baoding, Hebei 071000, China.
21. Department of Neurology, Chinese People's Liberation Army 253 Hospital, Huhhot, Inner Mongolia 010050, China.
22. Department of Neurology, Chinese People's Liberation Army 211 Hospital, Harbin, Heilongjiang 150080, China.
23. Department of Neurology, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei 430070, China.
24. Cadre Department, General Hospital of Armed Police Forces, Beijing 100039, China.
25. Cadre Department, General Hospital of Jinan Military Command, Jinan, Shandong 250000, China.
26. Department of Geriatric Neurology, Chinese People's Liberation Army General Hospital, Beijing 100853, China. Email: wln1947@163.com.
Publication Type:Journal Article
MeSH: Aged; Aged, 80 and over; Asian Continental Ancestry Group; Cross-Sectional Studies; Disease; Female; Health Status; Humans; Male; Veterans; statistics & numerical data
From: Chinese Medical Journal 2014;127(3):448-456
CountryChina
Language:English
Abstract:
BACKGROUNDBased 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 non-communicable diseases (NCDs) and carry out studies of the primary disabling NCDs.
METHODSThe 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.
RESULTSA 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%).
CONCLUSIONWe 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.