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  1. AU="Cahuana-Hurtado, Lucero"
  2. AU="Ebert, Christoph"
  3. AU="Köhler, Matthias"
  4. AU=Fitzgerald Amelia Lucy AU=Fitzgerald Amelia Lucy
  5. AU="Yang, Charles"
  6. AU="Fraser, Alice j"
  7. AU=MacKenzie James A
  8. AU=Guettari Moez AU=Guettari Moez
  9. AU=McLeod Carolyn
  10. AU="Patel P.M"
  11. AU="Patel N.M"
  12. AU="Naganawa, Mika"
  13. AU="Viecelli, Claudio"
  14. AU=Valls Joan
  15. AU="Yang, Qizhang"
  16. AU=Wilt Timothy J
  17. AU="Dene R. Littler" AU="Dene R. Littler"
  18. AU="Petrenko, Andrei"
  19. AU=Valentino Kristin
  20. AU=Swash M
  21. AU="Adedipe, Ifeoluwa"
  22. AU=Shen Hongcheng
  23. AU="Padhy, Biswajit"
  24. AU="Kruglikov, Alibek"
  25. AU="Tasu, Jean Pierre"
  26. AU="Floate, Kevin D"
  27. AU="Mark Rijpkema"
  28. AU="Gjeloshi, Klodian"
  29. AU="Lucie Beaudoin"

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  1. Artikel ; Online: Health-care costs of breast cancer at the Institute of Social Security and Services for Government Workers in Mexico

    Hernández-Nájera, Olimpia / Cahuana-Hurtado, Lucero / Ávila-Burgos, Leticia

    Salud publica de Mexico

    2021  Band 63, Heft 4, Seite(n) 538–546

    Abstract: Objective: To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE).: Materials and methods: A process approach from the ...

    Titelübersetzung Costos de atención del cáncer de mama en el Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, México.
    Abstract Objective: To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE).
    Materials and methods: A process approach from the perspective of providers. We identified the resources utilized during one year of treatment through online questionnaires administered to oncologists in various hospitals (common treatment) as well as by conducting a clinical guidelines review (normative treatment).
    Results: The cost of common treatment was USD113.6 million annually. For stage I cases, it proved 1.23 and 1.12 times higher in regional and general as opposed to highly specialized hospitals. For stages 0-II cases, it was higher than normative treatment owing to greater use of consultations and chemotherapy.
    Conclusions: BrCa accounts for 3.8% of the ISSSTE budget in 2017. Achieving greater efficiency in the use of resources allocated for BrCa treatment requires stricter adherence to clinical guidelines as well as early detection.
    Mesh-Begriff(e) Breast Neoplasms/epidemiology ; Breast Neoplasms/therapy ; Female ; Government ; Health Care Costs ; Humans ; Mexico/epidemiology ; Social Security
    Sprache Spanisch
    Erscheinungsdatum 2021-06-18
    Erscheinungsland Mexico
    Dokumenttyp Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/12332
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Unveiling the Burden of Miscoding and Misclassification in Stroke Mortality: Analysis of Multiple Cause-of-Death Data in Mexico.

    Cahuana-Hurtado, Lucero / Gómez-Dantés, Héctor / De la Cruz-Góngora, Vanessa / Chiquete, Erwin / Cantú-Brito, Carlos

    Neuroepidemiology

    2023  Band 57, Heft 5, Seite(n) 284–292

    Abstract: Background: The prevalence of risk factors for cerebrovascular diseases in Mexico is increasing although stroke mortality declined from 1990 to 2010, without meaningful changes afterward. While improving access to adequate prevention and care could ... ...

    Abstract Background: The prevalence of risk factors for cerebrovascular diseases in Mexico is increasing although stroke mortality declined from 1990 to 2010, without meaningful changes afterward. While improving access to adequate prevention and care could explain this trend, miscoding and misclassification in death certificates need to be assessed to unveil the true burden of stroke in Mexico. Practices in death certification along with the presence of multi-morbidity could contribute to this distortion. Analyses of multiple causes of death could reveal ill-defined stroke deaths, providing a glimpse of this bias.
    Methods: Cause-of-death information from 4,262,666 death certificates in Mexico from 2009 to 2015, was examined to determine the extent of miscoding and misclassification on the true burden of stroke. Age-standardized mortality rates per 100,000 inhabitants (ASMR) were calculated for stroke as underlying and multiple causes of death, by sex and state. Deaths were classified following international standards as ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, and unspecified, which were kept as an independent category to measure miscoding. To approximate misclassification, we compared ASMR under three misclassification scenarios: (1) current (the status quo); (2) moderate, which includes deaths from selected causes mentioning stroke; and (3) high which includes all deaths mentioning stroke. National and subnational data were analyzed to search for geographical patterns.
    Results: The burden of stroke in Mexico is underreported due to miscoding and misclassification. Miscoding is an important issue since almost 60% of all stroke deaths are registered as unspecified. Multiple cause analysis indicates that stroke ASMR could increase 39.9%-52.9% of the current ASMR under moderate and high misclassification scenarios, respectively. Both problems indicate the need to improve death codification procedures and cause-of-death classification.
    Conclusions: Miscoding and misclassification lead to underestimation of the burden of stroke in Mexico. Stroke deaths are underreported when other important causes coexist, being diabetes the most frequent.
    Mesh-Begriff(e) Humans ; Cause of Death ; Mexico/epidemiology ; Stroke ; Cerebrovascular Disorders ; Risk Factors
    Sprache Englisch
    Erscheinungsdatum 2023-07-03
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 603189-4
    ISSN 1423-0208 ; 0251-5350
    ISSN (online) 1423-0208
    ISSN 0251-5350
    DOI 10.1159/000531537
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990-2019.

    Cruz-Góngora, Vanessa De la / Chiquete, Erwin / Gómez-Dantés, Héctor / Cahuana-Hurtado, Lucero / Cantú-Brito, Carlos

    Lancet regional health. Americas

    2022  Band 10, Seite(n) 100204

    Abstract: Background: Scarce epidemiological information on stroke in Mexico impedes evidence-based decisions and debilitates the design of effective prevention programmes at the local level.: Methods: Ecological and secondary analysis of Global Burden of ... ...

    Abstract Background: Scarce epidemiological information on stroke in Mexico impedes evidence-based decisions and debilitates the design of effective prevention programmes at the local level.
    Methods: Ecological and secondary analysis of Global Burden of Disease national and subnational data for Mexico, from 1990 to 2019. We analysed the incidence, prevalence, deaths, premature mortality, disability, and DALYs due to cerebrovascular disease included to identify the differences in the burden of stroke in Mexico by type of stroke (ischaemic [IS], intracerebral haemorrhage [ICH] and subarachnoid haemorrhage [SAH]), sex, age groups, and state levels ordered by quartiles of Sociodemographic Index (SDI). Means and 95% uncertainty intervals are reported.
    Findings: Reductions in all metrics of total stroke occurred during the 1990 to 2005 period; however, this declining trend was followed up by stagnation of progress from 2006 to 2019, except for premature mortality. This pattern of the declining trend was observed also for IS and to a lesser extent for ICH, while SAH showed no major changes during the 1990-2019 period. The magnitude of decline was higher in females for total stroke for incidence, prevalence and YLDs rates. The less developed states by SDI exhibited the lowest improvements during the period, particularly for ICH metrics.
    Interpretation: The reduction in stroke burden in Mexico did not follow the same pace for all types of stroke, with regional differences by SDI and by sex. Study findings reveal the need for strengthening prevention policies to address health disparities in the burden of stroke by sex and states
    Funding: Bill & Melinda Gates Foundation.
    Sprache Englisch
    Erscheinungsdatum 2022-02-22
    Erscheinungsland England
    Dokumenttyp Journal Article
    ISSN 2667-193X
    ISSN (online) 2667-193X
    DOI 10.1016/j.lana.2022.100204
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003-2015.

    Avila-Burgos, Leticia / Montañez-Hernández, Julio César / Cahuana-Hurtado, Lucero / Villalobos, Aremis / Hernández-Peña, Patricia / Heredia-Pi, Ileana

    International journal of environmental research and public health

    2020  Band 17, Heft 9

    Abstract: The purpose of this study was to assess whether government policies to expand the coverage of maternal health and family planning (MHFP) services were benefiting the adolescents in need. To this end, we estimated government MHFP expenditure for 10- to 19- ...

    Abstract The purpose of this study was to assess whether government policies to expand the coverage of maternal health and family planning (MHFP) services were benefiting the adolescents in need. To this end, we estimated government MHFP expenditure for 10- to 19-year-old adolescents without social security (SS) coverage between 2003 and 2015. We evaluated its evolution and distribution nationally and sub-nationally by level of marginalization, as well as its relationship with demand indicators. Using Jointpoint regressions, we estimated the average annual percent change (AAPC) nationally and among states. Expenditure for adolescents without SS coverage registered 15% for AAPC for the period 2003-2011 and was stable for the remaining years, with 88% of spending allocated to maternal health. Growth in MHFP expenditure reduced the ratio of spending by 13% among groups of states with greater/lesser marginalization; nonetheless, the poorest states continued to show the lowest levels of expenditure. Although adolescents without SS coverage benefited from greater MHFP expenditure as a consequence of health policies directed at achieving universal health coverage, gaps persisted in its distribution among states, since those with similar demand indicators exhibited different levels of expenditure. Further actions are required to improve resource allocation to disadvantaged states and to reinforce the use of FP services by adolescents.
    Mesh-Begriff(e) Adolescent ; Child ; Family Planning Services/economics ; Female ; Financing, Government ; Health Expenditures ; Humans ; Maternal Health ; Maternal Health Services/economics ; Mexico ; Pregnancy ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2020-04-29
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17093097
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Cobertura efectiva del tratamiento de la hipertensión arterial en adultos en México por entidad federativa.

    Ríos-Blancas, María Jesús / Cahuana-Hurtado, Lucero / Lamadrid-Figueroa, Héctor / Lozano, Rafael

    Salud publica de Mexico

    2017  Band 59, Heft 2, Seite(n) 154–164

    Abstract: Objective:: To estimate the effective coverage (EC) of treatment of hypertension (HT) in Mexican adults in 2012 and compared with those reported in 2006.: Materials and methods:: The National Health and Nutrition Survey 2012 was analyzed. The EC has ... ...

    Titelübersetzung Effective coverage of treatment of hypertension in Mexican adults by states.
    Abstract Objective:: To estimate the effective coverage (EC) of treatment of hypertension (HT) in Mexican adults in 2012 and compared with those reported in 2006.
    Materials and methods:: The National Health and Nutrition Survey 2012 was analyzed. The EC has three dimensions: health need as prevalence of HT, utilization of health services when the need is real and quality as recovering health after the treatment. The EC of treatment of HT was estimated using instrumental variables.
    Results:: In 2012, the EC national of treatment of HT was 28.3% (95%CI 26.5-30.1), ranging from Michoacan with 19.3% (15.3-23.4) to State of Mexico with 39.7% in (25.3-54.0). From 2006 to 2012 the national EC increased 22.5%.
    Conclusion:: The EC treatment of hypertension is low and heterogeneous. The use of synthetic indicators should be a daily exercise of measurement, because report summarizes the performance of state health systems.
    Mesh-Begriff(e) Adult ; Antihypertensive Agents/therapeutic use ; Drug Utilization ; Female ; Geography, Medical ; Health Surveys ; Humans ; Hypertension/drug therapy ; Hypertension/epidemiology ; Insurance Coverage ; Male ; Mexico/epidemiology ; Prevalence ; Social Security
    Chemische Substanzen Antihypertensive Agents
    Sprache Spanisch
    Erscheinungsdatum 2017-05-22
    Erscheinungsland Mexico
    Dokumenttyp Comparative Study ; Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/8195
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Overview of the burden of chronic kidney disease in Mexico: secondary data analysis based on the Global Burden of Disease Study 2017.

    Agudelo-Botero, Marcela / Valdez-Ortiz, Rafael / Giraldo-Rodríguez, Liliana / González-Robledo, María Cecilia / Mino-León, Dolores / Rosales-Herrera, María Fernanda / Cahuana-Hurtado, Lucero / Rojas-Russell, Mario Enrique / Dávila-Cervantes, Claudio Alberto

    BMJ open

    2020  Band 10, Heft 3, Seite(n) e035285

    Abstract: Objective: To describe the evolution of the burden of chronic kidney disease (CKD) in Mexico by states, sex and subtypes from 1990 to 2017.: Design: Secondary data analysis based on the Global Burden of Disease Study (GBD) 2017.: Participants: ... ...

    Abstract Objective: To describe the evolution of the burden of chronic kidney disease (CKD) in Mexico by states, sex and subtypes from 1990 to 2017.
    Design: Secondary data analysis based on the Global Burden of Disease Study (GBD) 2017.
    Participants: Mexico and its 32 states. Data were publicly available and de-identified and individuals were not involved.
    Methods: We analysed age-standardised mortality rates, years of life lost (YLL) due to premature death, years lived with disability (YLD) and disability-adjusted life years (DALY), as well as the percentage of change of these indicators between 1990 and 2017.
    Results: From 1990 to 2017, the number of deaths, YLL, YLD and DALY due to CKD increased from 12 395 to 65 033, from 330 717 to 1 544 212, from 86 416 to 210 924 and from 417 133 to 1 755 136, respectively. Age-standardised rates went from 28.7 to 58.1 for deaths (% of change 102.3), from 601.2 to 1296.7 for YLL (% of change 115.7), from 158.3 to 175.4 for YLD (% of change 10.9) and from 759.4 to 1472.2 for DALY (% of change 93.8). The highest burden of CKD was for Puebla and the lowest for Sinaloa. It was also greater for men than women. By subtypes of CKD, diabetes and hypertension were the causes that contributed most to the loss of years of healthy life in the Mexican population.
    Conclusions: Mexico has experienced exponential and unprecedented growth in the burden of CKD with significant differences by states, sex and subtypes. Data from the GBD are key inputs to guide decision-making and focus efforts towards the reduction of inequities in CKD. These results should be considered a valuable resource that can help guide the epidemiological monitoring of this disease and prioritise the most appropriate health interventions.
    Mesh-Begriff(e) Female ; Global Burden of Disease/statistics & numerical data ; Health Status ; Humans ; Male ; Mexico/epidemiology ; Renal Insufficiency, Chronic/epidemiology ; Renal Insufficiency, Chronic/etiology ; Renal Insufficiency, Chronic/mortality ; Residence Characteristics ; Sex Factors ; Socioeconomic Factors
    Sprache Englisch
    Erscheinungsdatum 2020-03-25
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-035285
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Buch: Cuentas en diabetes mellitus, enfermedades cardiovasculares y obesidad

    Ávila Burgos, Leticia / Cahuana Hurtado, Lucero / González Domínguez, Dayana

    México 2006

    2009  

    Körperschaft Centro de Investigación en Sistemas de Salud (Mexico)
    Verfasserangabe Leticia Ávila Burgos, Lucero Cahuana Hurtado, editoras ; Dayana González Domínguez ... [et al.], autores
    Mesh-Begriff(e) Diabetes Mellitus/economics ; Cardiovascular Diseases/economics ; Obesity/economics
    Schlagwörter Mexico
    Sprache Spanisch
    Umfang 71, [6] p. :, ill., map ;, 28 cm.
    Ausgabenhinweis 1. ed.
    Verlag Instituto Nacional de Salud Pública
    Erscheinungsort Cuernavaca, Morelos, México
    Dokumenttyp Buch
    Anmerkung "Instituto Nacional de Salud Pública, Centro de Investigación en Sistemas de Salud"--T.p. verso.
    ISBN 6077530581 ; 9786077530589
    Datenquelle Katalog der US National Library of Medicine (NLM)

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  8. Artikel ; Online: Financing Maternal Health and Family Planning: Are We on the Right Track? Evidence from the Reproductive Health Subaccounts in Mexico, 2003-2012.

    Avila-Burgos, Leticia / Cahuana-Hurtado, Lucero / Montañez-Hernandez, Julio / Servan-Mori, Edson / Aracena-Genao, Belkis / Del Río-Zolezzi, Aurora

    PloS one

    2016  Band 11, Heft 1, Seite(n) e0147923

    Abstract: Objective: To analyze whether the changes observed in the level and distribution of resources for maternal health and family planning (MHFP) programs from 2003 to 2012 were consistent with the financial goals of the related policies.: Materials and ... ...

    Abstract Objective: To analyze whether the changes observed in the level and distribution of resources for maternal health and family planning (MHFP) programs from 2003 to 2012 were consistent with the financial goals of the related policies.
    Materials and methods: A longitudinal descriptive analysis of the Mexican Reproductive Health Subaccounts 2003-2012 was performed by financing scheme and health function. Financing schemes included social security, government schemes, household out-of-pocket (OOP) payments, and private insurance plans. Functions were preventive care, including family planning, antenatal and puerperium health services, normal and cesarean deliveries, and treatment of complications. Changes in the financial imbalance indicators covered by MHFP policy were tracked: (a) public and OOP expenditures as percentages of total MHFP spending; (b) public expenditure per woman of reproductive age (WoRA, 15-49 years) by financing scheme; (c) public expenditure on treating complications as a percentage of preventive care; and (d) public expenditure on WoRA at state level. Statistical analyses of trends and distributions were performed.
    Results: Public expenditure on government schemes grew by approximately 300%, and the financial imbalance between populations covered by social security and government schemes decreased. The financial burden on households declined, particularly among households without social security. Expenditure on preventive care grew by 16%, narrowing the financing gap between treatment of complications and preventive care. Finally, public expenditure per WoRA for government schemes nearly doubled at the state level, although considerable disparities persist.
    Conclusions: Changes in the level and distribution of MHFP funding from 2003 to 2012 were consistent with the relevant policy goals. However, improving efficiency requires further analysis to ascertain the impact of investments on health outcomes. This, in turn, will require better financial data systems as a precondition for improving the monitoring and accountability functions in Mexico.
    Mesh-Begriff(e) Family Planning Services/economics ; Family Planning Services/standards ; Female ; Humans ; Insurance, Health/economics ; Longitudinal Studies ; Maternal Health/economics ; Mexico
    Sprache Englisch
    Erscheinungsdatum 2016-01-26
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0147923
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Buch ; Artikel ; Online: Análisis del gasto en salud reproductiva en México, 2003

    Cahuana-Hurtado, Lucero / Ávila-Burgos, Leticia / Pérez-Núñez, Ricardo / Uribe-Zúñiga, Patricia

    2015  

    Schlagwörter Gastos em Saúde ; Serviços de Saúde Reprodutiva ; Mexico ; Setor Privado ; Setor Público
    Erscheinungsdatum 2015-08-25T14:52:15Z
    Dokumenttyp Buch ; Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  10. Artikel ; Online: Barreras y oportunidades para la regulación de la publicidad de alimentos y bebidas dirigida a niños en México.

    Théodore, Florence / Juárez-Ramírez, Clara / Cahuana-Hurtado, Lucero / Blanco, Ilian / Tolentino-Mayo, Lizbeth / Bonvecchio, Anabelle

    Salud publica de Mexico

    2014  Band 56 Suppl 2, Seite(n) s123–9

    Abstract: Objective: To identify barriers and opportunities for the regulation of food and beverage advertising to children.: Materials and methods: A qualitative study. Fourteen key informants from the congress, private sector, officials from the ministry of ... ...

    Titelübersetzung Barriers and opportunities for the regulation of food and beverage advertising to children in Mexico.
    Abstract Objective: To identify barriers and opportunities for the regulation of food and beverage advertising to children.
    Materials and methods: A qualitative study. Fourteen key informants from the congress, private sector, officials from the ministry of health and academics involved in the issue of regulation of advertising were interviewed.
    Results: Barriers identified: conception of obesity as an individual problem, minimization of the negative effects on health, definition of the vulnerability of children bounded to their cognitive development. Facilitators support from various sectors of society regulation, extensive scientific discussion on the subject, successful experience and its lessons on tabacco industry.
    Conclusion: Mexico has key elements for achieving effective regulation on advertising.
    Mesh-Begriff(e) Advertising as Topic/legislation & jurisprudence ; Beverages ; Child ; Food ; Food Industry ; Health Promotion ; Healthy Diet ; Human Rights ; Humans ; Mexico ; Nutrition Policy ; Pediatric Obesity/epidemiology ; Pediatric Obesity/prevention & control ; Private Sector ; Public Sector ; Qualitative Research ; Social Marketing
    Sprache Spanisch
    Erscheinungsdatum 2014
    Erscheinungsland Mexico
    Dokumenttyp Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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