COIOS
Healthcare today Item new peer-reviewed

Biggest cardiometabolic treatment gaps are not where most risk could be averted

A pooled analysis of individual participant data from 76 countries found that the populations with the largest gaps in cardiometabolic treatment coverage were not those where treating the untreated would avert the most absolute cardiovascular risk, and that inequalities widened after diagnosis.

The study pooled individual participant data from surveys in 76 countries to compare coverage of cardiometabolic care with the absolute cardiovascular risk reduction achievable by treating those currently untreated, broken down by wealth, region and sex. The largest treatment gaps did not coincide with the largest achievable absolute risk reduction, and socioeconomic inequalities in care were found to widen after diagnosis rather than at detection. Where coverage was uniformly low, the constraint was the overall supply of care rather than its distribution within the population.

Why it is interesting: It separates where care is missing from where treating the untreated would change cardiovascular risk most, and locates the socioeconomic gradient after diagnosis rather than at screening.

Source
The Lancet Global Health, 2026-09-17
Type
Peer-reviewed article
Design
Pooled analysis of individual participant data from nationally representative surveys in 76 countries, stratified by wealth, region and sex
Verdict
New finding
Driver
Cardiovascular disease
Driver
Inequalities in health and length of life