EPIDEMIOLOGY, RESOURCE DISTRIBUTION, AND MANAGEMENT CHALLENGES OF CHRONIC HEART FAILURE IN KAZAKHSTAN: A NATIONAL RETROSPECTIVE ANALYSIS
DOI:
https://doi.org/10.34689/5wvsp546Keywords:
chronic heart failure, epidemiology, health resource distribution, healthcare inequalityAbstract
Background. Chronic heart failure is a growing global health challenge, particularly in Kazakhstan, where demographic changes and rising numbers of comorbidities are worsening the burden. However, data on CHF prevalence, diagnosis and healthcare resource distribution in the regions remain limited. This study aims to assess and compare the epidemiological trends, regional disparities and healthcare system capacity of CHF in Kazakhstan based on recent national data. Materials and methods. A retrospective analysis was conducted using national healthcare records from 2023–2024, including chronic heart failure prevalence, new diagnoses, stage distribution, regional healthcare resources and surgical interventions of patients. The Gini index was used to evaluate regional disparities, along with other statistical analyses. Results. In 2024, 87,260 patients were examined, with a 19% increase from 2023. Of 12,874 new cases, 75.6% were identified in early stages (A and B), suggesting progress in early detection. However, regional disparities were severe, with Gini indices for ProBNP testing and echocardiography at 0.556 and 0.480, respectively. High-resource areas like Almaty contrasted sharply with under-resourced regions such as Mangystau and Kyzylorda wtih heart transplants being declined, while LVAD usage increasing which reflects evolving treatment patterns amid limited donor availability. Conclusion. Chronic heart failure is increasing in Kazakhstan amid significant regional and systemic inequalities in care. Targeted interventions with improved diagnostic access, equitable resource allocation, and national policy reform are urgently needed to manage the growing burden and improve outcomes of patients across the country.
References
Bekbossynova M.S., Sailybaeva A.I., Kabduyeva G.A., Jetybayeva S.K., Tauekelova A.T., Novikova S.P., Myrzakhmetova G.Sh., Duisenbina Zh.S., Sakhipova A., Akzholova K.T., Kushugulova A.R. Epidemiology, Resource Distribution, and Management Challenges of Chronic Heart Failure in Kazakhstan: A National Retrospective Analysis // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (3), pp. 7-15. doi 10.34689/SH.2025.27.3.001
Бекбосынова М.С., Сайлыбаева А.И., Кабдуева Г.А., Жетибаева С.К., Тауекелова А.Т., Новикова С.П., Мырзахметова Г.Ш., Дуйсенбина Ж.С., Сахипова А., Акжолова К.Т., Кушугулова А.Р. Проблемы эпидемиологии, распределения ресурсов и управления хронической сердечной недостаточностью в Казахстане: национальный ретроспективный анализ // Наука и Здравоохранение. 2025. Т.27 (3), С. 7-15. doi: 10.34689/SH.2025.27.3.001
Бекбосынова М.С., Сайлыбаева А.И., Кабдуева Г.А., Жетибаева С.К., Тауекелова А.Т., Новикова С.П., Мырзахметова Г.Ш., Дуйсенбина Ж.С., Сахипова А., Акжолова К.Т., Кушугулова А.Р. Қазақстандағы созылмалы жүрек жеткіліксіздігінің эпидемиологиясы, ресурстарын бөлу және басқару мәселелері: ұлттық ретроспективті талдау // Ғылым және Денсаулық. 2025. Т.27 (3), Б. 7–15. doi: 10.34689/SH.2025.27.3.001
Downloads
Published
License
Copyright (c) 2025 Рецензируемый медицинский научно-практический журнал «Наука и здравоохранение»
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.