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CDPM: Chronic Disease Prevention and Management

An Introduction tou00a0Chronic Disease Prevention and Management byu00a0Dr. Salaheldin Halsa, MD. CDPM stands for Chronic Disease Prevention and Management, a new medical specialty that focuses on developing diagnostic and therapeutic protocols to prevent and manage chronic diseases by restoring and modulating the redox, metabolic, immune and regenerative status of the patientsu00b9. Redox, metabolic, immune and regenerative status are four key aspects of cellular and tissue function that are involved in the pathophysiology and progression of chronic diseasesu00b3.

Redox status refers to the balance between the production and elimination of reactive oxygen species (ROS) and other free radicals, which can cause oxidative stress and damage to biomolecules. Metabolic status refers to the regulation of energy production and utilization, as well as the synthesis and degradation of macromolecules, such as carbohydrates, lipids, proteins, and nucleic acids. Immune status refers to the ability of the immune system to recognize and eliminate pathogens, foreign substances, and abnormal cells, as well as to maintain self-tolerance and avoid inflammation. Regenerative status refers to the capacity of the cells and tissues to repair, replace, and regenerate themselves after injury or aging.

CDPM uses various methods and tools to assess and modulate these four aspects of cellular and tissue function, such as biomarkers, genomics, proteomics, metabolomics, epigenetics, pharmacology, nutrition, lifestyle, and behavioral interventions¹. CDPM also applies a systems biology approach that considers the interactions and feedback loops among different biological levels, such as molecules, cells, tissues, organs, and organisms.

Why is CDPM important?

CDPM is important because chronic diseases are a major public health problem that affects millions of people worldwide, causing morbidity, mortality, disability, and reduced quality of life². Chronic diseases are also associated with increased health care costs and reduced productivity⁴. Some examples of chronic diseases are diabetes, cardiovascular diseases, cancer, chronic respiratory diseases, and mental disorders.

Chronic diseases are characterized by complex and multifactorial etiologies, long-term and progressive courses, and multiple comorbidities and complications⁵. Chronic diseases are influenced by a combination of genetic, environmental, behavioral, and social factors, which can vary among individuals and populations⁶. Chronic diseases often require long-term and continuous care, which can pose challenges for the health care system and the patients⁷.

How does CDPM address chronic diseases?

CDPM aims to address the root causes and underlying mechanisms of chronic diseases, rather than just treating the symptoms or complications, and to provide personalized and holistic care that considers the individual needs and preferences of the patients¹. CDPM adopts a biopsychosocial approach that integrates biological, psychological, and social factors that influence health and disease⁵. CDPM also uses evidence-based interventions that target multiple levels of influence, such as individual, interpersonal, organizational, community, and policy⁶.

CDPM has two main goals: prevention and management. Prevention refers to the strategies and actions that aim to reduce the risk or delay the onset of chronic diseases, such as screening, vaccination, health education, and risk factor modification⁸. Management refers to the strategies and actions that aim to control or improve the outcomes of chronic diseases, such as diagnosis, treatment, monitoring, rehabilitation, and palliation⁸.

CDPM follows a patient-centered and team-based approach that involves the collaboration and coordination of different health professionals, such as physicians, nurses, pharmacists, dietitians, psychologists, social workers, and health educators¹. CDPM also empowers and engages the patients and their families or caregivers in decision-making and self-management, and supports them to achieve their health goals and improve their quality of life⁸.

What are the advantages of CDPM over conventional medicine and CDC?

CDPM has several advantages over conventional medicine and the Centers for Disease Control and Prevention (CDC) in terms of chronic disease prevention and management. First, CDPM is more comprehensive and multidisciplinary, as it covers a wide range of chronic diseases and involves various health professionals, who have specialized knowledge and skills in different aspects of cellular and tissue function¹. Second, CDPM is more proactive and preventive, as it aims to identify and modify risk factors and promote healthy behaviors and lifestyles before chronic diseases develop or worsen⁷. Third, CDPM is more patient-centered and empowering, as it respects and involves patients in decision-making and self-management, and supports them to achieve their health goals and improve their quality of life⁸.

CDPM follows the CDC guidelines and recommendations for chronic disease prevention and management, such as the Chronic Care Model, the National Diabetes Prevention Program, the Million Hearts Initiative, and the Healthy People 2030. CDPM also fills the gap of the CDC H&P 360 platform, which is a web-based platform that provides tools and resources for health professionals and organizations to implement chronic disease prevention and management programs⁵. The CDC H&P 360 platform is part of the CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), which aims to improve the health and well-being of people with chronic diseases. CDPM complements the CDC H&P 360 platform by offering more specific and customized protocols and therapies for different types of chronic diseases, based on the latest scientific evidence and best practices¹. CDPM also integrates the CDC H&P 360 platform with other digital platforms and technologies, such as electronic health records, telehealth, mobile health, and artificial intelligence, to enhance the accessibility, efficiency, and effectiveness of chronic disease prevention and management.

Conclusion

In conclusion, CDPM is a new medical specialty that offers a novel and promising approach to prevent and manage chronic diseases, by restoring and modulating the redox, metabolic, immune and regenerative status of the patients. CDPM is important, comprehensive, proactive, patient-centered, and evidence-based. CDPM also follows and complements the CDC guidelines and recommendations, and fills the gap of the CDC H&P 360 platform.

This article is courtesy of Dr. Salaheldin Halsa, MD, who is the Founder and President of the Chronic Diseases Prevention and Management Centers. Dr. Halasa has extensive clinical and research expertise in the fields of immunotherapy, stem cell therapy, laser therapy, and nanomedicine, as well as chronic diseases prevention and management. Dr. Halasa earned his medical degree at Tripoli University, in Tripoli Libya in 1998 and passed the United States Medical Exams. Dr. Halasa was a researcher in immunotherapy at Baylor University in Texas and is the chief executive officer and the founder of CDPMCS LLC in Maryland. Dr. Halasa is published and is a frequent guest speaker at renowned venues such as at the A4M (American Academy of Anti-Aging Medicine), SPIE (International Society for Optical Engineering), ASLMS (American Society for Laser Medicine and Surgery), the Nitric Oxide Society, FAPM (Florida Academy of Pain Medicine), ISLA, NAALT, and the Photobiology Society.

As with anything you read on the internet, this article should not be construed as medical advice; please talk to your doctor or primary care provider before changing your wellness routine. This article is not intended to provide a medical diagnosis, recommendation, treatment, or endorsement. These statements have not been evaluated by the Food and Drug Administration. 

Content may be edited for style and length.

References/Sources/Materials provided by:

CDPM Textbook: Dr. Salaheldin Halasa MD and Dr. Ronald Klatz Do, Dr. Joseph James DO and Dr. Mike Boehmer Pham.D.

https://www.linkedin.com/in/dr-salaheldin-halasa-md

Salaheldin Halasa - YouTube

Halasa, Salaheldin - A4M.com

¹: Williams, B. C., & Warshaw, G. (2019). Chronic Disease Prevention and Management: A New Paradigm for Medical Education. Academic Medicine, 94(11), 1639–1642. 

²: World Health Organization. (2018). Noncommunicable diseases. 

³: Naviaux, R. K. (2014). Metabolic features and regulation of the healing cycle—A new model for chronic disease pathogenesis and treatment. Mitochondrion, 16, 57–65. 

⁴: Boutayeb, A., & Boutayeb, S. (2005). The burden of non communicable diseases in developing countries. International Journal for Equity in Health, 4(1), 2. 

⁵: Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129–136. 

⁶: McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377. 

⁷: Wagner, E. H., Austin, B. T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. The Milbank Quarterly, 74(4), 511–544. 

⁸: Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. Jama, 288(19), 2469–2475. 

: Halliwell, B., & Gutteridge, J. M. (2015). Free radicals in biology and medicine. Oxford University Press, USA.

: Alberts, B., Johnson, A., Lewis, J., Morgan, D., Raff, M., Roberts, K., & Walter, P. (2015). Molecular biology of the cell. Garland Science.

: Abbas, A. K., Lichtman, A. H., & Pillai, S. (2018). Cellular and molecular immunology. Elsevier Health Sciences.

: Lodish, H., Berk, A., Zipursky, S. L., Matsudaira, P., Baltimore, D., & Darnell, J. (2000). Molecular cell biology. Macmillan.

: Kitano, H. (2002). Systems biology: a brief overview. Science, 295(5560), 1662–1664.

: Centers for Disease Control and Prevention. (2020). Chronic Diseases in America. 

(1) Revising the history and physical for new era in medicine. https://www.ama-assn.org/education/accelerating-change-medical-education/revising-history-and-physical-new-era-medicine.

(2) Chronic disease prevention and management in medical education. https://www.ama-assn.org/education/changemeded-initiative/chronic-disease-prevention-and-management-medical-education.

(3) NCHS Data Brief, Number 360, February 2020 - Centers for Disease .... https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf.

(4) Revising the history and physical for new era in medicine. https://www.ama-assn.org/education/accelerating-change-medical-education/revising-history-and-physical-new-era-medicine.

(5) Chronic disease prevention and management in medical education. https://www.ama-assn.org/education/changemeded-initiative/chronic-disease-prevention-and-management-medical-education.

(6) NCHS Data Brief, Number 360, February 2020 - Centers for Disease .... https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf.





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