ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
Identification of stroke in the community: a comparison of three methods.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Protocol for Past BP: a randomised controlled trial of different blood pressure targets for people with a history of stroke of transient ischaemic attack (TIA) in primary care.BMC cardiovascular disorders · 2010Trial
- Concordance in the recording of stroke across UK primary and secondary care datasets: a population-based cohort study.BJGP open · 2021Article
- A national facilitation project to improve primary palliative care: impact of the Gold Standards Framework on process and self-ratings of quality.Quality & safety in health care · 2009Article
- Applicability to primary care of national clinical guidelines on blood pressure lowering for people with stroke: cross sectional study.BMJ (Clinical research ed.) · 2006Article
- Validation of a method to establish practice-based stroke and TIA registers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence concerning secondary prevention of cerebrovascular disease is not optimally used in clinical practice. A necessary first step is to identify those eligible for treatment. In primary care, this equates to setting up a register of prevalent stroke.
aimTo compare three different methods for identifying prevalent cases of cerebrovascular disease in the community: general practice-based computer systems; population surveys; and hospital-based routine information systems. DESIGN OF STUDY: Comparison of results of each method applied to a defined population and then assessed against reference criteria for cerebrovascular disease.
settingA total of 5801 people aged 65 years or over, resident in seven practices situated within the South Birmingham Primary Care Trust area.
methodThe sensitivity, specificity, and predictive value of each method of identification were calculated against reference criteria applied by two investigators independently of each other.
resultsThe prevalence of reference criteria-validated cerebrovascular disease in patients aged 65 years or over was 8.2%. Overall, general practice-based computer systems had a sensitivity of 81.0%, a specificity of 97.2% and a positive predictive value (PPV) of 71.8%, but there was a wide range of sensitivity (33% to 90%) and PPV (42% to 92%) between practices. Patient survey and hospital information systems were less sensitive (75.7% and 28.4%, respectively) but had higher PPVs (77.5% and 89.2%, respectively). Thirty-nine per cent of patients with a history of cerebrovascular disease had not been admitted to hospital.
conclusionGeneral practice-based computer systems can produce reasonably accurate prevalent stroke registers. In areas where these are poorly developed, patient survey is an alternative.
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14694663PMC1314641What OpenQuestion holds
Registered trials
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