ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Barriers to detecting and treating hypercholesterolaemia in patients with ischaemic heart disease: primary care perceptions.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Trial
- Case-based training of evidence-based clinical practice in primary care and decreased mortality in patients with coronary heart disease.Annals of family medicineTrial
- Article
- Undiagnosed cardiovascular risk factors including elevated lipoprotein(a) in patients with ischaemic heart disease.Frontiers in epidemiology · 2023Article
- Article
- Family physicians' experience and understanding of evidence-based practice and guideline implementation in primary care practice, Cape Town, South Africa.African journal of primary health care & family medicine · 2019Article
- Opportunities for improving cardiovascular health outcomes in adults younger than 65 years with guideline-recommended statin therapy.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Challenges and opportunities for implementation of interventions to prevent and control CVD in low-resource settings: a report from CESCAS in Argentina.Global heart · 2015Review
- Delayed educational reminders for long-term medication adherence in ST-elevation myocardial infarction (DERLA-STEMI): protocol for a pragmatic, cluster-randomized controlled trial.Implementation science : IS · 2012Article
- Reasons of general practitioners for not prescribing lipid-lowering medication to patients with diabetes: a qualitative study.BMC family practice · 2009Article
- Identifying modifiable barriers to medication error reporting in the nursing home setting.Journal of the American Medical Directors Association · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreating hypercholesterolaemia in patients with ischaemic heart disease can significantly reduce vascular deaths and events. Many such patients, however, do not receive effective treatment for hypercholesterolaemia.
aimTo ascertain the barriers to the detection and treatment of hypercholesterolaemia in patients with ischaemic heart disease as seen by primary care teams. DESIGN OF STUDY: Qualitative study using the nominal group technique.
settingGeneral practice teams in the North Thames region of the Medical Research Council General Practice Research Framework.
methodThe main outcomes measures used were identification of the barriers to the detection and treatment of hypercholesterolaemia together with relative rankings.
resultsFourteen individual barriers were identified. The main barriers were: organisational barriers within general practices; confusing and conflicting guidelines from external sources; errors and omissions by GPs; communication problems at the interface between secondary and primary care; and reluctance by patients to take medication.
conclusionsThe reasons for suboptimal detection and treatment of hypercholesterolaemia are complex and act at various levels. Interventions to improve the management of this condition must address these barriers in order to be successful.
Indexed as
Identifiers
16004739PMC1472780W2164702087What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.