ArticleTheScientificWorldJournal2012
GP's adherence to guidelines for cardiovascular disease among elderly: a quality development study.
Article in TheScientificWorldJournal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Effects of task-shifting from primary care physicians to nurses: an overview of systematic reviews.Human resources for health · 2024Review
- Article
- Effects of lipid-lowering treatment intensity and adherence on cardiovascular outcomes in patients with a recent myocardial infarction: a Swedish register-based study.Upsala journal of medical sciences · 2022Observational
- The adoption of hypertension reference framework: An investigation among primary care physicians of Hong Kong.PloS one · 2018Article
- Improving quality of care in general practices by self-audit, benchmarking and quality circles.Wiener klinische Wochenschrift · 2016Article
- Overuse of Anticoagulation in Treatment of Atrial Fibrillation Patients in University Hospitals of Tehran.Iranian journal of public health · 2015Article
- Atrial fibrillation anticoagulation care in a large urban family medicine practice.Canadian family physician Medecin de famille canadien · 2014Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence-based guidelines should in most cases be followed also in the treatment of elderly. Older people are often suboptimally treated with the recommended drugs.
objectivesTo describe how well general practitioners adhere to current guidelines in the treatment of elderly with cardiovascular disease and evaluate local education as a tool for improvement.
methodData was collected from the medical records of patients aged ≥ 65, who visited a primary health care center in Sweden 2006 and had one or more of the following diagnoses: hypertension, ischemic heart disease, heart failure, chronic atrial fibrillation, or prior stroke. Local education was organized and included feed-back to the patient's doctor and discussion about regional guidelines. Repeated measurements were performed in 2008. RESULTS AND
conclusionThe adherence to guidelines was low. Approximately one-third of the patients with hypertension reached target blood pressure, stroke patients more often. More patients with heart failure were treated with angiotensin converting enzyme inhibitor than in other European countries, but still only 60%. Half of the patients with chronic atrial fibrillation were treated with Warfarin, although more than two-thirds had a CHADS(2) score indicating the need. Educational efforts appeared to increase the adherence and hence should be encouraged.
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