Evidence map›Paper›PMID 28186938›Full record

ArticleBMJ open2016

An online questionnaire survey of UK general practitioners' knowledge and management of familial hypercholesterolaemia.

See Kwok, Jing Pang, Safwaan Adam, Gerald F Watts, Handrean Soran

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  3. Unexpected gaps in knowledge of familial hypercholesterolaemia among Dutch general practitioners.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

See KwokCardiovascular Trials Unit, The Old St Mary's Hospital, Manchester, UK.
Jing PangSchool of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia.
Safwaan AdamCardiovascular Trials Unit, The Old St Mary's Hospital, Manchester, UK.
Gerald F WattsSchool of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia.
Handrean SoranCardiovascular Trials Unit, The Old St Mary's Hospital, Manchester, UK.
St Mary's Hospital · GBRoyal Perth Hospital · AUUniversity of Manchester · GBUniversity of Western Australia · AU

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveEarly diagnosis and treatment of heterozygous familial hypercholesterolaemia (HeFH) is known to be associated with reduced mortality from premature coronary artery disease, but HeFH remains underdiagnosed. This survey aims to determine knowledge and current management of HeFH in general practice.

settingAn online questionnaire was administered to general practitioners' (GPs') in the North West of England to assess their knowledge and management of HeFH.

participantsPractising GPs in the North West of England were contacted by email and invited to complete an online questionnaire. Recruitment discontinued when the target of 100 was reached. PRIMARY OUTCOME: An assessment of the knowledge and current management of HeFH in GPs.

results100 GP responses were analysed. Although only 39% considered themselves to have reasonable knowledge of HeFH, 89% knew that HeFH was a genetic disorder and 74% selected the correct lipid profile for diagnosing the condition. More than half (61%) were aware of current guidelines on HeFH. Gaps in knowledge were evident when only 30% correctly identified the prevalence of HeFH and half were not aware of the pattern of inheritance. Increased cardiovascular risk was underestimated by majority. 33% thought that they had HeFH patients in their practice confirming underdiagnosis of the condition. Statin therapy was recognised by 94% to be the right medication for treating HeFH. The majority (82%) regarded GPs to be the most effective healthcare professional for early recognition of HeFH.

conclusionsGPs have an above-average knowledge of familial hypercholesterolaemia (FH) and almost universally consider that they have a key role in the early recognition of undiagnosed HeFH patients in the community. However, there are gaps in awareness that need to be addressed to further enhance the care of FH in the community.

Indexed as

General PractitionersHealth Knowledge, Attitudes, PracticeCoronary Artery DiseaseEarly DiagnosisEnglandFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipoproteinemia Type IIMaleRisk FactorsSurveys and QuestionnairesHydroxymethylglutaryl-CoA Reductase InhibitorsMEDICAL EDUCATION & TRAINING

Identifiers

PMID28186938
PMCPMC5128898
OpenAlexW2553426361

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.