Evidence map›Paper›PMID 9585851›Full record

ArticleCanadian family physician Medecin de famille canadien1998

Cardiovascular disease. Physician attitudes toward prevention and treatment.

A M Grant, T Niyonsenga, I Dion, E Delisle, M Xhignesse, R Bernier

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

A M GrantClinical Research Centre, Centre universitaire de santé de l'Estrie, Québec. a.grant@courrier.usherb.ca
T Niyonsenga
I Dion
E Delisle
M Xhignesse
R Bernier

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSurvey of physician attitudes toward practising cardiovascular disease prevention.

designQuestionnaire administered via telecommunication from 1992 through 1994.

settingThe FAMUS (Family Medicine, University of Sherbrooke) project, between 1992 and 1996, used weekly telecommunication to collect data from 200 general practitioners throughout the province of Quebec on cardiovascular disease risk factors and their treatment.

participantsOf 200 physicians contributing to the FAMUS project, 156 completed questionnaires (response rate 78%).

main outcome measuresVariations in attitudes to prevention policy and risk factor interventions.

resultsSurvey results revealed physicians knew important risk factors for cardiovascular disease but differed in attitudes toward efficacy of treatment. Intervention to control cholesterol was thought to be very effective by 21.2% (95% confidence interval [CI] 21.2 +/- 6.4) and without effect by 10.3% (95% CI 10.3 +/- 4.8). Intervention to improve dietary habits was considered ineffective by 48.1% (95% CI 48.1 +/- 7.8). Confidence in managing risk factors varied; most respondents described themselves as only moderately skilled. A few practitioners (30.1%; 95% CI 30.1 +/- 7.2) acknowledged practice guidelines as an important source of information on which to base preventive interventions. Only 14.7% (95% CI 14.7 +/- 5.6) of those surveyed included remuneration as contributing to their implementation of prevention activities in practice.

conclusionsVariations in physician attitudes could influence risk factor intervention. Interventions to change lifestyle are associated with uncertainty about patient compliance, efficacy of treatment, and ability to effect lifestyle changes.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePractice Patterns, Physicians'AdultCardiovascular DiseasesClinical CompetenceFemaleHumansLife StyleMaleMiddle AgedPatient Education as TopicPhysicians, FamilyPrimary PreventionQuebecRisk Factors

Identifiers

PMID9585851
PMCPMC2277830

What OpenQuestion holds

Textmetadata
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.