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Cardiologists' awareness and perceptions of guidelines for chronic heart failure. The ADDress your Heart survey.

Erhardt, Leif RW LU ; Komajda, Michel; Hobbs, F D Richard and Soler-Soler, Jordi (2008) In European Journal of Heart Failure 10. p.1020-1025
Abstract
BACKGROUND: Several surveys show that patients with chronic heart failure (CHF) are sub-optimally managed and treatment guidelines are not implemented in clinical practice. AIMS: To investigate awareness and perceptions of the 2005 European Society of Cardiology (ESC) guidelines for CHF. METHODS: 467 cardiologists from seven European countries completed an on-line interview using a validated, semi-structured questionnaire including questions about awareness and relevance of CHF guidelines. To assess agreement with ESC guidelines, three fictitious patient cases were presented and respondents' management choices compared with those of an expert panel based on the guidelines. RESULTS: Awareness of CHF guidelines was high, with 98% aware of... (More)
BACKGROUND: Several surveys show that patients with chronic heart failure (CHF) are sub-optimally managed and treatment guidelines are not implemented in clinical practice. AIMS: To investigate awareness and perceptions of the 2005 European Society of Cardiology (ESC) guidelines for CHF. METHODS: 467 cardiologists from seven European countries completed an on-line interview using a validated, semi-structured questionnaire including questions about awareness and relevance of CHF guidelines. To assess agreement with ESC guidelines, three fictitious patient cases were presented and respondents' management choices compared with those of an expert panel based on the guidelines. RESULTS: Awareness of CHF guidelines was high, with 98% aware of any guideline and 65% aware of ESC guidelines. ESC guidelines were considered relevant (51%) or very relevant (38%) for guiding treatment decisions. Up to 92% of respondents perceived that they adhered to the ESC guidelines. For the patient cases, </=25% made treatment recommendations that completely matched those formulated by the expert panel. Respondents considered patient compliance (52%) and guideline complexity (46%) major barriers to implementation. CONCLUSION: Cardiologists reported high awareness of and a positive attitude towards ESC CHF guidelines. Provision of guidelines in a concise and accessible format is perceived as a key factor to improve implementation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Heart Failure
volume
10
pages
1020 - 1025
publisher
Elsevier
external identifiers
  • wos:000260749400007
  • pmid:18793869
  • scopus:53249122867
ISSN
1879-0844
DOI
10.1016/j.ejheart.2008.08.001
language
English
LU publication?
yes
id
3a4dddcb-321f-41f2-8c74-72126cbc5ad1 (old id 1242984)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18793869?dopt=Abstract
date added to LUP
2008-10-03 17:40:28
date last changed
2017-08-27 05:46:56
@article{3a4dddcb-321f-41f2-8c74-72126cbc5ad1,
  abstract     = {BACKGROUND: Several surveys show that patients with chronic heart failure (CHF) are sub-optimally managed and treatment guidelines are not implemented in clinical practice. AIMS: To investigate awareness and perceptions of the 2005 European Society of Cardiology (ESC) guidelines for CHF. METHODS: 467 cardiologists from seven European countries completed an on-line interview using a validated, semi-structured questionnaire including questions about awareness and relevance of CHF guidelines. To assess agreement with ESC guidelines, three fictitious patient cases were presented and respondents' management choices compared with those of an expert panel based on the guidelines. RESULTS: Awareness of CHF guidelines was high, with 98% aware of any guideline and 65% aware of ESC guidelines. ESC guidelines were considered relevant (51%) or very relevant (38%) for guiding treatment decisions. Up to 92% of respondents perceived that they adhered to the ESC guidelines. For the patient cases, &lt;/=25% made treatment recommendations that completely matched those formulated by the expert panel. Respondents considered patient compliance (52%) and guideline complexity (46%) major barriers to implementation. CONCLUSION: Cardiologists reported high awareness of and a positive attitude towards ESC CHF guidelines. Provision of guidelines in a concise and accessible format is perceived as a key factor to improve implementation.},
  author       = {Erhardt, Leif RW and Komajda, Michel and Hobbs, F D Richard and Soler-Soler, Jordi},
  issn         = {1879-0844},
  language     = {eng},
  pages        = {1020--1025},
  publisher    = {Elsevier},
  series       = {European Journal of Heart Failure},
  title        = {Cardiologists' awareness and perceptions of guidelines for chronic heart failure. The ADDress your Heart survey.},
  url          = {http://dx.doi.org/10.1016/j.ejheart.2008.08.001},
  volume       = {10},
  year         = {2008},
}