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GP's Adherence to Guidelines for Cardiovascular Disease among Elderly: A Quality Development Study.

Modig, Sara LU ; Höglund, Peter; Troein, Margareta LU and Midlöv, Patrik LU (2012) In Scientific World Journal 2012.
Abstract
Background:

Evidence-based guidelines should in most cases be followed also in the treatment of elderly. Older people are often suboptimally treated with the recommended drugs.



Objectives:

To 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.



Method:

Data 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... (More)
Background:

Evidence-based guidelines should in most cases be followed also in the treatment of elderly. Older people are often suboptimally treated with the recommended drugs.



Objectives:

To 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.



Method:

Data 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 Conclusion:The 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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scientific World Journal
volume
2012
publisher
Hindawi Publishing Corporation
external identifiers
  • wos:000306812700001
  • pmid:22645450
  • scopus:84862306118
ISSN
2356-6140
DOI
10.1100/2012/767892
language
English
LU publication?
yes
id
93ae30df-eb9a-492d-9c67-02a1a3c5c533 (old id 2608294)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22645450?dopt=Abstract
date added to LUP
2012-06-04 21:07:57
date last changed
2017-01-01 07:53:03
@article{93ae30df-eb9a-492d-9c67-02a1a3c5c533,
  abstract     = {Background:<br/><br>
Evidence-based guidelines should in most cases be followed also in the treatment of elderly. Older people are often suboptimally treated with the recommended drugs. <br/><br>
<br/><br>
Objectives: <br/><br>
To 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. <br/><br>
<br/><br>
Method:<br/><br>
Data 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. <br/><br>
<br/><br>
Results and Conclusion:The 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.},
  articleno    = {767892},
  author       = {Modig, Sara and Höglund, Peter and Troein, Margareta and Midlöv, Patrik},
  issn         = {2356-6140},
  language     = {eng},
  publisher    = {Hindawi Publishing Corporation},
  series       = {Scientific World Journal},
  title        = {GP's Adherence to Guidelines for Cardiovascular Disease among Elderly: A Quality Development Study.},
  url          = {http://dx.doi.org/10.1100/2012/767892},
  volume       = {2012},
  year         = {2012},
}