GP's Adherence to Guidelines for Cardiovascular Disease among Elderly : A Quality Development Study
Joint Authors
Modig, Sara
Troein, Margareta
Höglund, Peter
Midlöv, Patrik
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
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 CHADS2 score indicating the need.
Educational efforts appeared to increase the adherence and hence should be encouraged.
American Psychological Association (APA)
Modig, Sara& Höglund, Peter& Troein, Margareta& Midlöv, Patrik. 2012. GP's Adherence to Guidelines for Cardiovascular Disease among Elderly : A Quality Development Study. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-497183
Modern Language Association (MLA)
Modig, Sara…[et al.]. GP's Adherence to Guidelines for Cardiovascular Disease among Elderly : A Quality Development Study. The Scientific World Journal No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-497183
American Medical Association (AMA)
Modig, Sara& Höglund, Peter& Troein, Margareta& Midlöv, Patrik. GP's Adherence to Guidelines for Cardiovascular Disease among Elderly : A Quality Development Study. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-497183
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497183