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Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study

To provide a better understanding of the actions taken within health systems and their results, this study aims to assess clinicians’ adherence to clinical practice guidelines (CPGs) regarding recommended treatments in patients with cardiovascular disease in primary care settings, and to determine t...

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Autores principales: Pepió Vilaubí, Josep Maria, Orozco-Beltrán, Domingo, Gonçalves, Alessandra Queiroga, Rodriguez Cumplido, Dolors, Aguilar Martin, Carina, Lopez-Pineda, Adriana, Gil-Guillen, Vicente F., Quesada, Jose A., Carratala-Munuera, Concepcion
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025527/
https://www.ncbi.nlm.nih.gov/pubmed/29891821
http://dx.doi.org/10.3390/ijerph15061233
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author Pepió Vilaubí, Josep Maria
Orozco-Beltrán, Domingo
Gonçalves, Alessandra Queiroga
Rodriguez Cumplido, Dolors
Aguilar Martin, Carina
Lopez-Pineda, Adriana
Gil-Guillen, Vicente F.
Quesada, Jose A.
Carratala-Munuera, Concepcion
author_facet Pepió Vilaubí, Josep Maria
Orozco-Beltrán, Domingo
Gonçalves, Alessandra Queiroga
Rodriguez Cumplido, Dolors
Aguilar Martin, Carina
Lopez-Pineda, Adriana
Gil-Guillen, Vicente F.
Quesada, Jose A.
Carratala-Munuera, Concepcion
author_sort Pepió Vilaubí, Josep Maria
collection PubMed
description To provide a better understanding of the actions taken within health systems and their results, this study aims to assess clinicians’ adherence to clinical practice guidelines (CPGs) regarding recommended treatments in patients with cardiovascular disease in primary care settings, and to determine the associated factors. We conducted an ambispective cohort study in 21 primary care centres in 8 Spanish regions. Patients diagnosed with coronary heart disease, stroke and/or peripheral arterial disease were included. Patients who received the treatment recommended in the European guidelines on cardiovascular disease prevention (CPG’s adherent group) were compared with patients who did not (CPG’s non-adherent group). The outcome variables were cardiovascular hospital admissions, all-cause and cardiovascular mortality during follow-up. Of the 438 participants, 38.6% (n = 169) received the drug therapies recommended in the guidelines. The factors that increased the likelihood of good adherence to CPG’s were being diagnosed with hypertension (p = 0.001), dyslipidaemia (p < 0.001) or diabetes (p = 0.001), and not having a psychiatric disorder (p = 0.005). We found no statistically significant association between good adherence to CPG’s and lower incidence of events (p = 0.853). Clinician adherence to guidelines for secondary prevention of cardiovascular disease was low in the primary care setting.
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spelling pubmed-60255272018-07-16 Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study Pepió Vilaubí, Josep Maria Orozco-Beltrán, Domingo Gonçalves, Alessandra Queiroga Rodriguez Cumplido, Dolors Aguilar Martin, Carina Lopez-Pineda, Adriana Gil-Guillen, Vicente F. Quesada, Jose A. Carratala-Munuera, Concepcion Int J Environ Res Public Health Article To provide a better understanding of the actions taken within health systems and their results, this study aims to assess clinicians’ adherence to clinical practice guidelines (CPGs) regarding recommended treatments in patients with cardiovascular disease in primary care settings, and to determine the associated factors. We conducted an ambispective cohort study in 21 primary care centres in 8 Spanish regions. Patients diagnosed with coronary heart disease, stroke and/or peripheral arterial disease were included. Patients who received the treatment recommended in the European guidelines on cardiovascular disease prevention (CPG’s adherent group) were compared with patients who did not (CPG’s non-adherent group). The outcome variables were cardiovascular hospital admissions, all-cause and cardiovascular mortality during follow-up. Of the 438 participants, 38.6% (n = 169) received the drug therapies recommended in the guidelines. The factors that increased the likelihood of good adherence to CPG’s were being diagnosed with hypertension (p = 0.001), dyslipidaemia (p < 0.001) or diabetes (p = 0.001), and not having a psychiatric disorder (p = 0.005). We found no statistically significant association between good adherence to CPG’s and lower incidence of events (p = 0.853). Clinician adherence to guidelines for secondary prevention of cardiovascular disease was low in the primary care setting. MDPI 2018-06-11 2018-06 /pmc/articles/PMC6025527/ /pubmed/29891821 http://dx.doi.org/10.3390/ijerph15061233 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pepió Vilaubí, Josep Maria
Orozco-Beltrán, Domingo
Gonçalves, Alessandra Queiroga
Rodriguez Cumplido, Dolors
Aguilar Martin, Carina
Lopez-Pineda, Adriana
Gil-Guillen, Vicente F.
Quesada, Jose A.
Carratala-Munuera, Concepcion
Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title_full Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title_fullStr Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title_full_unstemmed Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title_short Adherence to European Clinical Practice Guidelines for Secondary Prevention of Cardiovascular Disease: A Cohort Study
title_sort adherence to european clinical practice guidelines for secondary prevention of cardiovascular disease: a cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025527/
https://www.ncbi.nlm.nih.gov/pubmed/29891821
http://dx.doi.org/10.3390/ijerph15061233
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