Physicians' estimates of the 10 year cardiovascular risk in hypertensive patients: an evaluation in primary care physicians in training.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_34F3B47F2169
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Physicians' estimates of the 10 year cardiovascular risk in hypertensive patients: an evaluation in primary care physicians in training.
Périodique
Swiss medical weekly
Auteur⸱e⸱s
Senn M., Favrat B., Vaucher P., Burnier M.
ISSN
1424-7860 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
16/09/2006
Peer-reviewed
Oui
Volume
136
Numéro
37-38
Pages
603-608
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
To evaluate how young physicians in training perceive their patients' cardiovascular risk based on the medical charts and their clinical judgment.
Cross sectional observational study.
University outpatient clinic, Lausanne, Switzerland.
Two hundred hypertensive patients and 50 non-hypertensive patients with at least one cardiovascular risk factor.
Comparison of the absolute 10-year cardiovascular risk calculated by a computer program based on the Framingham score and adapted for physicians by the WHO/ISH with the perceived risk as assessed clinically by the physicians.
Physicians underestimated the 10-year cardiovascular risk of their patients compared to that calculated with the Framingham score. Concordance between methods was 39% for hypertensive patients and 30% for non-hypertensive patients. Underestimation of cardiovascular risks for hypertensive patients was related to the fact they had a stabilized systolic blood pressure under 140 mm Hg (OR = 2.1 [1.1; 4.1]).
These data show that young physicians in training often have an incorrect perception of the cardiovascular risk of their patients with a tendency to underestimate the risk. However, the calculated risk could also be slightly overestimated when applying the Framingham Heart Study model to a Swiss population. To implement a systematic evaluation of risk factors in primary care a greater emphasis should be placed on the teaching of cardiovascular risk evaluation and on the implementation of quality improvement programs.

Mots-clé
Adult, Cardiovascular Diseases/mortality, Cross-Sectional Studies, Female, Humans, Hypertension/epidemiology, Internal Medicine/education, Male, Odds Ratio, Outpatient Clinics, Hospital, Primary Health Care, Quality of Health Care, Risk Assessment, Switzerland
Pubmed
Web of science
Création de la notice
29/02/2008 12:34
Dernière modification de la notice
20/08/2019 14:22
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