Adherence to european clinical practice guidelines for secondary prevention of cardiovascular disease : A cohort study
Pepió Vilaubí, Josep Maria (Institut Català de la Salut)
Orozco Beltrán, Domingo (Universidad Miguel Hernández de Elche)
Gonçalves, A. Q. (Institut Català de la Salut)
Rodríguez Cumplido, Dolores (Universitat Autònoma de Barcelona. Departament de Farmacologia, de Terapèutica i de Toxicologia)
Aguilar Martín, Carina (Institut Català de la Salut. Atenció Primària Terres de l'Ebre)
López Pineda, Adriana (Universidad Miguel Hernández de Elche)
Gil Guillen, Vicente F. (Universidad Miguel Hernández de Elche)
Quesada, Jose A. (Universidad Miguel Hernández de Elche)
Carratala Munuera, Concepción (Universidad Miguel Hernández de Elche)

Date:	2018
Abstract:	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 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.
Note:	Funding: This study was supported by a grant from the Primary Health Care University Research Institute (IDIAP) Jordi Gol located in Barcelona, Spain (Grant ref: IDIAP 7Z12/006).
Note:	Altres ajuts: APHCRI/IDIAP 7Z12/006
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	International journal of environmental research and public health, Vol. 15 Núm. 6 (november 2018) , p. 1233, ISSN 1660-4601

DOI: 10.3390/ijerph15061233
PMID: 29891821

11 p, 348.3 KB

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