Do doctors accurately assess coronary risk in their patients ? Preliminary results of the coronary health assessment study.
To evaluate the ability of doctors in primary care to assess risk patients'risk of coronary heart disease.
Setting-Continuing medical education meetings, Ontario and Quebec, Canada.
Subjects-Community based doctors who agreed to enrol in the coronary health assessment study.
Main outocome measure-Ratings of coronary risk factors and estimates by doctors of relative and absolute coronary risk of two hypothetical patients and the « average » 40 year old Canadian man and 70 year old Canadian woman.
253 doctors answered the questionnaire.
For 30 year olds the doctors rated cigarette smoking as the most important risk factor and raised serum triglyceride concentrations as the least important ; for 70 year old patients they rated diabetes as the most important risk factor and raised serum triglyceride concentrations as the least important.
They rated each individual risk factor as significantly less important for 70 year olds than for 30 year olds (all risk factors, P<0.001).
They showed a strong understanding of the relative importance of specific risk factors, and most were confident in their ability to estimate coronary risk.
Conclusions-Despite guidelines on targeting patients at high risk of coronary disease accurate assessment of coronary risk remains difficult for many doctors.
Mots-clés Pascal : Cardiopathie coronaire, Appareil circulatoire pathologie, Analyse risque, Facteur risque, Médecin, Expérience professionnelle, Prise décision, Recommandation, Prévention, Pratique professionnelle, Epidémiologie, Stratégie, Canada, Amérique du Nord, Amérique, Conduite à tenir
Mots-clés Pascal anglais : Coronary heart disease, Cardiovascular disease, Risk analysis, Risk factor, Physician, Professional experience, Decision making, Recommendation, Prevention, Professional practice, Epidemiology, Strategy, Canada, North America, America, Clinical management
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0266921
Code Inist : 002B12A03. Création : 01/03/1996.