In order to compare attitudes and management concerning hyperlipidaemia and risk factors for coronary heart disease among doctors in northern and in southern Europe, a questionnaire study was undertaken among doctors in primary health care and departments of internal medicine in Sicily and Stockholm.
The regions differed in culture and health-care structure.
Guidelines were similar, but screening of healthy individuals was recommended in Sicily, and not in Sweden.
One hundred and fifty-three general practitioners in Sicily and 120 in Stockholm, 211 internists in Sicily and 83 in Stockholm participated.
Main outcome measures were management policies for investigation and treatment and also attitudes.
Routine lipid checks at first visits were done by few doctors in Stockholm but by a majority in Sicily (p<0.001) ; in the presence of general cardiovascular risk factors (other than heredity, diabetes, cardiovascular disease and hypertension). routine checks were carried out more often by both general practitioners (p<0.001) and internists (p<0.005) in Stockholm.
Drug treatment was initiated at lower cholesterol levels for secondary and primary intervention, cardiovascular disease. cardiovascular risk factors and hereditary hyperlipidaemia by both groups in Sicily (p<0.001), as was dietary treatment.
Secondary prevention was considered important by all groups, but primary prevention only by Sicilian doctors. (...)
Mots-clés Pascal : Hyperlipémie, Cardiopathie coronaire, Pratique professionnelle, Attitude, Médecin, Epidémiologie, Facteur risque, Stratégie, Homme, Sicile, Italie, Europe, Lipide, Suède, Etude comparative, Métabolisme pathologie, Dyslipémie, Appareil circulatoire pathologie, Personnel sanitaire, Prévention
Mots-clés Pascal anglais : Hyperlipemia, Coronary heart disease, Professional practice, Attitude, Physician, Epidemiology, Risk factor, Strategy, Human, Sicily, Italy, Europe, Lipids, Sweden, Comparative study, Metabolic diseases, Dyslipemia, Cardiovascular disease, Health staff, Prevention
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0413303
Code Inist : 002B22A. Création : 25/01/1999.