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Atherosclerosis knowledge - diagnosis and management in primary care.
- Source :
-
VASA. Zeitschrift fur Gefasskrankheiten [Vasa] 2018 Oct; Vol. 47 (6), pp. 465-470. Date of Electronic Publication: 2018 Jul 26. - Publication Year :
- 2018
-
Abstract
- Background: Atherosclerosis is the leading cause of death worldwide. Ischaemic stroke, coronary heart disease (CHD), and peripheral artery disease (PAD) are different forms of atherosclerotic disease. Knowledge among general practitioners (GPs) about the three main locations of atherosclerosis has never been conjointly explored in a single study. The aim of this survey was to compare GP awareness on the subject of these three different clinical presentations.<br />Materials and Methods: Between February 2017 and May 2017, a self-administered survey was emailed to 18,500 French GPs. The questionnaire comprised three clinical cases involving cases of transient ischaemic attack (TIA), stable angina (SA), and intermittent claudication (IC). Each case was explored with seven similar questions. The primary endpoint was the number of physicians who correctly answered five questions for each clinical case.<br />Results: The survey was completed by 1,724 GPs. TIA knowledge (48.2 %) was significantly higher than the SA knowledge (3.0 %) and IC knowledge (0.4 %). We also found a significant difference between SA knowledge and IC knowledge. The percentages of GPs who correctly diagnosed TIA, SA or IC were 96.7, 89.7, and 96.5 %, respectively (p < 0.0001). Poor knowledge ratings for all three locations were observed for inadequate prescription of supplementary investigations and treatments.<br />Conclusions: Our study demonstrates that GPs' knowledge about atherosclerosis disease varies significantly depending on disease location. GPs diagnose correctly but need to be backed up for their management of patients with atherosclerosis.
- Subjects :
- Adult
Angina, Stable diagnosis
Angina, Stable epidemiology
Angina, Stable therapy
Atherosclerosis epidemiology
Attitude of Health Personnel
Awareness
Female
France epidemiology
Health Care Surveys
Humans
Intermittent Claudication diagnosis
Intermittent Claudication epidemiology
Intermittent Claudication therapy
Ischemic Attack, Transient diagnosis
Ischemic Attack, Transient epidemiology
Ischemic Attack, Transient therapy
Male
Middle Aged
Prognosis
Atherosclerosis diagnosis
Atherosclerosis therapy
Clinical Competence
General Practitioners psychology
Health Knowledge, Attitudes, Practice
Primary Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 0301-1526
- Volume :
- 47
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- VASA. Zeitschrift fur Gefasskrankheiten
- Publication Type :
- Academic Journal
- Accession number :
- 30047837
- Full Text :
- https://doi.org/10.1024/0301-1526/a000727