Global cardiovascular risk assessment by family physicians in Suez canal university-family medicine centers-Egypt

Nour-Eldein, Hebatallah; Abdelsalam, Shimaa A; Nasr, Gamila M.; Abdelwahed, Hassan A

doi:10.4103/2249-4863.123919

Cited by 5 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study demonstrated that documentation of 10-year global CVD risk score was poor (1.3%) despite the presence of documented individual CVD risk factors, yet this was consistent with findings from other African studies whereby in > 80% of the cases physicians documented individual CVD risk factors but did not compute global CVD risk subsequently. Although our study did not assess any determinants of the poor usage of cardiovascular risk assessment tools nor documentation of global CVD risk score, these are likely to be similar to findings from other studies from Egypt and Nigeria which reported several barriers to the use of CVD risk assessment tools by physicians such as time constraints in the clinic, cost of investigations, poor familiarity with the use of the tools and patient fears of knowing their risk status [ 10 , 11 ].…”

Section: Discussionsupporting

confidence: 77%

“…The mean age of the individuals studied was congruent with the Kenya population data which showed that the majority of hypertensive individuals in Kenya are aged between 45 and 69 years [ 9 ]. Studies among physicians from different parts of Africa indicate that despite high levels of awareness of global CVD risk assessment tools and the benefits of CVD risk assessment, only a minority of physician practitioners between 23% and 28% use the tools [ 10 , 11 ]. Similar to our study, Egyptian physicians’ reliance on alternative guideline-recommended global CVD risk assessment tools was higher than the use of their national guideline-recommended tool [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Retrospective Five-Year Study of Cardiovascular Risk Assessment and Risk-Based Interventions Among Hypertensive Patients in Nairobi Hospital, Kenya

Ndede,

Khan,

Akumiah

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction Cardiovascular disease (CVD) is a leading cause of global morbidity and mortality. It is projected that the prevalence of CVD will continue to rise in developing countries, largely driven by an increase in the prevalence of potentially modifiable risk factors. Atherosclerotic cardiovascular risk assessment among individuals with risk factors for CVD but without CVD is an inexpensive and viable strategy in CVD risk stratification and prevention. Despite the known benefits of CVD risk assessment, it is not well established whether physicians/ cardiologists in Kenya comply with the guideline-recommended practice of CVD risk stratification as a prerequisite for initiation of primary CVD preventive interventions. Aims and objectives This study was designed to audit the utilization of cardiovascular risk assessment tools in risk stratification of hypertensive individuals and physician provision of risk-based primary CVD prevention interventions. Results A five-year (2017-2022) retrospective study of patients’ medical records was conducted in December 2022 at the PrimeCare cardiology clinic in Nairobi Hospital, Kenya. Data were collected from 373 patients' medical records retrospectively. The data were analyzed using IBM SPSS Statistics for Windows, Version 25 (Released 2017; IBM Corp., Armonk, New York, United States). The mean age of the patients was 60 years with the majority being female (54%). The mean BMI was 30.3 kg/m 2 while the mean systolic and diastolic pressure was 140mmHg and 80mmHg, respectively. Only 2.1% of participants were current smokers. The national or alternative guideline-recommended CVD risk assessment tool was used in 0.3% and 2.4%, respectively. The 10-year CVD risk score was documented in only 1.3%. The majority of the participants (93%) had low CVD risk. Half of the patients were taking statins for primary prevention while > 60% of them had been offered therapeutic lifestyle advice. Conclusion The study revealed poor compliance with guideline-recommended CVD risk assessment tools and documentation of the CVD risk level. However, there was above-average adherence to documentation of therapeutic lifestyle measures for primary CVD prevention.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

A Retrospective Five-Year Study of Cardiovascular Risk Assessment and Risk-Based Interventions Among Hypertensive Patients in Nairobi Hospital, Kenya

Ndede,

Khan,

Akumiah

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…However, a new study showed that adherence to regular follow-up in this program was low, reflecting the need to improve the program drastically [ 44 ]. Studies showed that early-career physicians with less than five years of experience are less likely to use CVD risk stratification calculators compared to more experienced physicians [ 45 ]. Thus, education of primary healthcare providers, especially younger ones, is crucial to the success of this health plan.…”

Section: Discussionmentioning

confidence: 99%

Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys

Ebrahimi,

Masinaei,

Aminorroaya

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Cardiovascular Disease (CVD) is the leading cause of death in developing countries. CVD risk stratification guides the health policy to make evidence-based decisions. Aim To provide current picture and future trend of CVD risk in the adult Iranian population. Methods Nationally representative datasets of 2005, 2006, 2007, 2008, 2009, 2011, and 2016 STEPwise approach to non-communicable diseases risk factor surveillance (STEPS) studies were used to generate the 10-year and 30-year risks of CVD based on Framingham, Globorisk, and World Health Organization (WHO) risk estimation models. Trend of CVD risk was calculated from 2000 until 2016 and projected to 2030. Results In 2016, based on Framingham model, 14.0% of the Iranian, aged 30 to 74, were at great risk (≥20%) of CVD in the next 10 years (8.0% among females, 20.7% among males). Among those aged 25 to 59, 12.7% had ≥45% risk of CVD in the coming 30 years (9.2% among females, 16.6 among males). In 2016, CVD risk was higher among urban area inhabitants. Age-standardized Framingham 10-year CVD risk will increase 32.2% and 19%, from 2000 to 2030, in females and males, respectively. Eastern provinces had the lowest and northern provinces had the greatest risk. Conclusions This study projected that CVD risk has increased from 2000 to 2016 in Iran. Without further risk factor modification, this trend will continue until 2030. We have identified populations at higher risks of CVD to guide future intervention.

show abstract

“…Cardiovascular diseases can be prevented through a primary care physicians. Evidence shows such interventions are excellent economic investments because if provided early to patients, they can reduce the need for more expensive treatment [24] .…”

Section: Literature Reviewmentioning

confidence: 99%

Knowledge, attitude and practice of family physician regarding global cardiovascular risk assessment in PSMMC primary health care centers in Riyadh, Saudi Arabia

Alenezi¹,

Almansouri²,

Kofi³

2021

Int. J. Adv. Community Med.

View full text Add to dashboard Cite

Background: Most cardiovascular diseases (CVD) can be prevented by addressing their risk factors. The conventional clinical approach to primary prevention of cardiovascular disease relies on identification and treatment of individual risk factors. There are several guidelines that recommend CV risk assessment tools to support CV prevention strategies (ATP III, European guidelines that include Systematic Coronary Risk Evaluation SCORE 2003, ACC/AHA cardiovascular disease risk 2013 based on Framingham risk score. This study aimed to assess knowledge, attitude and practice of family physician regarding global cardiovascular risk assessment, aiming to improve cardiovascular prevention services. Method: A cross-sectional study conducted among family physicians working in family medicine clinics of Prince Sultan Military Medical City (Riyadh, Saudi Arabia) between November 2019 and June 2020. 188 physicians asked to fill a questionnaire that based on knowledge, attitude and practice questions regarding global CV risk assessment. Results: A total 188 physicians were included in this study. The majority (61.2%) of the physicians were between 25 and 30 years. ASCVD of AHA was the most frequent (75.5%) cardiovascular risk assessment tool used in practice. The majority of physicians often used the cardiovascular risk assessment tools regularly (62.8%). Less than half of physicians believed that assessment tools depend on investigations that patients can afford (46.8%). The majority (58.5%) of the physician had unsatisfactory self-assessment of own knowledge and skills. Unsatisfactory self-assessment of own knowledge and skills was significantly associated with lower knowledge and attitude (49.5% versus 68.1%, p=0.004). Satisfactory self-assessment of own knowledge and skills was significantly associated with higher knowledge and attitude (50.5% versus 29.7%, p=0.004). Conclusion:A high proportion of physicians reported using clinical guidelines for primary CVD prevention. However, laboratory investigations and time constrain were common reasons for not using global CV risk assessment tools. Unsatisfactory self-assessment of own knowledge and skills was significantly associated with lower knowledge and attitude of physicians.

show abstract

Global cardiovascular risk assessment by family physicians in Suez canal university-family medicine centers-Egypt

Cited by 5 publications

References 17 publications

A Retrospective Five-Year Study of Cardiovascular Risk Assessment and Risk-Based Interventions Among Hypertensive Patients in Nairobi Hospital, Kenya

A Retrospective Five-Year Study of Cardiovascular Risk Assessment and Risk-Based Interventions Among Hypertensive Patients in Nairobi Hospital, Kenya

Risk of incident cardiovascular diseases at national and subnational levels in Iran from 2000 to 2016 and projection through 2030: Insights from Iran STEPS surveys

Knowledge, attitude and practice of family physician regarding global cardiovascular risk assessment in PSMMC primary health care centers in Riyadh, Saudi Arabia

Contact Info

Product

Resources

About