Prevención secundaria de la cardiopatía isquémica y perspectiva de género en dos centros de atención primaria

Osca, Joan Antoni Ribera i; Peiró, Salvador

doi:10.1157/13091953

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Analyzing the factors associated with LDL-C control after Phase 1 reveals that being older and being female are the patient characteristics associated with poor LDL-C control. Some authors have reported that, overall, women with IHD receive fewer medication, specifically lipid-lowering drugs, than men do [ 34 , 35 ], making it difficult to achieve LDL-C control objectives. It is known that aspects such as preferences for therapeutic strategies and adherence to lifestyle and pharmacological interventions can differ by sex in a variety of health problems [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Implementing a Dyslipidemia Management Guideline on Cholesterol Control for Secondary Prevention of Ischemic Heart Disease in Primary Care

Drago

Llorca

Martín

et al. 2020

IJERPH

View full text Add to dashboard Cite

Cardiovascular diseases (CVD) are the main cause of death worldwide. The control of CVD risk factors, such as dyslipidemia, reduces their mortality rate. Nonetheless, fewer than 50% of patients with ischemic heart disease (IHD) have good cholesterol control. Our objective is to assess whether the level of participation of general practitioners (GPs) in activities to implement a dyslipidemia management guideline, and the characteristics of the patient and physician are associated with cholesterol control in IHD patients. We undertook a quasi-experimental, uncontrolled, before-and-after study of 1151 patients. The intervention was carried out during 2010 and 2011, and consisted of a face-to-face training and online course phase (Phase 1), and another of face-to-face feedback (Phase 2). The main outcome variable was the low-density lipoprotein cholesterol (LDL-C) control, whereby values of <100 mg/dL (2.6 mmol/L) were set as a good level of control, according to the recommendations of the guidelines in force in 2009. After Phase 1, 6.7% more patients demonstrated good cholesterol control. With respect to patient characteristics, being female and being older were found to be risk factors of poor control. Being diabetic and having suffered a stroke were protective factors. Of the GPs’ characteristics, being tutor in a teaching center for GP residents and having completed the online course were found to be protective factors. We concluded that cholesterol control in IHD patients was influenced by the type of training activity undertook by physicians during the implementation of the GPC, and patient and physician characteristics. We highlight that if we apply the recent targets of the European guideline, which establish a lower level of LDL-C control, the percentage of good control could be worse than the observed in this study.

show abstract