AutomedicationFrancoV1, Main, Exploration, bibRecord, 000A17

Atherosclerosis knowledge - diagnosis and management in primary care.

Identifieur interne : 000A17 ( Main/Exploration ); précédent : 000A16; suivant : 000A18

Atherosclerosis knowledge - diagnosis and management in primary care.

Auteurs : Marie Charasson [France] ; Guillaume Mahé [France] ; Charles Le Brun [France] ; Vincent Jaquinandi [France] ; Emilie Rossignol [France] ; Alexis Le Faucheur [France] ; Loukman Omarjee [France]

Source :

VASA. Zeitschrift fur Gefasskrankheiten [ 0301-1526 ] ; 2018.

RBID : pubmed:30047837

Descripteurs français

English descriptors

KwdEn :
- Adult (MeSH), Angina, Stable (diagnosis), Angina, Stable (epidemiology), Angina, Stable (therapy), Atherosclerosis (diagnosis), Atherosclerosis (epidemiology), Atherosclerosis (therapy), Attitude of Health Personnel (MeSH), Awareness (MeSH), Clinical Competence (MeSH), Female (MeSH), France (epidemiology), General Practitioners (psychology), Health Care Surveys (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Intermittent Claudication (diagnosis), Intermittent Claudication (epidemiology), Intermittent Claudication (therapy), Ischemic Attack, Transient (diagnosis), Ischemic Attack, Transient (epidemiology), Ischemic Attack, Transient (therapy), Male (MeSH), Middle Aged (MeSH), Primary Health Care (MeSH), Prognosis (MeSH).
MESH :
- geographic , epidemiology : France.
- diagnosis : Angina, Stable, Atherosclerosis, Intermittent Claudication, Ischemic Attack, Transient.
- epidemiology : Angina, Stable, Atherosclerosis, Intermittent Claudication, Ischemic Attack, Transient.
- psychology : General Practitioners.
- therapy : Angina, Stable, Atherosclerosis, Intermittent Claudication, Ischemic Attack, Transient.
- Adult, Attitude of Health Personnel, Awareness, Clinical Competence, Female, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Primary Health Care, Prognosis.

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.

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.

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.

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.

DOI: 10.1024/0301-1526/a000727
PubMed: 30047837

Affiliations:

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Angina, Stable (diagnosis)</term>
<term>Angina, Stable (epidemiology)</term>
<term>Angina, Stable (therapy)</term>
<term>Atherosclerosis (diagnosis)</term>
<term>Atherosclerosis (epidemiology)</term>
<term>Atherosclerosis (therapy)</term>
<term>Attitude of Health Personnel (MeSH)</term>
<term>Awareness (MeSH)</term>
<term>Clinical Competence (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (epidemiology)</term>
<term>General Practitioners (psychology)</term>
<term>Health Care Surveys (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Intermittent Claudication (diagnosis)</term>
<term>Intermittent Claudication (epidemiology)</term>
<term>Intermittent Claudication (therapy)</term>
<term>Ischemic Attack, Transient (diagnosis)</term>
<term>Ischemic Attack, Transient (epidemiology)</term>
<term>Ischemic Attack, Transient (therapy)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Primary Health Care (MeSH)</term>
<term>Prognosis (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident ischémique transitoire (diagnostic)</term>
<term>Accident ischémique transitoire (thérapie)</term>
<term>Accident ischémique transitoire (épidémiologie)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Angor stable (diagnostic)</term>
<term>Angor stable (thérapie)</term>
<term>Angor stable (épidémiologie)</term>
<term>Athérosclérose (diagnostic)</term>
<term>Athérosclérose (thérapie)</term>
<term>Athérosclérose (épidémiologie)</term>
<term>Attitude du personnel soignant (MeSH)</term>
<term>Claudication intermittente (diagnostic)</term>
<term>Claudication intermittente (thérapie)</term>
<term>Claudication intermittente (épidémiologie)</term>
<term>Compétence clinique (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
<term>Conscience immédiate (MeSH)</term>
<term>Enquêtes sur les soins de santé (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Médecins généralistes (psychologie)</term>
<term>Pronostic (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Angina, Stable</term>
<term>Atherosclerosis</term>
<term>Intermittent Claudication</term>
<term>Ischemic Attack, Transient</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Accident ischémique transitoire</term>
<term>Angor stable</term>
<term>Athérosclérose</term>
<term>Claudication intermittente</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Angina, Stable</term>
<term>Atherosclerosis</term>
<term>Intermittent Claudication</term>
<term>Ischemic Attack, Transient</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins généralistes</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>General Practitioners</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Angina, Stable</term>
<term>Atherosclerosis</term>
<term>Intermittent Claudication</term>
<term>Ischemic Attack, Transient</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Accident ischémique transitoire</term>
<term>Angor stable</term>
<term>Athérosclérose</term>
<term>Claudication intermittente</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident ischémique transitoire</term>
<term>Angor stable</term>
<term>Athérosclérose</term>
<term>Claudication intermittente</term>
<term>France</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Attitude of Health Personnel</term>
<term>Awareness</term>
<term>Clinical Competence</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Primary Health Care</term>
<term>Prognosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Compétence clinique</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Conscience immédiate</term>
<term>Enquêtes sur les soins de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pronostic</term>
<term>Soins de santé primaires</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>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.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2019</Year>
<Month>03</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>03</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0301-1526</ISSN>
<JournalIssue CitedMedium="Print"><Volume>47</Volume>
<Issue>6</Issue>
<PubDate><Year>2018</Year>
<Month>Oct</Month>
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</JournalIssue>
<Title>VASA. Zeitschrift fur Gefasskrankheiten</Title>
<ISOAbbreviation>Vasa</ISOAbbreviation>
</Journal>
<ArticleTitle>Atherosclerosis knowledge - diagnosis and management in primary care.</ArticleTitle>
<Pagination><MedlinePgn>465-470</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1024/0301-1526/a000727</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Charasson</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>1 Rennes University Hospital, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mahé</LastName>
<ForeName>Guillaume</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>1 Rennes University Hospital, Rennes, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>2 INSERM, Clinical Investigation Centre CIC 1414, Université de Rennes, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Le Brun</LastName>
<ForeName>Charles</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>1 Rennes University Hospital, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jaquinandi</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>1 Rennes University Hospital, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rossignol</LastName>
<ForeName>Emilie</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>2 INSERM, Clinical Investigation Centre CIC 1414, Université de Rennes, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Le Faucheur</LastName>
<ForeName>Alexis</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>3 ENS Rennes, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Omarjee</LastName>
<ForeName>Loukman</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>1 Rennes University Hospital, Rennes, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>2 INSERM, Clinical Investigation Centre CIC 1414, Université de Rennes, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>07</Month>
<Day>26</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Switzerland</Country>
<MedlineTA>Vasa</MedlineTA>
<NlmUniqueID>0317051</NlmUniqueID>
<ISSNLinking>0301-1526</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D060050" MajorTopicYN="N">Angina, Stable</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D050197" MajorTopicYN="N">Atherosclerosis</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001364" MajorTopicYN="N">Awareness</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058005" MajorTopicYN="N">General Practitioners</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019538" MajorTopicYN="N">Health Care Surveys</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007383" MajorTopicYN="N">Intermittent Claudication</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002546" MajorTopicYN="N">Ischemic Attack, Transient</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011320" MajorTopicYN="Y">Primary Health Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Atherosclerosis</Keyword>
<Keyword MajorTopicYN="N">general practitioners</Keyword>
<Keyword MajorTopicYN="N">intermittent claudication</Keyword>
<Keyword MajorTopicYN="N">stable angina</Keyword>
<Keyword MajorTopicYN="N">transient ischaemic attack</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>7</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2019</Year>
<Month>3</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>7</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30047837</ArticleId>
<ArticleId IdType="doi">10.1024/0301-1526/a000727</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Région Bretagne</li>
</region>
<settlement><li>Rennes</li>
</settlement>
</list>
<tree><country name="France"><region name="Région Bretagne"><name sortKey="Charasson, Marie" sort="Charasson, Marie" uniqKey="Charasson M" first="Marie" last="Charasson">Marie Charasson</name>
</region>
<name sortKey="Jaquinandi, Vincent" sort="Jaquinandi, Vincent" uniqKey="Jaquinandi V" first="Vincent" last="Jaquinandi">Vincent Jaquinandi</name>
<name sortKey="Le Brun, Charles" sort="Le Brun, Charles" uniqKey="Le Brun C" first="Charles" last="Le Brun">Charles Le Brun</name>
<name sortKey="Le Faucheur, Alexis" sort="Le Faucheur, Alexis" uniqKey="Le Faucheur A" first="Alexis" last="Le Faucheur">Alexis Le Faucheur</name>
<name sortKey="Mahe, Guillaume" sort="Mahe, Guillaume" uniqKey="Mahe G" first="Guillaume" last="Mahé">Guillaume Mahé</name>
<name sortKey="Mahe, Guillaume" sort="Mahe, Guillaume" uniqKey="Mahe G" first="Guillaume" last="Mahé">Guillaume Mahé</name>
<name sortKey="Omarjee, Loukman" sort="Omarjee, Loukman" uniqKey="Omarjee L" first="Loukman" last="Omarjee">Loukman Omarjee</name>
<name sortKey="Omarjee, Loukman" sort="Omarjee, Loukman" uniqKey="Omarjee L" first="Loukman" last="Omarjee">Loukman Omarjee</name>
<name sortKey="Rossignol, Emilie" sort="Rossignol, Emilie" uniqKey="Rossignol E" first="Emilie" last="Rossignol">Emilie Rossignol</name>
</country>
</tree>
</affiliations>
</record>

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	Serveur d'exploration sur l'automédication dans le monde francophone
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur l'automédication dans le monde francophone

Atherosclerosis knowledge - diagnosis and management in primary care.

Atherosclerosis knowledge - diagnosis and management in primary care.

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