We are analyzing https://link.springer.com/article/10.1186/1472-6963-3-13.

Title:
Physicians' ability to predict the risk of coronary heart disease | BMC Health Services Research
Description:
Background Coronary heart disease (CHD) is the leading cause of death in the United States. Previous research examining physicians ability to estimate cardiovascular risk has shown that physicians
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28 years and 1 months (reg. 1997-05-29).

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Keywords {🔍}

risk, physicians, chd, scenarios, patients, estimates, pubmed, article, treatment, events, study, therapy, coronary, disease, accurate, heart, year, patient, google, scholar, cas, relative, estimate, providers, research, primary, health, cardiovascular, lipidlowering, ability, absolute, general, estimation, data, information, pignone, care, factors, overestimation, central, previous, prediction, prevention, actual, medicine, baseline, inaccurate, reduction, results, subjects,

Topics {✒️}

open access license coronary heart disease health services research evidence based management pre-publication history receive lipid-lowering drugs hmg-coa reductase inhibitor pharmacological lipid-lowering therapy involved lipid-lowering therapy lipid-lowering agents primary health care article download pdf general internal medicine alicia fernandez acted privacy choices/manage cookies internal medicine residents preventive medicine residents full access article pignone public health service risk prediction ability primary care providers ldl cholesterol levels central england additional risk factors high cholesterol levels cost-effectiveness analyses suggest preventive care guidelines studied risk prediction affect risk prediction lipid-lowering agent risk factor categories lipid-lowering drugs lipid lowering drugs chd risk factors 'copyright information' section chd risk prediction 4-point likert scale linear regression mayo-smith mf d'agostino rb dresselhaus tr peabody jw introducing cognitive psychology previous studies examining relative risk reduction providers misestimate risk risk-reducing therapies primary prevention trials lipid-lowering therapy

Questions {❓}

Chatellier G, Blinowska A, Menard J, Degoulet P: Do physicians estimate reliably the cardiovascular risk of hypertensive patients?
Grover SA, Lowensteyn I, Esrey KL, Steinert Y, Joseph L, Abrahamowicz M: Do doctors accurately assess coronary risk in their patients?
Jackson PR, Wallis EJ, Haq IU, Ramsay LE: Statins for primary prevention: at what coronary risk is safety assured?

Schema {🗺️}

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         headline:Physicians' ability to predict the risk of coronary heart disease
         description:Coronary heart disease (CHD) is the leading cause of death in the United States. Previous research examining physicians ability to estimate cardiovascular risk has shown that physicians' generally overestimate the absolute risk of CHD events. This question has, however, only studied risk prediction for a limited number of patient care scenarios. The aim of this study is to measure the ability of physicians to estimate the risk of CHD events in patients with no previous history of coronary heart disease. Twelve primary prevention scenarios with a 5-year risk of CHD events were developed. This questionnaire was surveyed at 3 university teaching hospitals where the participants were a convenience sample of internal medicine residents and fellows or attending physicians in general internal medicine or cardiology. For each scenario, physicians were asked to estimate the baseline 5-year risk of a coronary heart disease event and the revised risk if the patient were to receive lipid-lowering drug therapy. Estimates of the baseline 5-year risk were compared with values calculated from Framingham risk equations. Inaccurate responses were defined as those with a ratio of estimated to actual risk of more than 1.5 or less than 0.67. Physicians' estimates of the relative risk reduction with therapy were considered to be accurate if they were between 25% and 40%. 79 physicians (53 residents, 8 fellows, 18 attending physicians) completed the survey. Only 24% of physicians' risk estimates were accurate. In most cases, physicians overestimated the absolute risk of cardiovascular events without therapy (proportion overestimating ranged from 32–92% for the 12 individual scenarios). Physicians made larger errors in patient scenarios involving patients with high total or LDL cholesterol levels. Physicians' estimates of the relative risk reduction from treatment were more accurate: 43% of estimates were between 25 and 40%. Over 85% of physicians recommended treatment in 10 of 12 scenarios. Physicians overestimate the absolute risk of CHD events and the potential absolute benefit of drug therapy.
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ScholarlyArticle:
      headline:Physicians' ability to predict the risk of coronary heart disease
      description:Coronary heart disease (CHD) is the leading cause of death in the United States. Previous research examining physicians ability to estimate cardiovascular risk has shown that physicians' generally overestimate the absolute risk of CHD events. This question has, however, only studied risk prediction for a limited number of patient care scenarios. The aim of this study is to measure the ability of physicians to estimate the risk of CHD events in patients with no previous history of coronary heart disease. Twelve primary prevention scenarios with a 5-year risk of CHD events were developed. This questionnaire was surveyed at 3 university teaching hospitals where the participants were a convenience sample of internal medicine residents and fellows or attending physicians in general internal medicine or cardiology. For each scenario, physicians were asked to estimate the baseline 5-year risk of a coronary heart disease event and the revised risk if the patient were to receive lipid-lowering drug therapy. Estimates of the baseline 5-year risk were compared with values calculated from Framingham risk equations. Inaccurate responses were defined as those with a ratio of estimated to actual risk of more than 1.5 or less than 0.67. Physicians' estimates of the relative risk reduction with therapy were considered to be accurate if they were between 25% and 40%. 79 physicians (53 residents, 8 fellows, 18 attending physicians) completed the survey. Only 24% of physicians' risk estimates were accurate. In most cases, physicians overestimated the absolute risk of cardiovascular events without therapy (proportion overestimating ranged from 32–92% for the 12 individual scenarios). Physicians made larger errors in patient scenarios involving patients with high total or LDL cholesterol levels. Physicians' estimates of the relative risk reduction from treatment were more accurate: 43% of estimates were between 25 and 40%. Over 85% of physicians recommended treatment in 10 of 12 scenarios. Physicians overestimate the absolute risk of CHD events and the potential absolute benefit of drug therapy.
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      dateModified:2003-07-11T00:00:00Z
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         coronary heart disease
         risk prediction
         cholesterol
         anticholesteremic agents
         Public Health
         Health Administration
         Health Informatics
         Nursing Research
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      name:Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, USA

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