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April 7, 2011BMC Health Services ResearchOpen Access

Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care

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Key result

The EPA-Cardio standardized measures for cardiovascular risk management were feasible and accepted by general practices across six European countries, enabling international comparisons of primary care quality.

Population

12 European general practices and their patients (n=268 with established CHD, n=127 at high risk for CVD)

Design

Other

Authors

SLSabine LudtHeidelberg UniversitySCStephen CampbellWestern Michigan UniversityJLJan van LieshoutRadboud University Nijmegen

Discussion

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Implication

May support international benchmarking of primary care CV risk management; leaves open outcome validation before routine adoption.

Study Design

Type

Observational (n=395)

Multicenter

Yes

Structured PICO

P
Population
395 patients with established coronary heart disease or at high risk for cardiovascular disease from 12 general practices across 6 European countries participated in a pilot study to test standardized cardiovascular risk management measures.
E
Exposure
Implementation of the EPA-Cardio standardized measure of cardiovascular risk management (data abstraction forms, patient questionnaires, GP interview, practice questionnaire)
O
Outcome
Feasibility and acceptability of the EPA-Cardio measures

An internationally standardized measure of cardiovascular risk management (EPA-Cardio) was successfully developed and piloted for feasibility in European primary care practices.

Limitations

  • Small convenience sample of 2 practices in 6 of the 9 participating countries limits generalizability.
  • Different methods used to select patient groups across countries may lead to different populations and restrict comparability.
  • Differences in national legislation, data protection acts, and practice resources prevented perfect standardization of data collection methods.
  • Reliance on paper-based abstraction tools rather than electronic data abstraction increased workload.
  • Small convenience sample of 2 practices in 6 countries
  • Different methods used to select patient groups may lead to different populations with limited generalisability
  • Restricted comparability due to different data-collection procedures

Cite This Study

Ludt et al. (2011) conducted an observational in Cardiovascular disease and high cardiovascular risk (n=395). EPA-Cardio instrument was evaluated on Feasibility and acceptability of the EPA-Cardio measures. The EPA-Cardio standardized measures for cardiovascular risk management were feasible and accepted by general practices across six European countries, enabling international comparisons of primary care quality.

synapsesocial.com/papers/6a230f70bfbb7e141bcb2196https://doi.org/10.1186/1472-6963-11-70

Topics

Cardiovascular prevention
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