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Identifying individuals for primary cardiovascular disease prevention in UK general practice : priorities and resource implications
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Holt, Tim A., Thorogood, Margaret, Griffiths, Frances, Munday, Stephen and Stables, David (2008) Identifying individuals for primary cardiovascular disease prevention in UK general practice : priorities and resource implications. British Journal of General Practice, Vol.58 (No.552). pp. 495-498. doi:10.3399/bjgp08X319468 ISSN 09601643.
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Official URL: http://dx.doi.org/10.3399/bjgp08X319468
Abstract
Targeted cardiovascular disease prevention relies on risk-factor information held in primary care records. A risk algorithm, the `e-Nudge', was applied to data from a population of ≥50-year-olds in 19 West Midlands practices, to identify those individuals at risk of cardiovascular disease. Altogether, 5.9% were identified aged 50-74 years at ≥20% 10-year risk based on existing data, and a further 26.4% were potentially at risk but had missing risk-factor information; 9.2% of patients aged over 50 years with established cardiovascular disease had at least one modifiable risk factor outside the audit target of the Quality and Outcomes Framework. Implications for resource allocation are discussed.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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| Library of Congress Subject Headings (LCSH): | Medical informatics -- Great Britain, Medical protocols -- Great Britain, Cardiovascular system -- Diseases, Medical records, Health risk assessment -- Great Britain, Medicine, Preventive -- Great Britain, Primary care (Medicine) -- Great Britain | ||||
| Journal or Publication Title: | British Journal of General Practice | ||||
| Publisher: | Royal College of General Practitioners | ||||
| ISSN: | 09601643 | ||||
| Official Date: | July 2008 | ||||
| Dates: |
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| Volume: | Vol.58 | ||||
| Number: | No.552 | ||||
| Number of Pages: | 4 | ||||
| Page Range: | pp. 495-498 | ||||
| DOI: | 10.3399/bjgp08X319468 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Great Britain. Dept of Health (DoH) |
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