Quick Search:

uzh logo
Browse by:
bullet
bullet
bullet
bullet

Zurich Open Repository and Archive 

Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-56056

Keller, Heidemarie; Krones, Tanja; Becker, Annette; Hirsch, Oliver; Sönnichsen, Andreas C; Popert, Uwe; Kaufmann-Kolle, Petra; Rochon, Justine; Wegscheider, Karl; Baum, Erika; Donner-Banzhoff, Norbert (2012). Arriba: effects of an educational intervention on prescribing behaviour in prevention of CVD in general practice. European Journal of Cardiovascular Prevention & Rehabilitation, 19(3):322-329.

[img]Published Version
PDF - Registered users only
209Kb

Abstract

Background: Evidence on the effectiveness of educational interventions on prescribing behaviour modification in prevention of cardiovascular disease is still insufficient. We evaluated the effects of a brief educational intervention on prescription of hydroxymethylglutaryl-CoA reductase inhibitors (statins), inhibitors of platelet aggregation (IPA), and antihypertensive agents (AH). Design: Cluster randomised controlled trial with continuous medical education (CME) groups of general practitioners (GPs). Methods: Prescription of statins, IPA, and AH were verified prior to study start (BL), immediately after index consultation (IC), and at follow-up after 6 months (FU). Prescription in patients at high risk (>15% risk of a cardiovascular event in 10 years, based on the Framingham equation) and no prescription in low-risk patients (≤ 15%) were considered appropriate. Results: An intervention effect on prescribing could only be found for IPA. Generally, changes in prescription over time were all directed towards higher prescription rates and persisted to FU, independent of risk status and group allocation. Conclusions: The active implementation of a brief evidence-based educational intervention on global risk in CVD did not lead directly to risk-adjusted changes in prescription. Investigations on an extended time scale would capture whether decision support of this kind would improve prescribing risk-adjusted sustainably.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics
DDC:610 Medicine & health
Language:English
Date:2012
Deposited On:07 Jun 2012 09:36
Last Modified:17 Dec 2013 10:18
Publisher:Sage Publications
ISSN:1741-8267
Publisher DOI:10.1177/1741826711404502
PubMed ID:21450565
Citations:Web of Science®. Times Cited: 2
Google Scholar™

Users (please log in): suggest update or correction for this item

Repository Staff Only: item control page