Control of heart disease risk factors varies among outpatient practices

Control of heart disease risk factors varies widely among outpatient practices, according to a study presented at the American Heart Association's Quality of Care and Outcomes Research Scientific Sessions 2013.

Researchers compared electronic health records of 115,737 patients in 18 primary care and cardiology practices participating in The Guideline Advantage™, a collaboration of the , and that aims to reduce risks for chronic diseases. They found:

  • The percentage of people whose hypertension was under control (less than 140/90 mm Hg) ranged from 58.7 percent to 75.1 percent.
  • The percentage of diabetic patients with cholesterol under control ("bad" cholesterol under 100 mg/dL) ranged from 53.8 percent to 100 percent.
  • The percentage of patients screened for smoking, and receiving a tobacco cessation intervention, ranged from 53.8 percent to 86.1 percent.

"Previously, we've focused on improving the quality of inpatient hospital care and haven't explored enough how to improve outpatient care," said Zubin Eapen, M.D., the study's lead author and an assistant professor of medicine at Duke University in Durham, N.C. "This baseline snapshot lets us see just how much progress could be made in preventing or managing diseases."

"It's eye-opening for practices to see how much better or worse they're doing than their peers on nationally derived measures of quality. They can learn to improve in collaboration with others instead of alone," he said.

add to favorites email to friend print save as pdf

Related Stories

Cardio risks need evaluation before prescribing statins

Mar 15, 2013

(HealthDay)—Physicians may not adequately consider a patient's cardiovascular risk when prescribing statins as preventive therapy, according to a research letter published online March 11 in JAMA Internal Me ...

Recommended for you

Study reveals state of crisis in Canadian foster care system

20 hours ago

A new study of foster care in Canada led by a researcher at Western University reveals a shrinking number of foster care providers are available across the country to care for a growing number of children with increasingly ...

Researchers prove the benefits of persimmons for diet

22 hours ago

Alba Mir and Ana Domingo, researchers from the Department of Analytical Chemistry of the University of Valencia, under the supervision of professors Miguel de la Guardia and Maria Luisa Cervera, from the same department, ...

Hand blenders used for cooking can emit persistent chemicals

22 hours ago

Eight out of twelve tested models of hand blenders are leaking chlorinated paraffins when used according to the suppliers' instructions. This is revealed in a report from Stockholm University where researchers analyzed a ...

User comments