Physician opinions on the implementation of the SIGN guideline for heart failure

被引:7
|
作者
McKee, SP
Leslie, SJ
LeMaitre, JP
Webb, DJ
Denvir, MA
机构
[1] Univ Edinburgh, Western Gen Hosp, Dept Cardiol, Edinburgh EH4 2XU, Midlothian, Scotland
[2] Univ Edinburgh, Western Gen Hosp, Clin Pharmacol Unit, Dept Med Sci, Edinburgh EH8 9YL, Midlothian, Scotland
关键词
SIGN guideline; left ventricular systolic dysfunction; heart failure;
D O I
10.1177/003693300404900103
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Aims: To assess physician opinion of, and attitudes to, the Scottish Intercollegiate Guideline Network (SIGN) guideline for chronic heart failure (CHF) due to left ventricular systolic dysfunction. Methods and Results: A questionnaire examining physicians' attitudes and their use of the SIGN guideline for CHF was distributed to 158 physicians in two teaching hospitals within one NHS trust, 65% of recipients responded. More cardiologists had read the guideline compared to non-cardiologists (91 vs 56%, p < 0.05). The majority of cardiologists and non-cardiologists agreed that it was applicable to their patients (92 vs 79%, P > 0.1) and that implementation may reduce hospital admissions (65 vs 59%, p > 0.5). In general, compliance was thought to be a problem in only a minority of patients in both groups for angiotensin converting enzyme inhibitors (8 vs 19%), diuretics (12 vs 29%) and digoxin (17 vs 19%, all p > 0.1). Beta-blocker compliance was identified as a problem by both groups (50 vs 53 %, P > 0.5) while fewer cardiologists reported compliance as a problem with spironolactone (4 vs 25%, p < 0.05). More cardiologists felt that there was a need for a community based CHF nurse specialist (100 vs 57%, p < 0.001), and that this strategy would reduce hospital admissions (92 vs 57%, P < 0.01) Conclusions: Differences exist between cardiologist and non-cardiologist physicians awareness of the SIGN guideline for CHF. Furthermore, we have shown differences in reported implementation of the guideline and perceived difficulties with specific drug therapies. This is in spite of high levels of agreement in both groups with the treatment suggested by the guideline and the anticipated benefits resulting from its implementation.
引用
收藏
页码:10 / 13
页数:4
相关论文
共 50 条
  • [1] EFFECTIVENESS OF IMPLEMENTATION INTERVENTIONS IN IMPROVING PHYSICIAN ADHERENCE TO GUIDELINE RECOMMENDATIONS IN HEART FAILURE: A SYSTEMATIC REVIEW
    Shanbhag, D.
    Graham, I. D.
    Harlos, K.
    Haynes, R. B.
    Gabizon, I.
    Connolly, S.
    Van Spall, H. G. C.
    [J]. CARDIOLOGY, 2017, 137 : 288 - 288
  • [2] Effectiveness of implementation interventions in improving physician adherence to guideline recommendations in heart failure: a systematic review
    Shanbhag, Deeptj
    Graham, Ian D.
    Harlos, Karen
    Haynes, R. Brian
    Gabizon, Itzhak
    Connolly, Stuart J.
    Van Spall, Harriette Gillian Christine
    [J]. BMJ OPEN, 2018, 8 (03):
  • [3] Guideline assessment and implementation in congestive heart failure
    Dassen, WRM
    Gorgels, APM
    Berendsen, A
    Dijk, WA
    de Clercq, PA
    Hasman, A
    Baljon, MH
    [J]. COMPUTERS IN CARDIOLOGY 2003, VOL 30, 2003, 30 : 331 - 334
  • [4] Effectiveness of implementation strategies in improving physician adherence to guideline recommendations in heart failure: a systematic review protocol
    Van Spall, Harriette G. C.
    Shanbhag, Deepti
    Gabizon, Itzhak
    Ibrahim, Quazi
    Graham, Ian D.
    Harlos, Karen
    Haynes, R. Brian
    Connolly, Stuart J.
    [J]. BMJ OPEN, 2016, 6 (03):
  • [5] Implementation of guideline-directed medical therapy for heart failure
    Laufs, Ulrich
    Wachter, Rolf
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2024, 26 (08) : 1715 - 1716
  • [6] Evaluation of the implementation of guideline recommendations in an outpatient heart failure clinic
    Strobel, Joachim
    Dreischulte, Tobias
    Mohn, Carina
    Jaehde, Ulrich
    Hudson, Stephen
    [J]. PHARMACY WORLD & SCIENCE, 2009, 31 (02): : 315 - 315
  • [7] Evaluation of physician preferences for guideline implementation
    Stone, TT
    Kivlahan, CH
    Cox, KR
    [J]. AMERICAN JOURNAL OF MEDICAL QUALITY, 1999, 14 (04) : 170 - 177
  • [8] Determinants Of Guideline Directed Medical Therapy Implementation During Heart Failure Hospitalization
    Margolin, Emily A.
    Huynh, Trina
    Brann, Alison
    Greenberg, Barry
    [J]. JOURNAL OF CARDIAC FAILURE, 2024, 30 (01) : 276 - 276
  • [9] Implementation of the 2022 ACC/AHA/HFSA Heart Failure Guideline: A Call to Action
    Drazner, Mark H.
    [J]. JOURNAL OF CARDIAC FAILURE, 2022, 28 (05) : 878 - 880
  • [10] Heart failure clinical guideline
    King, EQ
    Presbury, D
    Chetty, M
    Dalby, AJ
    Pinkney-Atkinson, V
    Bobak, L
    Dean, M
    Horsfall, CG
    Ker, J
    Klug, E
    Mabin, T
    Machiri, T
    Marx, D
    Mitha, A
    Mntla, PS
    Mokhobo, KP
    Nienkemper, J
    Opie, L
    Sareli, P
    Steingo, L
    Vythilingum, S
    Manga, P
    Matsoso, P
    de Souza, R
    Cole, PR
    Marx, JSS
    Murray, E
    Desai, D
    du Buisson, J
    Perkin, M
    MacLachlan, L
    Renondin, JC
    [J]. SOUTH AFRICAN MEDICAL JOURNAL, 1998, 88 (09): : 1135 - 1155