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أعرض في EDS

Adherence to the European Society of Cardiology (ESC) guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan

التفاصيل البيبلوغرافية
العنوان: Adherence to the European Society of Cardiology (ESC) guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan
المؤلفون: Shoukat Sana, Gowani Saqib A, Taqui Ather M, Ul Hassan Rameez, Bhutta Zain A, Malik Anum I, Sherjeel Sajjad A, Sheheryar Quratulanne, Dhakam Sajid H
المصدر: BMC Cardiovascular Disorders, Vol 11, Iss 1, p 68 (2011)
بيانات النشر: BMC
سنة النشر: 2011
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: Heart failure, cardiologist, guidelines, awareness, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Background The aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology (ESC) guidelines for Heart Failure (HF) of the cardiologists in Pakistan and assess barriers to adherence to guidelines. Methods A cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan (Karachi, Lahore, Quetta and Peshawar). A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines (See Additional File 1 ). Respondents' management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines. Additional file 1 Questionnaire . Description: Questionnaire that was administered to participants. Click here for file Results A total of 372 cardiologists were approached; 305 consented to participate (overall response rate, 82.0%). The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% (Scenario 1), 0% (Scenario 2) and 20% (Scenario 3). Respondents considered patient compliance (59%) and cost/health economics (50%) as major barriers to guideline implementation. Conclusion We found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1471-2261
العلاقة: http://www.biomedcentral.com/1471-2261/11/68Test; https://doaj.org/toc/1471-2261Test; https://doaj.org/article/153df849aa9149dd8a7e34acd7d9c4a4Test
DOI: 10.1186/1471-2261-11-68
الإتاحة: https://doi.org/10.1186/1471-2261-11-68Test
https://doaj.org/article/153df849aa9149dd8a7e34acd7d9c4a4Test
رقم الانضمام: edsbas.481F25B2
قاعدة البيانات: BASE
الوصف
تدمد:14712261
DOI:10.1186/1471-2261-11-68