GPs' familiarity with and use of cardiovascular clinical prediction rules: a UK survey study

Ban, J-W; Perera, R; Stevens, R

Journal article

GPs' familiarity with and use of cardiovascular clinical prediction rules: a UK survey study

Abstract:: Background
Clinical prediction rules (CPRs) can help general practitioners (GPs) address challenges in cardiovascular disease. A survey published in 2014 evaluated GPs’ awareness and use of CPRs in the UK. However, many new CPRs have been published since and it is unknown which cardiovascular CPRs are currently recognised and used.
Aim
To identify cardiovascular CPRs recognised and used by GPs, and to assess how GPs’ familiarity and use have changed over time.
Design & setting
An online survey of GPs in the UK was undertaken.
Method
Using comparable methods to the 2014 survey, GPs were recruited from a network of doctors in the UK. They were asked how familiar they were with cardiovascular CPRs, how frequently they used them, and why they used them. The results were compared with the 2014 survey.
Results
Most of 401 GPs were familiar with QRISK scores, ABCD scores, CHADS scores, HAS-BLED score, Wells scores for deep vein thrombosis, and Wells scores for pulmonary embolism. The proportions of GPs using these CPRs were 96.3%, 65.1%, 97.3%, 93.0%, 92.5%, and 82.0%, respectively. GPs’ use increased by 31.2% for QRISK scores, by 13.5% for ABCD scores, by 54.6% for CHADS scores, by 33.2% for Wells scores for deep vein thrombosis, and by 43.6% for Wells scores for pulmonary embolism; and decreased by 45.9% for the Joint British Societies (JBS) risk calculator, by 38.7% for Framingham risk scores, and by 8.7% for New Zealand tables. GPs most commonly used cardiovascular CPRs to guide therapy and referral.
Conclusion
The study found GPs’ familiarity and use of cardiovascular CPRs changed substantially. Integrating CPRs into guidelines and practice software might increase familiarity and use.

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Ban, J.-W., Perera, R., & Stevens, R. (2020). GPs' familiarity with and use of cardiovascular clinical prediction rules: a UK survey study. British Journal of General Practice Open, 4(5), 1–14.

MLA Style

Ban, J.-W., et al. “GPs' Familiarity with and Use of Cardiovascular Clinical Prediction Rules: a UK Survey Study.” British Journal of General Practice Open, vol. 4, no. 5, Royal College of General Practitioners, 2020, pp. 1–14.

Chicago Style

Ban, J-W, R Perera, and R Stevens. 2020. “GPs' Familiarity with and Use of Cardiovascular Clinical Prediction Rules: a UK Survey Study.” British Journal of General Practice Open 4 (5): 1–14.
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