P632Relationship of outpatient provider volume and lipid screening performance measure adherence among patients at risk of cardiovascular disease
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Le résumé fourni par la source
Background: In-hospital myocardial infarction and heart failure patient volumes are associated with improved cardiovascular (CV) outcomes. Whether outpatient primary care physician (PCP) volumes are predictive of CV preventive care is unknown. Methods: In the multicenter, big data CANHEART observational study of the population of Ontario, Canada, patients 40–74 years without CV disease were evaluated for lipid screening between 2008 and 2012 with de-identified data using linked administrative healthcare databases according to their PCP's outpatient clinical volume of concordant patients. Patient volume was defined as the mean annual number of clinic visits made to the usual care PCP. Modified Poisson regression models were used to derive the relative risk (RR) of lipid screening according to patient volumes (measured continuously and according to quintiles) with adjustment for individual clinical and sociodemographic risk factors and physician characteristics. Results: There were 4,753,994 patients seen by 10,307 usual care PCPs during the study period. Overall, 83.8% of patients underwent lipid screening at least once over the 5-year period as recommended by regional guidelines. After multivariable adjustment, there was a stepwise increase in the RR across each quintile of patient volume (Figure), with a 3.3% (95% CI, 3.2–3.5) higher lipid-screening rate for every doubling of patient volumes (P<0.001).
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- P632Relationship of outpatient provider volume and lipid screening performance measure adherence among patients at risk of cardiovascular disease
- Date Crossref
- 01/08/2017
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Toronto Institute for Clinical Evaluative Sciences pays non établi dans la noticeUniversité ou école supérieure
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Women's College Hospital Institute for Clinical Evaluative Sciences pays non établi dans la noticeÉtablissement de santé
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Institute for Clinical Evaluative Sciences pays non établi dans la noticeOrganisation à but non lucratif
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Sunnybrook Health Science Centre pays non établi dans la noticeÉtablissement de santé
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Health Sciences Centre pays non établi dans la noticeÉtablissement de santé
Institute for Clinical Evaluative Sciences — University of Toronto, Institute for Clinical Evaluative Sciences — Women's College Hospital et Institute for Clinical Evaluative Sciences, avec 2 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.