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Family Medicine, EBM, diabetes, hypertension, guidelines, pharmacology

Otávio Berwanger, Luiz Alberto Piva e Mattos, José Fernando Vilela Martin, Renato Delascio Lopes, Estevão Lanna Figueiredo, Daniel Magnoni, Dalton Bertolim Precoma, Carlos Alberto Machado, Jorge Ilha Guimarães, Jadelson Pinheiro de Andrade
BACKGROUND: Data on outpatient care provided to patients at high cardiovascular risk in Brazil are insufficient. OBJECTIVE: To describe the profile and document the clinical practice of outpatient care in patients at high cardiovascular risk in Brazil, regarding the prescription of evidence-based therapies. METHODS: Prospective registry that documented the ambulatory clinical practice in individuals at high cardiovascular risk, which was defined as the presence of the following factors: coronary artery disease, cerebrovascular and peripheral vascular diseases, diabetes, or those with at least three of the following factors: hypertension, smoking, dyslipidemia, age > 70 years, family history of coronary artery disease, chronic kidney disease or asymptomatic carotid artery disease...
March 2013: Arquivos Brasileiros de Cardiologia
Daniel G Hackam, Nadia A Khan, Brenda R Hemmelgarn, Simon W Rabkin, Rhian M Touyz, Norman R C Campbell, Raj Padwal, Tavis S Campbell, M Patrice Lindsay, Michael D Hill, Robert R Quinn, Jeff L Mahon, Robert J Herman, Ernesto L Schiffrin, Marcel Ruzicka, Pierre Larochelle, Ross D Feldman, Marcel Lebel, Luc Poirier, J Malcolm O Arnold, Gordon W Moe, Jonathan G Howlett, Luc Trudeau, Simon L Bacon, Robert J Petrella, Alain Milot, James A Stone, Denis Drouin, Jean-Martin Boulanger, Mukul Sharma, Pavel Hamet, George Fodor, George K Dresser, S George Carruthers, George Pylypchuk, Ellen D Burgess, Kevin D Burns, Michel Vallée, G V Ramesh Prasad, Richard E Gilbert, Lawrence A Leiter, Charlotte Jones, Richard I Ogilvie, Vincent Woo, Philip A McFarlane, Robert A Hegele, Sheldon W Tobe
OBJECTIVE: To update the evidence-based recommendations for the prevention and treatment of hypertension in adults for 2010. OPTIONS AND OUTCOMES: For lifestyle and pharmacological interventions, randomized trials and systematic reviews of trials were preferentially reviewed. Changes in cardiovascular morbidity and mortality were the primary outcomes of interest. However, for lifestyle interventions, blood pressure lowering was accepted as a primary outcome given the general lack of long-term morbidity and mortality data in this field...
May 2010: Canadian Journal of Cardiology
Carla Perria
BACKGROUND: Despite broad agreement on the necessity to improve quality of diabetic care through implementation of clinical guidelines, in Italy many people with diabetes still lack adequate care in general practice. In addition there is little evidence to support the choice of implementation strategies, especially in the Lazio region (central Italy), where comparative studies among general practitioners (GPs) are uncommon. The primary objective of the study is to assess the effectiveness of different strategies for the implementation of an evidence-based guideline for the management of non-complicated type 2 diabetes mellitus (DM) among GPs of the Lazio region...
June 14, 2004: BMC Health Services Research
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