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General practitioners maintain a focus on blood pressure management rather than absolute cardiovascular disease risk management

Chapman, N ORCID: 0000-0001-6317-5594, McWhirter, R ORCID: 0000-0002-9409-8074, Jose, KA ORCID: 0000-0002-9346-6429, Schultz, MG ORCID: 0000-0003-3458-1811, Ezzy, D ORCID: 0000-0002-5078-2288, Nelson, MR ORCID: 0000-0001-9941-7161 and Sharman, JE ORCID: 0000-0003-2792-0811 2021 , 'General practitioners maintain a focus on blood pressure management rather than absolute cardiovascular disease risk management' , Journal of Evaluation in Clinical Practice , pp. 1-8 , doi: 10.1111/jep.13569.

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Abstract

Background: Absolute cardiovascular disease (aCVD) risk assessment is recommended in CVD prevention guidelines. Yet, General Practitioners (GPs) oftenfocus on single risk factors, including blood pressure (BP). Pathology services may besuitable to undertake high-quality automated unobserved BP (AOBP) measurementand aCVD risk assessment. This study explored GP attitudes towards AOBP measurement via pathology services and the role of BP in aCVD risk management.Methods: A brief survey was completed, after which a focus group (n = 8 GPs) and interviews (n = 10 GPs) explored attitudes to AOBP and aCVD risk via pathology services withan example pathology report discussed. Verbatim transcripts were thematically coded.Results: GPs predominantly used doctor-measured BP despite low levels of confidence. High BP measured by AOBP reported with aCVD risk via pathology services,would prompt a follow-up response. However, GPs focused on BP management. GPswere concerned about AOBP equivalency to routine BP measurements. After protocol explanation, GPs reported AOBP could value-add to care delivery.Conclusion: GPs lacked familiarity of AOBP and maintained a focus on BP managementin the context of absolute CVD risk. Targeted education on AOBP and BP managementas part of absolute CVD risk is needed to support guideline-directed care in practice.

Item Type: Article
Authors/Creators:Chapman, N and McWhirter, R and Jose, KA and Schultz, MG and Ezzy, D and Nelson, MR and Sharman, JE
Keywords: blood pressure, hypertension, public health
Journal or Publication Title: Journal of Evaluation in Clinical Practice
Publisher: Blackwell Publishing Ltd
ISSN: 1356-1294
DOI / ID Number: 10.1111/jep.13569
Copyright Information:

© 2021 John Wiley & Sons

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