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- W2000792882 abstract "Objective . The aim of this study was to assess the advice about lifestyle changes that general practitioners (GPs) gave hypertensive patients with different levels of cardiovascular risk. Design and Methods . A stratified sample of primary health care physicians in Poland completed a questionnaire consisting of 8 case vignettes that differed with regard to 3 major variables: 1) the level of blood pressure (high-normal blood pressure or grade 2 hypertension), 2) the presence of selected risk factors such as smoking and obesity, and 3) diabetes mellitus. The case vignettes were followed by a series of open questions. Results . The response rate was 65% (125/192 selected physicians responded). The mean age was 45.2 ± 8.1 years, and the average length of professional experience in primary care was 14.7 ± 9.3 years. For 1000 potential clinical decisions considered, all expected pieces of advice were given in 18.3% of situations, whereas in 11.5%, no advice concerning nonpharmacological treatment was provided. In 70.2% of situations, Polish primary health physicians gave incomplete advice. The average percentage of expected advice in all cases was 57.2% ± 30.8%. The presence of hypertension along with other risk factors of cardiovascular disease was associated with better quality advice (P < 0.001), but the coexistence of diabetes mellitus had opposite consequences (P< 0.001). Conclusions . Despite the existence of well-known guidelines for the treatment of hypertension in Poland, GPs rarely give complete lifestyle advice, particularly for patients with cardiovascular risk due to high-normal blood pressure and diabetes." @default.
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- W2000792882 date "2008-10-03" @default.
- W2000792882 modified "2023-09-26" @default.
- W2000792882 title "Competence of General Practitioners in Giving Advice about Changes in Lifestyle to Hypertensive Patients" @default.
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- W2000792882 doi "https://doi.org/10.1177/0272989x08324956" @default.
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