The aim of R&P, an epidemiologic study run in the setting of general practice, was to describe and stratify by level of risk and complexity a cohort of patients with cardiovascular risk factors, as established by the literature but also as perceived by the GPs themselves. This in view of further programs of prospective surveillance, of outcome research studies, and of possible clinical controlled studies. 166 physicians enrolled 3120 subjects over 6 months, a quarter of which had already sustained a cardiovascular event. 39% of the sample had two risk factors, 25% had three, and 16% had four or more. Hypertension and hyperlipidemia were the more frequent risk factors, followed by diabetes and smoking. Beyond these "classic" risk factors, GPs signaled also their personal evaluation of each patient's level of risk (low/ moderate, high, very high) taking into consideration a variety of elements like age, psychosocial factors (anxiety, depression, stress), concomitant health problems. Confronting these evaluations with the ranking of the Italian Card of Coronary risk gives interesting hints for future research. The control of identified risk factors is far from satisfactory, optimal levels being reached in less than one third of patients with hypertension, hyperlipidemia or diabetes. Moreover there seems to be no relationship between the level of perceived cardiovascular risk and the attainement of adequate control of risk factors. The reasons for this apparent discrepancy open an intriguing and important field of research for Italian general practice.
|Translated title of the contribution||Risk & prevention. A study on the perception and control of cardiovascular risk in general practice|
|Number of pages||17|
|Journal||Ricerca e Pratica|
|Publication status||Published - 2001|
ASJC Scopus subject areas