Realising the potential of the family history in risk assessment and primary prevention of coronary heart disease in primary care: ADDFAM study protocol |
| |
| Authors: | Nadeem Qureshi Sarah Armstrong Paula Saukko Tracey Sach Jo Middlemass Phil H Evans Joe Kai Hannah Farrimond Steve E Humphries |
| |
| Affiliation: | (1) Division of Primary Care, University of Nottingham, Nottingham, UK;(2) Trent Research and Development Support Unit, University of Nottingham, Nottingham, UK;(3) Department of Social Sciences, Loughborough University, Loughborough, UK;(4) School of Chemical Sciences and Pharmacy, University of East Anglia, Norwich, UK;(5) Research and Development Department, Nottinghamshire County Teaching Primary Care Trust, Nottingham, UK;(6) Peninsula Medical School, Universities of Exeter and Plymouth, UK;(7) EGENIS (ESRC Centre for Genomics in Society), University of Exeter, Exeter, UK;(8) Centre for Cardiovascular Genetics, British Heart Foundation Laboratories, Royal Free and University College London Medical School, London, UK |
| |
| Abstract: | Background Coronary heart disease (CHD) is the leading cause of death in the developed world, and its prevention a core activity in current UK general practice. Currently, family history is not systematically integrated into cardiovascular risk assessment in the UK, Europe or the US. Further, primary health care professionals' lack the confidence to interpret family history information and there is a low level of recording of family history information in General Practice (GP) records. Primary prevention of CHD through lifestyle advice has sometimes yielded modest results although, for example, behavioural interventions targeted at "at risk" patients have produced encouraging findings. A family history approach, targeted at those requesting CHD assessment, could motivate lifestyle change. The project will assess the clinical value of incorporating systematic family history information into CHD risk assessment in primary care, from the perspective of the users of this service, the health care practitioners providing this service, and the National Health Service. |
| |
| Keywords: | |
| 本文献已被 SpringerLink 等数据库收录！ |
|
