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Table 4 Adherence to guidelines across 84 primary car practices*

From: Quality of cardiovascular disease care in Ontario, Canada: missed opportunities for prevention - a cross sectional study

Process of care manoeuvre

Percentage of patients receiving care [95% CI]

All (n = 4931)

 

 2 Blood pressure measures

74.8% [71.3-78.3%]

 Lipid profile

77.7% [74.9-80.4%]

 Waist circumference measure

9.9% [6.7-13.0%]

 Dietician/weight loss program referral

18.2% [14.3-22.2%]

 Smoking status recorded

95.4% [93.9-97.0%]

Coronary Artery Disease (n = 1510)

 

 Fasting blood glucose

80.0% [77.2-82.8%]

 Medication (ACE, Angiotensin receptor blocker, beta blocker)

88.5% [86.5-90.4%]

 ASA

76.0% [73.2-78.9%]

Peripheral Vascular Disease (n = 318)

 

 Fasting blood glucose

78.9% [74.6-83.2%]

 ACE inhibitor and/or Angiotensin receptor blocker

66.9% [61.4-72.5%]

 Lipid lowering medication

83.3% [77.8-88.8%]

 ASA

75.8% [70.3-81.2%]

Stroke (n = 636)

 

 Fasting blood glucose

76.9% [72.8-81.0%]

 ASA

78.9% [74.7-83.2%]

If stroke within past year (n = 71)

 

 Echo cardiogram

47.9% [38.6-65.6%]

 Carotid doppler

59.6% [43.7-74.7%]

 CT head scan

66.2% [52.6-79.8%]

 EKG

52.1% [38.6-65.6%]

Diabetes (n = 2308)

 

 Two hemoglobin A1c tests

54.9% [50.1-59.6%]

 Glycemic control medication

80.5% [78.0-83.0%]

 ACR

55.8% [50.6-61.0%]

 eGFR

83.8% [80.8-86.8%]

Chronic Kidney Disease (n = 916)

 

 ACR

51.6% [46.3-57.0%]

Dyslipidemia (n = 4111)

 

 Lipid profile

82.8% [80.9-84.7%]

 Lipid lowering medication

91.5% [90.1-92.8%]

Hypertension (n = 3793)

 

 Two blood pressure readings

79.4% [76.0-82.8%]

 Anti-Hypertensive medication

94.2% [93.1-95.3%]

Smoking (n = 1049)

 

 Smoking cessation counselling

52.8% [46.9-58.8%]

 Smoking cessation program

7.7% [5.1-10.6%]

 Smoking cessation drug

23.1% [19.2-27.1%]

  1. ACE Angiotensin converting enzyme, ACR Albumin to creatinine ratio, ASA Acetylsalicylic acid, CT Computed Tomography, eGFR estimated glomerular filtration rate, EKG Electrocardiogram.
  2. * assessed whether recommended manoeuvres were performed, recommended, or discussed during the one year preceding the abstraction date.