The Resource Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease, Mohammed Qintar

Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease, Mohammed Qintar

Label
Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease
Title
Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease
Statement of responsibility
Mohammed Qintar
Creator
Contributor
Author
Degree supervisor
Subject
Genre
Language
eng
Summary
Almost a third of outpatients with chronic coronary artery disease (CAD) report having angina in the prior month, which is frequently under-recognized by their cardiologists. Whether under-recognition is associated with less treatment escalation to control angina, and potential underuse of treatment, is unknown. Patients with CAD from 25 US cardiology outpatient practices completed the Seattle Angina Questionnaire (SAQ) prior to their clinic visit, and angina was categorized as daily, weekly, monthly and no angina. Cardiologists (n=155) independently quantified patients' angina, blinded to patients' SAQ scores. Under-recognition was defined as the physician reporting a lower category of angina frequency than the patient. Among 1257 patients with CAD, 411 reported angina in the past month, of whom 178 (43.3%) patients were under recognized. Treatment escalation{u2014}defined as intensification (up-titration or addition) of antianginal medications, referral for diagnostic testing or revascularization, or hospital admission{u2014}occurred in 106 (25.8%) patients with angina. Patients with under-recognized angina were less likely to get treatment escalation than patients whose angina was appropriately recognized (8.4% vs 39.1%, P<0.001). In a multivariable logistic regression model adjusting for demographic and clinical characteristics, as well as the burden of angina, under-recognition remained strongly associated with a lack of treatment escalation (adjusted OR 0.10, 95% CI 0.04-0.21, P<0.001). Under-recognition of angina in cardiology outpatient practices is associated with less aggressive treatment escalation and may lead to poorer angina control. Standardizing clinical recognition of angina using validated tools could reduce under-recognition of angina, facilitate treatment, and potentially improve outcomes
Cataloging source
UMK
http://library.link/vocab/creatorDate
1986-
http://library.link/vocab/creatorName
Qintar, Mohammed
Degree
M.S.
Dissertation note
(School of Medicine).
Dissertation year
2017.
Granting institution
University of Missouri-Kansas City,
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
Buchanan, Donna M.
http://library.link/vocab/subjectName
  • Angina pectoris
  • Coronary heart disease
  • Ambulatory medical care
  • Angina Pectoris
  • Myocardial Ischemia
  • Ambulatory Care
Label
Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease, Mohammed Qintar
Instantiates
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Donna M. Buchanan
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 41-46)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Methodology -- Results -- Discussion -- Conclusions and future directions -- Appendix
Control code
988339917
Dimensions
unknown
Extent
1 online resource (47 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)988339917
System details
  • The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web
Label
Effect of angina under-recognition on treatment escalation in outpatients with stable ischemic heart disease, Mohammed Qintar
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Donna M. Buchanan
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 41-46)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Methodology -- Results -- Discussion -- Conclusions and future directions -- Appendix
Control code
988339917
Dimensions
unknown
Extent
1 online resource (47 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)988339917
System details
  • The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web

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