IMPACT OF PHYSICIANS' AGE ON THE CLINICAL MANAGEMENT OF GLOBAL CARDIOVASCULAR RISK: Analysis of the results of the Evaluation of Final Feasible Effect of Control Training and Ultra Sensitisation (EFFECTUS) Educational Program.
Résumé
Aim. To evaluate the potential impact of physicians' age on global cardiovascular (CV) risk management in the population of the Evaluation of Final Feasible Effect of Ultra Control Training and Sensitization (EFFECTUS) study. Methods. Involved physicians were stratified into three age groups (≤45, 46-55 and >55 years), and asked to provide clinical data covering the first 10 adult outpatients, consecutively seen in May 2006. Results. Overall 1,078 physicians, among which 219 (20%) were aged ≤45, 658 (61%) between 46-55 and 201 (19%) >55 years, collected data of 9.904 outpatients (46.5% females, aged 67±9 years), who were distributed into three corresponding groups: 2,010 (20%), 6,111 (62%) and 1,783 (18%), respectively. A higher prevalence of myocardial infarction and stroke was recorded by younger physicians rather than those aged >46 years. Older physicians frequently recommended life-style changes, whereas a higher number of antihypertensive, antiplatelet, glucose and lipid-lowering prescriptions was prescribed by physicians aged ≤45 years. Conclusions. This analysis of the EFFECTUS study indicates a higher prevalence of vascular diseases among outpatients followed by younger physicians, who prescribed a higher number of CV drugs than older ones. These latter ones have more attitude for prescribing favourable life-style changes than younger physicians.
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