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- Ekerstad, NiklasLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet (author)
Elderly people with multi-morbidity and acute coronary syndrome: Doctors' views on decision-making
- Article/chapterEnglish2010
Publisher, publication year, extent ...
- 2009-11-30
- SAGE Publications,2010
- electronicrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:liu-56309
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56309URI
- https://doi.org/10.1177/1403494809354359DOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:120381730URI
Supplementary language notes
- Language:English
- Summary in:English
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- SwePubSwePub
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Notes
- The final, definitive version of this paper has been published in: Scandinavian Journal of Public Health, (38), 3, 325-331, 2010. Niklas Ekerstad, Rurik Löfmark and Per Carlsson, Elderly people with multi-morbidity and acute coronary syndrome: Doctors' views on decision-making http://dx.doi.org/10.1177/1403494809354359 by SAGE Publications Ltd, All rights reserved. http://www.uk.sagepub.com/
- Background: In most Western countries the growing gap between available resources and greater potential for medical treatment has brought evidence-based guidelines into focus. However, problems exist in areas where the evidence base is weak, e.g. elderly patients with heart disease and multiple co-morbidities. Objective: Our aim is to evaluate the views of Swedish cardiologists on decision-making for elderly people with multiple co-morbidities and acute coronary syndrome without ST-elevation (NSTE ACS), and to generate some hypotheses for testing. Methods: A confidential questionnaire study was conducted to assess the views of cardiologists/internists (n = 370). The response rate was 69%. Responses were analyzed with frequencies and descriptive statistics. When appropriate, differences in proportions were assessed by a chi-square test. A content analysis was used to process the answers to the open-ended questions. Results: 81% of the respondents reported extensive use of national quidelines for care of heart disease in their clinical decision-making. However, when making decisions for multiple-diseased elderly patients, the individual physician's own clinical experience and the patient's views of treatment choice were used to an evidently greater extent than national guidelines. Approximately 50% estimated that they treated multiple-diseased elderly patients with NSTE ACS every day. Preferred measures for improving decision-making were: (a) carrying out treatment studies including elderly patients with multiple co-morbidities, and (b) preparing specific national guidelines for multiple-diseased elderly patients. Conclusions: In the future, national guidelines for heart disease should be adapted in order to be applicable for elderly patients with multiple co-morbidities.
Subject headings and genre
- Acute coronary syndrome
- co-morbidity
- decision-making
- elderly
- guidelines
- MEDICINE
- MEDICIN
Added entries (persons, corporate bodies, meetings, titles ...)
- Löfmark, RurikKarolinska Institutet (author)
- Carlsson, PerLinköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet(Swepub:liu)perca23 (author)
- Linköpings universitetUtvärdering och hälsoekonomi (creator_code:org_t)
Related titles
- In:Scandinavian Journal of Public Health: SAGE Publications38:3, s. 325-3311403-49481651-1905
Internet link
- https://liu.diva-portal.org/smash/get/diva2:318324/FULLTEXT01.pdffulltext:postprint
- http://liu.diva-portal.org/smash/get/diva2:318324/FULLTEXT01
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56309
- https://doi.org/10.1177/1403494809354359
- http://kipublications.ki.se/Default.aspx?queryparsed=id:120381730
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