GPs' views of absolute cardiovascular risk and its role in primary prevention.
BACKGROUND
Clinical guidelines recommend using absolute risk to inform clinical decisions in cardiovascular disease prevention. Absolute risk assessment tools have been disseminated to general practitioners, however current use and knowledge of this is approach among GPs is unknown.


METHODS
Transcribed audiotapes of focus groups with 36 GPs, analysed for key themes.


RESULTS
The GPs said absolute cardiovascular risk assessment tools were used largely as an aid to patient education rather than an influence on management, for which the concept was poorly understood. Barriers to their use included poor computer software, inconsistency with regulations over the use of lipid lowering agents, and fears patients would not understand the concepts.


CONCLUSIONS
To encourage the implementation of absolute risk tools in cardiovascular disease prevention, and GP education. Attitudes and systematic barriers to their use by GPs need to be addressed.
Torley
Donna
D
Department of General Practice, Sydney South West Area Health Service, New South Wales.
Zwar
Nicolas
N
Comino
Elizabeth J
EJ
Harris
Mark
M
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D011322:Primary Prevention / Q000379:methods*; D012306:Risk; D018570:Risk Assessment / Q000379:methods