title: [The condition of the cardiovascular prevention in Spain].
abstract: OBJECTIVE
  In Spain, where cardiovascular diseases are the leading cause of death, control of their risk factors is low. This study analyzes the implementation of cardiovascular risk (CVR) assessment in clinical practice and the existence of control objectives amongst quality care indicators and professional incentive systems.
  
  
  METHODS
  Between 2010 and 2011, data from each autonomous community were collected, by means of a specific questionnaire concerning prevalence and control of major CVR factors, CVR assessment, and implementation of control objectives amongst quality care indicators and primary care incentive systems.
  
  
  RESULTS
  Fifteen out of 17 autonomous communities filled in the questionnaire. CVR was calculated through SCORE in 9 autonomous communities, REGICOR in 3 and Framingham in 3, covering 3.4 to 77.6% of target population. The resulting control of the main CVR factors was low and variable: hypertension (22.7-61.3%), dyslipidemia (11-45.1%), diabetes (18.5-84%) and smoking (20-50.5%). Most autonomous communities did not consider CVR assessment and control amongst quality care indicators or incentive systems, highlighting the lack of initiatives on lifestyles.
  
  
  CONCLUSIONS
  Variability exists in cardiovascular prevention policies among autonomous communities. It is necessary to implement a common agreed cardiovascular prevention guide, to encourage physicians to implement CVR in electronic clinical history, and to promote CVR assessment and control inclusion amongst quality care indicators and professional incentive systems, focusing on lifestyles management.
authors: Instituto de Salud Carlos III, Madrid, España. Electronic address: mroyo@isciii.es.
authors: Miguel Ángel
authors: MÁ
authors: Royo-Bordonada
authors: Sociedad Española de Medicina de Familia y Comunitaria, Madrid, España.
authors: José Maria
authors: JM
authors: Lobos
authors: Sociedad Española de Medicina de Familia y Comunitaria, Madrid, España.
authors: Carlos
authors: C
authors: Brotons
authors: Sociedad Española de Arteriosclerosis, Madrid, España.
authors: Fernando
authors: F
authors: Villar
authors: Sociedad Española de Cardiología, Madrid, España.
authors: Carmen
authors: C
authors: de Pablo
authors: Sociedad Española de Hipertensión-Liga Española de la Lucha Contra la Hipertensión Arterial, Barcelona, España.
authors: Pedro
authors: P
authors: Armario
authors: Asociación Española de Pediatría de Atención Primaria, Madrid, España.
authors: Olga
authors: O
authors: Cortés
authors: Sociedad Española de Neurología, Barcelona, España.
authors: Antonio
authors: A
authors: Gil Nuñez
authors: Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria, Madrid, España.
authors: Angel
authors: A
authors: Lizcano
authors: Sociedad Española de Médicos de Atención Primaria, Madrid, España.
authors: Ana
authors: A
authors: de Santiago
authors: Sociedad Española de Salud Pública y Administración Sanitaria, Barcelona, España.
authors: Susana
authors: S
authors: Sans
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D018570:Risk Assessment; D013030:Spain
keywords: Calidad asistencial; Cardiovascular prevention; Cardiovascular risk; Prevención cardiovascular; Quality care; Riesgo cardiovascular