Cardiologists' charting varied by risk factor, and was often discordant with patient report

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dc.contributor.authorGrace, Sherry L.
dc.contributor.authorAlter, David
dc.contributor.authorHigginson, Lyall
dc.contributor.authorSuskin, Neville
dc.contributor.authorStewart, Donna Eileen
dc.contributor.authorGravely-Witte, Shannon
dc.date.accessioned2009-05-26T02:00:41Z
dc.date.available2009-05-26T02:00:41Z
dc.date.issued2008-10
dc.description.abstractObjective: To assess the completeness of cardiac risk factor documentation by cardiologists, and agreement with patient report. Study Design and Setting: A total of 68 Ontario cardiologists and 789 of their ambulatory cardiology patients were randomly selected. Cardiac risk factor data were systematically extracted from medical charts, and a survey was mailed to participants to assess risk factor concordance. Results: With regard to completeness of risk factor documentation, 90.4% of charts contained a report of hypertension, 87.2% of diabetes, 80.5% of dyslipidemia, 78.6% of smoking behavior, 73.0% of other comorbidities, 48.7% of family history of heart disease, and 45.9% of body mass index or obesity. Using Cohen's K, there was a concordance of 87.7% between physician charts and patient self-report of diabetes, 69.5% for obesity, 56.8% for smoking status, 49% for hypertension, and 48.4% for family history. Conclusion: Two of four major cardiac risk factors (hypertension and diabetes) were recorded in 90% of patient records; however, arguably the most important reversible risk factors for cardiac disease (dyslipidemia and smoking) were only reported 80% of the time. The results suggest that physician chart report may not be the criterion standard for quality assessment in cardiac risk factor reporting.en
dc.description.sponsorshipCanadian Institutes of Health Research, grant # MOP-74431
dc.description.sponsorshipCanadian Institutes of Health Research, grant # MOP-74431en
dc.identifier.citationJournal of Clinical Epidemiology, 61(10), 1073-1079. October 2008
dc.identifier.issn0895-4356
dc.identifier.urihttp://hdl.handle.net/10315/2559
dc.identifier.urihttps://dx.doi.org/10.1016/j.jclinepi.2007.11.017
dc.language.isoenen
dc.publisherElsevier Science B.V., Amsterdam
dc.subjectRisk factors
dc.subjectCardiologist
dc.subjectConcordance
dc.subjectCompleteness
dc.subjectPatient self-report
dc.subjectMedical charts
dc.titleCardiologists' charting varied by risk factor, and was often discordant with patient report
dc.typeArticle

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