Two Decades of Overuse and Underuse of Interventions for Primary and Secondary Prevention of Cardiovascular Diseases: A Systematic Review

Byambasuren, Oyungerel; Hattingh, Laetitia; Jones, Mark; Obuccina, Mila; Craig, Louise; Clark, Justin; Hoffmann, Tammy; Glasziou, Paul; Cardona, Magnolia

doi:10.1016/j.cpcardiol.2022.101529

Cited by 2 publications

(1 citation statement)

References 48 publications

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“…A recent systematic review with meta-analysis of cardiovascular medication prescribing revealed substantial practice variation and both medication overuse and underuse in primary and secondary prevention. 16 Tools to identify potentially inappropriate medications for deprescribing include the Screening Tool of Older People’s Prescriptions criteria and The Beers List; the Screening Tool to Alert Right Treatment criteria can be used to enable initiation of guideline-directed medical therapy in older adults with CVD. 17 Polypharmacy and nonadherence are other important considerations in determining appropriate patient-centered pharmacotherapy.…”

Section: Patient-oriented Medication Managementmentioning

confidence: 99%

Patient-Centered Adult Cardiovascular Care: A Scientific Statement From the American Heart Association

Goldfarb,

Saylor,

Bozkurt

et al. 2024

Circulation

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Patient-centered care is gaining widespread acceptance by the medical and lay communities and is increasingly recognized as a goal of high-quality health care delivery. Patient-centered care is based on ethical principles and aims at establishing a partnership between the health care team and patient, family member, or both in the care planning and decision-making process. Patient-centered care involves providing respectful care by tailoring management decisions to patients’ beliefs, preferences, and values. A collaborative care approach can enhance patient engagement, foster shared decision-making that aligns with patient values and goals, promote more personalized and effective cardiovascular care, and potentially improve patient outcomes. The objective of this scientific statement is to inform health care professionals and stakeholders about the role and impact of patient-centered care in adult cardiovascular medicine. This scientific statement describes the background and rationale for patient-centered care in cardiovascular medicine, provides insight into patient-oriented medication management and patient-reported outcome measures, highlights opportunities and strategies to overcome challenges in patient-centered care, and outlines knowledge gaps and future directions.

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Section: Patient-oriented Medication Managementmentioning

confidence: 99%