{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T10:04:23Z","timestamp":1780653863448,"version":"3.54.1"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T00:00:00Z","timestamp":1359072000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec id=\"S146342361200059X_abs1\" sec-type=\"general\">\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We investigated whether the risk estimates of General Practitioners\n                            (GPs) and their treatment decisions mutually influence each other and\n                            whether factors not related to the patient's risk, such as the gender\n                            and length in clinical practice, interact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342361200059X_abs2\" sec-type=\"general\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The quantitative assessment of the absolute risk of developing\n                            coronary heart disease (CHD) and the decision to start treatment with\n                            lipid-lowering drugs are crucial tasks in the primary prevention of\n                            CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342361200059X_abs3\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nine clinical vignettes, four rated high-risk and five rated\n                            low-risk according to the Framingham equation, were mailed to three\n                            groups of 90 randomly selected GPs in Stockholm. One group (R) was asked\n                            to estimate the risk of CHD within 10 years on a visual analogue scale.\n                            A second group (R + D) was asked to estimate the risk and to specify\n                            whether they would recommend a pharmacological lipid-lowering treatment.\n                            A third group (D) only to indicate whether they would recommend\n                            treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342361200059X_abs4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Response rate ranged from 42.2% to 45.6%. The median risk estimates\n                            were higher in the R group than in the R + D group (difference not\n                            statistically significant). R + D group showed higher proportions of\n                            correct decisions to start treatment compared with the R group (86.2%\n                            versus 77.5%,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.19). More correct\n                            decisions were made by female doctors (OR 1.77, 95% CI 1.19\u20132.61,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004) and by less experienced\n                            doctors (OR 0.97, 95% CI 0.95\u20130.99,\n                      <jats:italic>P<\/jats:italic>\n                      =\n                            0.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342361200059X_abs5\" sec-type=\"conclusion\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The task of making CHD risk estimates and the task of making\n                            decisions whether to start lipid-lowering treatment do not seem to\n                            influence each other. The gender of physicians and the length of\n                            clinical experience seem to affect treatment decisions. Female GPs and\n                            less experienced GPs are more likely to make correct decisions. However,\n                            the relatively low response rate to the questionnaires may limit the\n                            generalizability of these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s146342361200059x","type":"journal-article","created":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T08:37:01Z","timestamp":1359103021000},"page":"394-402","source":"Crossref","is-referenced-by-count":3,"title":["General Practitioners\u2019 coronary risk estimates, decisions to start\n                        lipid-lowering treatment, gender and length of clinical experience: their\n                        interactions in primary prevention"],"prefix":"10.1017","volume":"14","author":[{"given":"Federico","family":"Vancheri","sequence":"first","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars-Erik","family":"Strender","sequence":"additional","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars G.","family":"Backlund","sequence":"additional","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,1,25]]},"reference":[{"key":"S146342361200059X_manual_ref-7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-4-200502150-00008"},{"key":"S146342361200059X_manual_ref-30","doi-asserted-by":"publisher","DOI":"10.1017\/S146342360800090X"},{"key":"S146342361200059X_manual_ref-14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-8-1"},{"key":"S146342361200059X_manual_ref-3","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfn041"},{"key":"S146342361200059X_manual_ref-12","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1471-2296-9-42","article-title":"Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events","volume":"9","author":"Doroodchi","year":"2008","journal-title":"BMC Family Practice"},{"key":"S146342361200059X_manual_ref-4","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1097\/00005650-199504000-00007","article-title":"The influence of gender on physician practice style","volume":"33","author":"Bertakis","year":"1995","journal-title":"Medical Care"},{"key":"S146342361200059X_manual_ref-27","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.6.756"},{"key":"S146342361200059X_manual_ref-6","doi-asserted-by":"publisher","DOI":"10.1089\/dis.2005.8.93"},{"key":"S146342361200059X_manual_ref-8","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/j.1525-1497.2006.00331.x","article-title":"Quality of cardiovascular disease preventive care and physician\/practice characteristics","volume":"21","author":"Christian","year":"2006","journal-title":"Journal of General Internal Medicine"},{"key":"S146342361200059X_manual_ref-22","doi-asserted-by":"publisher","DOI":"10.1016\/S1386-5056(99)00028-3"},{"key":"S146342361200059X_manual_ref-11","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X8600600406"},{"key":"S146342361200059X_manual_ref-5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.2008.01967.x"},{"key":"S146342361200059X_manual_ref-31","doi-asserted-by":"publisher","DOI":"10.1177\/1062860605274520"},{"key":"S146342361200059X_manual_ref-9","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e32832b38a1"},{"key":"S146342361200059X_manual_ref-2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1002155"},{"key":"S146342361200059X_manual_ref-24","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520280048038"},{"key":"S146342361200059X_manual_ref-15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2007.01420.x"},{"key":"S146342361200059X_manual_ref-28","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.04.011"},{"key":"S146342361200059X_manual_ref-18","doi-asserted-by":"crossref","first-page":"414","DOI":"10.7326\/0003-4819-124-4-199602150-00005","article-title":"Differences in generalists\u2019 and cardiologists\u2019 perception of cardiovascular risk and the outcomes of preventive therapy in cardiovascular disease","volume":"124","author":"Friedmann","year":"1996","journal-title":"Annals of Internal Medicine"},{"key":"S146342361200059X_manual_ref-32","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1053\/euhj.1998.1243","article-title":"Prevention of coronary heart disease in clinical practice. 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