{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T05:49:41Z","timestamp":1765000181869,"version":"3.46.0"},"reference-count":36,"publisher":"BMJ","issue":"9","funder":[{"name":"Stockholm Drug and Therapeutics Committee"},{"name":"Stockholm County Council"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,6,30]]},"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to explore whether recording in primary care of a previously recorded hospital diagnosis was associated with increased patient utilisation of recommended medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Registry-based prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants<\/jats:title>\n                    <jats:p>19 072 patients with a hospital discharge diagnosis of transient ischaemic attack (TIA), stroke or acute coronary syndrome from hospitals in Stockholm County 2010\u20132013 were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure<\/jats:title>\n                    <jats:p>The outcome of the study was medication dispensation as a marker of adherence to recommended medications. Adherence was defined as having had at least two filled prescriptions in the third year following hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recording a diagnosis was associated with higher utilisation of all recommended medications with the exception of antihypertensives in patients with TIA. The differences between the groups with and without a recorded diagnosis remained after adjusting for age, sex, index year and visits to private practitioners. Dispensation of antithrombotics was high overall, 80%\u201390% in patients without a recorded diagnosis and 90%\u201394% for those with a diagnosis. Women with recorded ischaemic stroke\/TIA\/acute coronary syndrome were dispensed more statins (56%\u201371%) than those with no recorded diagnosis (46%\u201359%). Similarly, 68%\u201383% of men with a recorded diagnosis were dispensed statins (57%\u201377% in men with no recorded diagnosis). The rate of diagnosis recording spanned from 15% to 47%\u2009and was especially low in TIA (men 15%, women 16%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Recording a diagnosis of TIA\/stroke or acute coronary syndrome in primary care was found to be associated with higher dispensation of recommended secondary preventive medications. Further study is necessary in order to determine the mechanisms underlying our results and to establish the utility of our findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-015723","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T20:10:19Z","timestamp":1506111019000},"page":"e015723","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Recording a diagnosis of stroke, transient ischaemic attack or myocardial infarction in primary healthcare and the association with dispensation of secondary preventive medication: a registry-based prospective cohort study"],"prefix":"10.1136","volume":"7","author":[{"given":"Cecilia","family":"Dahlgren","sequence":"first","affiliation":[{"name":"Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholms L\u00e4ns Landsting, Center for Health Economics, Informatics and Healthcare Research, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Geary","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education, S\u00f6dersjukhuset, Karolinska Institutet, Stockholm, Sweden"},{"name":"Unit of Medicine, Capio S:t G\u00f6rans Sjukhus, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Hasselstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholms L\u00e4ns Landsting, Academic Primary Care Center, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clas","family":"Rehnberg","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Schenck-Gustafsson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cardiac Unit, Center for Gender Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per","family":"W\u00e4ndell","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mia von","family":"Euler","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education, S\u00f6dersjukhuset, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Medicine, Clinical Pharmacology Unit Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,21]]},"reference":[{"key":"2025120521444781000_7.9.e015723.1","unstructured":"Swedish Government Official Reports. 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