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Research

The impact of the new Dutch guideline on cardiovascular risk management in patients with COPD: a retrospective study

Lonneke ME Nies, Ingrid Looijmans-van den Akker, Liesbeth Rozendaal, Brenda Baar, Rimke C Vos and Huberta E Hart
BJGP Open 2021; 5 (1): bjgpopen20X101139. DOI: https://doi.org/10.3399/bjgpopen20X101139
Lonneke ME Nies
1 Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
MD
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Ingrid Looijmans-van den Akker
2 Leidsche Rijn Julius Healthcare Centers, Utrecht, The Netherlands
MD, PhD
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Liesbeth Rozendaal
2 Leidsche Rijn Julius Healthcare Centers, Utrecht, The Netherlands
MD
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Brenda Baar
2 Leidsche Rijn Julius Healthcare Centers, Utrecht, The Netherlands
MSc
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Rimke C Vos
1 Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
3 Leiden University Medical Center, Department of Public Health and Primary Care, LUMC-Campus, The Hague, The Netherlands
MD, PhD
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Huberta E Hart
1 Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
2 Leidsche Rijn Julius Healthcare Centers, Utrecht, The Netherlands
MD, PhD
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  • For correspondence: h.e.hart@umcutrecht.nl
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    Figure 1. Flowchart risk categories (Dutch CVRM guideline).8,26

    ACR = albumin-creatinine ratio in urine. CV = cardiovascular. CVD = cardiovascular disease. eGFR = estimated glomerular filtration rate. SCORE = Systematic Coronary Risk Evaluation. TC = total cholesterol.

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    Figure 2. Flowchart: cardiovascular risks and (un)provided cardiovascular care programme. CV = cardiovascular
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    Figure 3. Cardiovascular risk and participation in cardiovascular-care programme of patients with COPD.

    CKD = chronic kidney disease. CV-med = cardiovascular medication. CVD = cardiovascular diseases. DM = diabetes mellitus. RF = risk factors. SCORE = Systematic Coronary Risk Evaluation.

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    Table 1. Patients characteristics (n = 391)
    n %
    Male 18246.5
    Mean age, years ± SD<4040–70>7067.5 ± 10.81235155-0.360.139.6
    Smoking status
    CurrentNeverFormerMissing 1702517323 43.56.444.25.9
    Median BMI, kg/m2 (IQR)Missing 26.4 (7.2)70 - 17.9
    COPD classification
    GOLD 1GOLD 2GOLD 3GOLD 4Missing 10318964827 26.348.316.42.06.9
    C haracteristics of patients aged ≥ 60 years ( n = 294 )
    Frailty a
    YesNoMissing 1884957 64.016.719.4
    Polypharmacy b
    YesNoMissing 1667157 56.524.119.4
    • aProportion of deficits >0,2 by frailty index. bFive or more chronic medications. BMI = body mass index. SD = standard deviation. IQR = interquartile range.

Supplementary Data

  • bjgpopen20X101139.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

  • bjgpopen20X101139.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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The impact of the new Dutch guideline on cardiovascular risk management in patients with COPD: a retrospective study
Lonneke ME Nies, Ingrid Looijmans-van den Akker, Liesbeth Rozendaal, Brenda Baar, Rimke C Vos, Huberta E Hart
BJGP Open 2021; 5 (1): bjgpopen20X101139. DOI: 10.3399/bjgpopen20X101139

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The impact of the new Dutch guideline on cardiovascular risk management in patients with COPD: a retrospective study
Lonneke ME Nies, Ingrid Looijmans-van den Akker, Liesbeth Rozendaal, Brenda Baar, Rimke C Vos, Huberta E Hart
BJGP Open 2021; 5 (1): bjgpopen20X101139. DOI: 10.3399/bjgpopen20X101139
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Keywords

  • risk assessment
  • risk factors
  • pulmonary disease, chronic obstructive
  • cardiovascular diseases
  • health services research
  • primary health care

More in this TOC Section

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  • The challenges faced by early career international medical graduates in general practice and opportunities for supporting them: a rapid review
  • General practice experiences for parents of children with intellectual disability: a systematic review
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