Influence of Patients' Coronary Artery Calcium on Subsequent Medication Use Patterns

被引：8

作者：

Schwartz, Jennifer ^{[1
]}

Allison, Matthew A. ^{[2
]}

Rifkin, Dena E. ^{[3
,4
]}

Wright, C. Michael

机构：

[1] Univ Calif San Diego, San Diego State Univ, Joint Doctoral Program Publ Hlth, San Diego, CA 92103 USA

[2] Univ Calif San Diego, Div Prevent Med, San Diego Sch Med, La Jolla, CA 92093 USA

[3] Univ Calif San Diego, Div Nephrol, Dept Family & Prevent Med, San Diego Sch Med, San Diego, CA 92103 USA

[4] Vet Affairs Med Ctr, San Diego, CA 92161 USA

来源：

AMERICAN JOURNAL OF HEALTH BEHAVIOR | 2012年 / 36卷 / 05期

关键词：

coronary calcium; computed tomography; physician prescribing practices; preventive therapies; BEAM COMPUTED-TOMOGRAPHY; SYSTEMIC CALCIFIED ATHEROSCLEROSIS; DENSITY-LIPOPROTEIN CHOLESTEROL; HEART-DISEASE PREDICTION; ALL-CAUSE MORTALITY; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; PRIMARY PREVENTION; ETHNIC-GROUPS; VITAMIN-E;

D O I：

10.5993/AJHB.36.5.5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: To determine whether information on the presence and extent of coronary artery calcium (CAC) is associated with the likelihood of physicians' prescribing preventive therapies. Method: In a longitudinal design, asymptomatic participants (N=510) were evaluated by computed tomography for CAC. Changes to medications were at the discretion of the patient's primary care provider, who received the CT report. Results: In multivariable analysis, the likelihood of patients reporting that their primary care physician prescribed preventive therapies was significantly associated with the presence and extent of CAC. Conclusions: This study suggests that physicians' prescribing practices are influenced by patients' CAC scores obtained via CT.

引用

页码：628 / 638

页数：11

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