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Response of patients and physicians to mass screening for coronary risk factors

W S Aronow, W H Allen, D De Cristofaro

    Circulation
    |October 1, 1975
    PubMed

    Insights

    Physician indifference and patient apathy hinder coronary risk factor reduction in asymptomatic adults. Many patients did not attend follow-up appointments or adhere to prescribed treatments and advice.

    Area of Science:

    • Cardiology
    • Preventive Medicine
    • Public Health

    Background:

    • Coronary risk factors significantly increase the likelihood of cardiovascular disease.
    • Early identification and management of risk factors are crucial for prevention.
    • Asymptomatic individuals with risk factors require effective intervention strategies.

    Purpose of the Study:

    • To assess physician and patient engagement in managing coronary risk factors.
    • To evaluate adherence to medical advice and prescribed treatments for risk reduction.
    • To identify barriers to effective coronary risk factor management in asymptomatic adults.

    Main Methods:

    • A cohort of 1,817 adults were screened twice for coronary risk factors.
    • Physician and patient questionnaires were used to gather follow-up data.
    • Data analysis focused on follow-up rates, treatment initiation, and adherence.

    Main Results:

    • Over 20% of individuals with risk factors did not attend follow-up care.
    • Only 13.5% of all patients received treatment or advice for risk factors.
    • A significant proportion of patients prescribed medication (51.7%) or given advice (78.9%) were non-adherent.

    Conclusions:

    • Physician indifference and patient apathy contribute to suboptimal coronary risk factor management.
    • There is a substantial gap in the effective reduction of coronary risk factors in asymptomatic populations.
    • Interventions are needed to improve patient adherence and physician engagement in preventive cardiology.

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