Self-reported diagnosis of heart disease: results from the SHIELD study
Summary Objective: This study evaluated the self‐reported method of diagnosis of heart disease (HD) to elucidate whether diagnosis is occurring at early, presymptomatic stages as recommended by the prevention guidelines. Methods: Respondents to the 2006 survey in the US population‐based Study to H...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2009-05, Vol.63 (5), p.726-734 |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Lewis, S. J. Fox, K. M. Grandy, S. |
| description | Summary
Objective: This study evaluated the self‐reported method of diagnosis of heart disease (HD) to elucidate whether diagnosis is occurring at early, presymptomatic stages as recommended by the prevention guidelines.
Methods: Respondents to the 2006 survey in the US population‐based Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) reported whether a physician told them that they had HD, including heart attack, angina, heart failure, angioplasty or heart bypass surgery. Self‐report of age at diagnosis, specialty of physician who made the diagnosis and whether the diagnosis was made after having symptoms, during routine screening or while being treated for another health problem were assessed. Year of diagnosis was categorised into 3‐year intervals from 1985 to 2006. Individuals with HD diagnosis with and without type 2 diabetes mellitus (T2DM) were compared using chi‐square tests.
Results: Of 1573 respondents reporting a diagnosis of HD, > 87% were white, > 49% were men and 38% had T2DM. Approximately 19% of respondents reported that their HD diagnosis was made during routine screening. A significantly greater percentage of HD respondents with T2DM reported the diagnosis being made based on symptoms (54%) and while being treated for another health problem (22%) compared with respondents without diabetes (48% symptoms and 15% other health problem, p > 0.05). HD was diagnosed primarily by cardiologists (> 60%) and family doctors (> 25%).
Conclusion: There remains a missed opportunity to diagnose HD at earlier stages through routine screening or during treatment of other health conditions such as diabetes, as many individuals were not diagnosed until they were symptomatic. |
| doi_str_mv | 10.1111/j.1742-1241.2009.02049.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3002042</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>20574889</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5459-8ee435427cc77f8c1751c3763da4243a025ef1dc2e48e63fcd21107b5561e3c73</originalsourceid><addsrcrecordid>eNqNkVuP0zAQhSMEYi_wF1CEBPuU4Gsd84CEuku3UC2IcnkceZ3JNt00LnYC7b_HoVUXeED4xSPPN0fHc5IkpSSn8bxY5lQJllEmaM4I0TlhROh8cy85PjTux5qPikwSTo-SkxCWhDApC_IwOaKaa6YZO04mc2yqzOPa-Q7LtKzNTetCHVJXpQs0votPAU3Al6nH0DddSCvvVmm3wHR-Ob2Ynaeh68vto-RBZZqAj_f3afL5zcWn8WU2ez-Zjl_PMiuF1FmBKLgUTFmrVFVYqiS1XI14aQQT3ESHWNHSMhQFjnhlS0YpUddSjihyq_hp8mqnu-6vV1habDtvGlj7emX8Fpyp4c9OWy_gxn0HToYdsShwthfw7luPoYNVHSw2jWnR9QEU50QzXgzk83-SjEglikJH8Olf4NL1vo1rAMZ0obUUPELFDrLeheCxOnimBIZQYQlDdjBkB0Oo8CtU2MTRJ7__-W5wn2IEnu0BE6xpKm9aW4cDxyinUlN6t7wfdYPb_zYA07fjD0MZBbKdQB063BwEjL-FkeJKwterCUy-fLx6dz6fw4z_BIeOy1M</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229899543</pqid></control><display><type>article</type><title>Self-reported diagnosis of heart disease: results from the SHIELD study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lewis, S. J. ; Fox, K. M. ; Grandy, S.</creator><creatorcontrib>Lewis, S. J. ; Fox, K. M. ; Grandy, S. ; SHIELD Study Group ; for the SHIELD Study Group</creatorcontrib><description>Summary
Objective: This study evaluated the self‐reported method of diagnosis of heart disease (HD) to elucidate whether diagnosis is occurring at early, presymptomatic stages as recommended by the prevention guidelines.
Methods: Respondents to the 2006 survey in the US population‐based Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) reported whether a physician told them that they had HD, including heart attack, angina, heart failure, angioplasty or heart bypass surgery. Self‐report of age at diagnosis, specialty of physician who made the diagnosis and whether the diagnosis was made after having symptoms, during routine screening or while being treated for another health problem were assessed. Year of diagnosis was categorised into 3‐year intervals from 1985 to 2006. Individuals with HD diagnosis with and without type 2 diabetes mellitus (T2DM) were compared using chi‐square tests.
Results: Of 1573 respondents reporting a diagnosis of HD, > 87% were white, > 49% were men and 38% had T2DM. Approximately 19% of respondents reported that their HD diagnosis was made during routine screening. A significantly greater percentage of HD respondents with T2DM reported the diagnosis being made based on symptoms (54%) and while being treated for another health problem (22%) compared with respondents without diabetes (48% symptoms and 15% other health problem, p > 0.05). HD was diagnosed primarily by cardiologists (> 60%) and family doctors (> 25%).
Conclusion: There remains a missed opportunity to diagnose HD at earlier stages through routine screening or during treatment of other health conditions such as diabetes, as many individuals were not diagnosed until they were symptomatic.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/j.1742-1241.2009.02049.x</identifier><identifier>PMID: 19392922</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cardiology - statistics & numerical data ; Cardiovascular ; Cardiovascular disease ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetic Angiopathies - diagnosis ; Early Diagnosis ; Family Practice - statistics & numerical data ; Female ; General aspects ; Heart Diseases - diagnosis ; Humans ; Male ; Medical diagnosis ; Medical sciences ; Middle Aged ; Risk Factors ; Self Disclosure ; Self evaluation ; Young Adult</subject><ispartof>International journal of clinical practice (Esher), 2009-05, Vol.63 (5), p.726-734</ispartof><rights>2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd</rights><rights>2009 INIST-CNRS</rights><rights>Journal compilation © 2009 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c5459-8ee435427cc77f8c1751c3763da4243a025ef1dc2e48e63fcd21107b5561e3c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1742-1241.2009.02049.x$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1742-1241.2009.02049.x$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21315911$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19392922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lewis, S. J.</creatorcontrib><creatorcontrib>Fox, K. M.</creatorcontrib><creatorcontrib>Grandy, S.</creatorcontrib><creatorcontrib>SHIELD Study Group</creatorcontrib><creatorcontrib>for the SHIELD Study Group</creatorcontrib><title>Self-reported diagnosis of heart disease: results from the SHIELD study</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
Objective: This study evaluated the self‐reported method of diagnosis of heart disease (HD) to elucidate whether diagnosis is occurring at early, presymptomatic stages as recommended by the prevention guidelines.
Methods: Respondents to the 2006 survey in the US population‐based Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) reported whether a physician told them that they had HD, including heart attack, angina, heart failure, angioplasty or heart bypass surgery. Self‐report of age at diagnosis, specialty of physician who made the diagnosis and whether the diagnosis was made after having symptoms, during routine screening or while being treated for another health problem were assessed. Year of diagnosis was categorised into 3‐year intervals from 1985 to 2006. Individuals with HD diagnosis with and without type 2 diabetes mellitus (T2DM) were compared using chi‐square tests.
Results: Of 1573 respondents reporting a diagnosis of HD, > 87% were white, > 49% were men and 38% had T2DM. Approximately 19% of respondents reported that their HD diagnosis was made during routine screening. A significantly greater percentage of HD respondents with T2DM reported the diagnosis being made based on symptoms (54%) and while being treated for another health problem (22%) compared with respondents without diabetes (48% symptoms and 15% other health problem, p > 0.05). HD was diagnosed primarily by cardiologists (> 60%) and family doctors (> 25%).
Conclusion: There remains a missed opportunity to diagnose HD at earlier stages through routine screening or during treatment of other health conditions such as diabetes, as many individuals were not diagnosed until they were symptomatic.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiology - statistics & numerical data</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetic Angiopathies - diagnosis</subject><subject>Early Diagnosis</subject><subject>Family Practice - statistics & numerical data</subject><subject>Female</subject><subject>General aspects</subject><subject>Heart Diseases - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Risk Factors</subject><subject>Self Disclosure</subject><subject>Self evaluation</subject><subject>Young Adult</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNqNkVuP0zAQhSMEYi_wF1CEBPuU4Gsd84CEuku3UC2IcnkceZ3JNt00LnYC7b_HoVUXeED4xSPPN0fHc5IkpSSn8bxY5lQJllEmaM4I0TlhROh8cy85PjTux5qPikwSTo-SkxCWhDApC_IwOaKaa6YZO04mc2yqzOPa-Q7LtKzNTetCHVJXpQs0votPAU3Al6nH0DddSCvvVmm3wHR-Ob2Ynaeh68vto-RBZZqAj_f3afL5zcWn8WU2ez-Zjl_PMiuF1FmBKLgUTFmrVFVYqiS1XI14aQQT3ESHWNHSMhQFjnhlS0YpUddSjihyq_hp8mqnu-6vV1habDtvGlj7emX8Fpyp4c9OWy_gxn0HToYdsShwthfw7luPoYNVHSw2jWnR9QEU50QzXgzk83-SjEglikJH8Olf4NL1vo1rAMZ0obUUPELFDrLeheCxOnimBIZQYQlDdjBkB0Oo8CtU2MTRJ7__-W5wn2IEnu0BE6xpKm9aW4cDxyinUlN6t7wfdYPb_zYA07fjD0MZBbKdQB063BwEjL-FkeJKwterCUy-fLx6dz6fw4z_BIeOy1M</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Lewis, S. J.</creator><creator>Fox, K. M.</creator><creator>Grandy, S.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200905</creationdate><title>Self-reported diagnosis of heart disease: results from the SHIELD study</title><author>Lewis, S. J. ; Fox, K. M. ; Grandy, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5459-8ee435427cc77f8c1751c3763da4243a025ef1dc2e48e63fcd21107b5561e3c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiology - statistics & numerical data</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetic Angiopathies - diagnosis</topic><topic>Early Diagnosis</topic><topic>Family Practice - statistics & numerical data</topic><topic>Female</topic><topic>General aspects</topic><topic>Heart Diseases - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Risk Factors</topic><topic>Self Disclosure</topic><topic>Self evaluation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lewis, S. J.</creatorcontrib><creatorcontrib>Fox, K. M.</creatorcontrib><creatorcontrib>Grandy, S.</creatorcontrib><creatorcontrib>SHIELD Study Group</creatorcontrib><creatorcontrib>for the SHIELD Study Group</creatorcontrib><collection>Istex</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lewis, S. J.</au><au>Fox, K. M.</au><au>Grandy, S.</au><aucorp>SHIELD Study Group</aucorp><aucorp>for the SHIELD Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-reported diagnosis of heart disease: results from the SHIELD study</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2009-05</date><risdate>2009</risdate><volume>63</volume><issue>5</issue><spage>726</spage><epage>734</epage><pages>726-734</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
Objective: This study evaluated the self‐reported method of diagnosis of heart disease (HD) to elucidate whether diagnosis is occurring at early, presymptomatic stages as recommended by the prevention guidelines.
Methods: Respondents to the 2006 survey in the US population‐based Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) reported whether a physician told them that they had HD, including heart attack, angina, heart failure, angioplasty or heart bypass surgery. Self‐report of age at diagnosis, specialty of physician who made the diagnosis and whether the diagnosis was made after having symptoms, during routine screening or while being treated for another health problem were assessed. Year of diagnosis was categorised into 3‐year intervals from 1985 to 2006. Individuals with HD diagnosis with and without type 2 diabetes mellitus (T2DM) were compared using chi‐square tests.
Results: Of 1573 respondents reporting a diagnosis of HD, > 87% were white, > 49% were men and 38% had T2DM. Approximately 19% of respondents reported that their HD diagnosis was made during routine screening. A significantly greater percentage of HD respondents with T2DM reported the diagnosis being made based on symptoms (54%) and while being treated for another health problem (22%) compared with respondents without diabetes (48% symptoms and 15% other health problem, p > 0.05). HD was diagnosed primarily by cardiologists (> 60%) and family doctors (> 25%).
Conclusion: There remains a missed opportunity to diagnose HD at earlier stages through routine screening or during treatment of other health conditions such as diabetes, as many individuals were not diagnosed until they were symptomatic.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19392922</pmid><doi>10.1111/j.1742-1241.2009.02049.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of clinical practice (Esher), 2009-05, Vol.63 (5), p.726-734 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Cardiology - statistics & numerical data Cardiovascular Cardiovascular disease Cross-Sectional Studies Diabetes Mellitus, Type 2 - diagnosis Diabetic Angiopathies - diagnosis Early Diagnosis Family Practice - statistics & numerical data Female General aspects Heart Diseases - diagnosis Humans Male Medical diagnosis Medical sciences Middle Aged Risk Factors Self Disclosure Self evaluation Young Adult |
| title | Self-reported diagnosis of heart disease: results from the SHIELD study |
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