Peters T J, Montgomery A A, Fahey T
Department of Social Medicine, University of Bristol.
Br J Gen Pract. 1999 Dec;49(449):987-8.
It has been suggested that use of cardiovascular risk tables in hypertensive patients might improve clinical management. As part of a randomised controlled trial, we evaluated the accuracy of health professionals' use of the New Zealand risk tables in primary care consultations. Chance-corrected agreement between health professionals' assessments of absolute risk was only moderate (weighted kappa = 0.56 at the 12-month follow-up). Inaccurate use of cardiovascular risk tables may be a barrier to effective implementation of research evidence in the management of hypertension.
有人提出，在高血压患者中使用心血管风险表可能会改善临床管理。作为一项随机对照试验的一部分，我们评估了卫生专业人员在初级保健会诊中使用新西兰风险表的准确性。卫生专业人员对绝对风险的评估之间的机遇校正一致性仅为中等程度（12个月随访时加权kappa = 0.56）。心血管风险表的不准确使用可能是在高血压管理中有效实施研究证据的一个障碍。
