Factors influencing the implementation of cardiovascular risk scoring in primary care: a mixed-method systematic review.

Implementation Science : IS
Tonny B MutheeCarl Heneghan

Abstract

Cardiovascular disease (CVD) such as ischemic heart disease and stroke is the leading causes of death and disability globally with a growing burden in low and middle-income countries. A credible way of managing the incidence and prevalence of cardiovascular diseases is by reducing risk factors. This understanding has led to the development and recommendation for the clinical use of cardiovascular risk stratification tools. These tools enhance clinical decision-making. However, there is a lag in the implementation of these tools in most countries. This systematic review seeks to synthesise the current knowledge of the factors influencing the implementation of cardiovascular risk scoring in primary care settings. We searched bibliographic databases and grey literature for studies of any design relating to the topic. Titles, abstracts and full texts were independently assessed for eligibility by two reviewers. This was followed by quality assessment and data extraction. We analysed data using an integrated and best fit framework synthesis approach to identify these factors. Quantitative and qualitative forms of data were combined into a single mixed-methods synthesis. The Consolidated Framework for Implementation Research was used...Continue Reading

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Citations

Jun 14, 2021·European Heart Journal·UNKNOWN SCORE2 working group and ESC Cardiovascular risk collaboration

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Software Mentioned

MMAT
PRECARD
CERQual
Excel
Mixed Methods Appraisal Tool ( MMAT )
NVivo
AXIS Appraisal Tool
BeHEMoTh

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