Evidence map›Paper›PMID 37673455›Full record

ArticleBMJ open2023

Exploring barriers and facilitators of primary care physicians towards optimising statin therapy in patients with hyperlipidaemia in the very high-risk group: a qualitative study in Singapore.

Chun Yen Beh, Rose Wai-Yee Fok, Lay Hoon Goh

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Chun Yen BehNational University Polyclinics, National University Health System, Singapore chun_yen_beh@nuhs.edu.sg.ORCID 0000-0002-2656-7529
Rose Wai-Yee FokDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-3926-6354
Lay Hoon GohDepartment of Family Medicine, National University Health System, Singapore.ORCID 0000-0003-1536-3050
National University Health System · SGNational Cancer Centre Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the perspectives of primary care physicians with regard to the barriers and facilitators towards optimising statin therapy in patients with hyperlipidaemia in the very high-risk group.

designQualitative descriptive study.

settingFour polyclinics in a public primary care institution in Singapore.

participantsSeven men and five women working as primary care physicians were recruited for in-depth interviews.

resultsThe major barriers to statin optimisation identified were patients' lack of knowledge and awareness, patients' fear of side effects, negative external influences on patients, poor doctor-patient relationship, time constraint during consultations, physicians' unfamiliarity with guidelines, low health literacy among the local population and lack of strong national policy. The major facilitators identified were patient education, providing continuity of care, improving electronic medical record systems' capabilities, physician education and public education.

conclusionWe identified several important barriers and facilitators of statin therapy optimisation in this study. This information offers insights into the development of a multipronged approach to address barriers across different levels with the aim of optimising statin use, reducing cardiovascular events and improving patient outcomes.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasPhysicians, Primary CareFemaleHumansMalePhysician-Patient RelationsSingaporeHydroxymethylglutaryl-CoA Reductase InhibitorsLipid disordersPrimary CareQUALITATIVE RESEARCHSingapore

Identifiers

PMID37673455
PMCPMC10496678
OpenAlexW4386483519

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.