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Table 2 Guideline-derived elements of care used to indicate shortcomings in care among stroke patients and controls

From: The role of 'confounding by indication' in assessing the effect of quality of care on disease outcomes in general practice: results of a case-control study

Practice guideline

Elements of care

Cases

Controls

Arguments derived from practice guideline: Hypertension

- Detection of hypertension

1

2

 

- Confirmation diagnosis hypertension

2

1

 

- Pharmacologic therapy (anti-hypert. med)

2

1

 

- Follow-up (quarterly)

8

17

 

- Follow-up (annually)

3

16

Arguments derived from practice guideline: Diabetes mellitus

- Follow-up (quarterly)

4

3

 

- Laboratory evaluation

1

0

 

- Referral to eye specialist

1

0

Arguments derived from practice guideline: TIA

- Treatment (therapy and follow-up after TIA)

1

1

Arguments derived from more than one practice Guideline

- Advice to quit smoking

2

0

 

- Dietary advice (overweight)

1

0

 

- Evaluation of cardiovascular risk profile

2

0

Total number of shortcomings

28

41

Total number of patients with shortcomings

16

40

  1. TIA, Transient Ischemic Attack
  2. Note: each patient could have more than one element of sub-optimal care