Abstract W P376: Primary Stroke Prevention in Women
Background: Approximately half of American women identify their Obstetric-Gynecologists (Ob/Gyn) as their primary care physician (PCP).
Objectives: (a) Evaluate awareness of primary stroke prevention (PSP) guidelines among Ob/Gyn compared to internists and (b) Identify barriers to address improving PSP in women
Methods: Pilot survey of Ob/Gyn and Internal Medicine (IM) physicians from two urban academic medical centers and attendees of the 2013 American Congress of Obstetricians & Gynecologists (ACOG) District II Meeting in New York. Demographics, type of practice, and opinions on existing barriers of effective PSP were queried. Awareness of stroke prevention was assessed based on 2011 AHA/ASA prevention guidelines and educational materials [Personal Review of Learning in Obstetrics & Gynecology (PROLOG) for patient management in the office]. True/false, multiple-choice and case scenarios were distributed by e-mail (SurveyMonkey®) and paper.
Results: Of 263 attendings and residents completing the survey, 188 were Ob/Gyn (71%) and 75 were IM (29%). Mean correct answers = 11± 3 (SD); Ob/Gyn (11±3) more than IM (9±3), p=.0001; 65% answered ≥11 questions correctly. Attendings from Ob/Gyn and IM were more likely to consider referring to specialists vs. residents (p=0.0001) and Ob/Gyn were more likely to refer to specialists than IM (p=0.0001). IM were more likely to answer correctly about diabetes as a risk factor vs. Ob/Gyn (66% vs 19% p=0.0001). Ob/Gyn were more likely to answer correctly about which type of oral contraceptives to be used in migraine with aura vs. IM (87% vs 48% p=0.0001). About half of all participants thought the most likely barrier to adhere to PSP guidelines is the lack of awareness and familiarity with PSP guidelines (49% IM vs 60% Ob/Gyn, p=0.29) and 23% attributed lack of adherence to guidelines to external barriers (no difference between two groups, p=0.23).
Conclusions: Our pilot data suggest that Ob/Gyn and IM both have moderate awareness of PCP guidelines, correctly answering approximately 2/3 of questions, with Ob/GYN performing better than IM. Educational gaps and barriers have been identified in both groups and efforts through interventional trials to promote their improvement are needed.
Author Disclosures: K. Berekashvili: None. B. Tark: None. C. Balucani: None. G. Adeishvili: None. N. Gabbur: None. L. Steinberg: None. Z. Adler: None. L. Chekuru: None. O. Abulafia: None. S. Weiss: None. S. Levine: None.
- © 2015 by American Heart Association, Inc.