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Physicians' Attitudes: Title and subTitle BreakManagement of Carotid Artery Plaques, Murmurs, and Transient Ischemic Attacks

J. Stanwood Till, MD; James F. Toole, MD, LLB; Virginia J. Howard, MSPH
[+] Author Affiliations

Accepted for publication Dec 8, 1984.

Reprint requests to Department of Neurology, North Carolina Baptist Hospital, 300 Hawthorne Dr, Winston-Salem, NC 27103 (Dr Till).


Arch Neurol. 1985;42(12):1198-1201. doi:10.1001/archneur.1985.04060110080021
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In a survey of physicians from five different locations around the United States and Canada,1 we determined that there were great differences in attitudes between physicians from different regions as well as between physicians from different specialties. We conducted another survey of physicians at our medical center (one of the study sites from the earlier study) to determine whether physicians' diagnostic approach and therapy varied by specialty or years of experience and if these have changed since a survey in 1979.

METHODS  In May 1983, 500 questionnaires were distributed to the attending physicians and house officers of North Carolina Baptist Hospital (NCBH), Winston-Salem. The physicians, representing all specialties, were invited to complete and return the questionnaire (Table 1). A cover letter was sent with each questionnaire that explained the purpose of the study and that each respondent would be sent a synopsis of the results. This cover letter

REFERENCES

Toóle JF, Howard G:  Physician attitudes . Arch Neurol 1981;;38:443-446.
Mani RL, Eisenberg RL, McDonald EJ, et al:  Complications of catheter cerebral angiography: Analysis of 5,000 procedures . AJR 1978;;131:861-865.
Swanson PD, Calanchini PR, Dyken ML, et al:  A cooperative study of hospital frequency and character of transient ischemie attacks . JAMA 1977;;237:2202-2206.
Acheson J, Danta G, Hutchinson EC:  Controlled trial of dipyridamole in cerebral vascular disease . Br Med J 1969;;1:614-615.
McGivney WT:  Optimal aspirin dosage for prevention of heart disease and stroke . JAMA 1984;;251:89-90.
Kannel WB, Wolf PA, McGee DL, et al:  Systolic blood pressure, arterial rigidity, and risk of stroke: The Framingham study . JAMA 1981;;245:1225-1229.
Hennerici M, Aulich A, Sandmann W, et al:  Incidence of asymptomatic extracranial arterial disease . Stroke 1981;;12:750-758.
Hennerici M, Rautenberg W, Mohr S:  Stroke risk from symptomless extracranial arterial disease . Lancet 1982;;2:1180-1183.
Marsh DO:  Asymptomatic carotid artery bruits . NY State J Med 1983;;3:299-301.
Wolf P, Kannel WB, Sorlie P, et al:  Asymptomatic carotid bruit and risk of stroke: The Framingham study . JAMA 1981;;245:1442-1445.
Heyman A, Wilkinson WE, Heyden S, et al:  Risk of stroke in asymptomatic persons with cervical arterial bruits . N Engl J Med 1980;; 302:838-841.
Schoenberg BS, Schoenberg DG, Pritchard DA, et al:  Differential risk factors for complete stroke and transient ischemie attacks (TIA) . Trans Am Neurol Assoc 1980;;105:165-167.

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Toóle JF, Howard G:  Physician attitudes . Arch Neurol 1981;;38:443-446.
Mani RL, Eisenberg RL, McDonald EJ, et al:  Complications of catheter cerebral angiography: Analysis of 5,000 procedures . AJR 1978;;131:861-865.
Swanson PD, Calanchini PR, Dyken ML, et al:  A cooperative study of hospital frequency and character of transient ischemie attacks . JAMA 1977;;237:2202-2206.
Acheson J, Danta G, Hutchinson EC:  Controlled trial of dipyridamole in cerebral vascular disease . Br Med J 1969;;1:614-615.
McGivney WT:  Optimal aspirin dosage for prevention of heart disease and stroke . JAMA 1984;;251:89-90.
Kannel WB, Wolf PA, McGee DL, et al:  Systolic blood pressure, arterial rigidity, and risk of stroke: The Framingham study . JAMA 1981;;245:1225-1229.
Hennerici M, Aulich A, Sandmann W, et al:  Incidence of asymptomatic extracranial arterial disease . Stroke 1981;;12:750-758.
Hennerici M, Rautenberg W, Mohr S:  Stroke risk from symptomless extracranial arterial disease . Lancet 1982;;2:1180-1183.
Marsh DO:  Asymptomatic carotid artery bruits . NY State J Med 1983;;3:299-301.
Wolf P, Kannel WB, Sorlie P, et al:  Asymptomatic carotid bruit and risk of stroke: The Framingham study . JAMA 1981;;245:1442-1445.
Heyman A, Wilkinson WE, Heyden S, et al:  Risk of stroke in asymptomatic persons with cervical arterial bruits . N Engl J Med 1980;; 302:838-841.
Schoenberg BS, Schoenberg DG, Pritchard DA, et al:  Differential risk factors for complete stroke and transient ischemie attacks (TIA) . Trans Am Neurol Assoc 1980;;105:165-167.

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