Evidence map›Paper›PMID 24831287›Full record

ArticlePreventing chronic disease2014

A 16-month community-based intervention to increase aspirin use for primary prevention of cardiovascular disease.

Niki C Oldenburg, Sue Duval, Russell V Luepker, John R Finnegan, Heather LaMarre, Kevin A Peterson, Nicole D Zantek, Ginny Jacobs, Robert J Straka, Karen H Miller and 1 more

Abstract read
In one paragraph

Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
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  10. Within-the-Clinic Shared Decision for an Over-the-Counter Medication.Journal of the American Heart Association · 2015
    Article
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  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Niki C OldenburgCardiovascular Division, University of Minnesota Medical School, MMC 508, 420 Delaware St SE, Minneapolis, MN 55455. E-mail: olden019@umn.edu.
Sue DuvalUniversity of Minnesota, Minneapolis, Minnesota.
Russell V LuepkerUniversity of Minnesota, Minneapolis, Minnesota.
John R FinneganUniversity of Minnesota, Minneapolis, Minnesota.
Heather LaMarreUniversity of Minnesota, Minneapolis, Minnesota.
Kevin A PetersonUniversity of Minnesota, Minneapolis, Minnesota.
Nicole D ZantekUniversity of Minnesota, Minneapolis, Minnesota.
Ginny JacobsUniversity of Minnesota, Minneapolis, Minnesota.
Robert J StrakaUniversity of Minnesota, Minneapolis, Minnesota.
Karen H MillerUniversity of Minnesota, Minneapolis, Minnesota.
Alan T HirschUniversity of Minnesota, Minneapolis, Minnesota.

Funding

Testing a Community Intervention to Increase Aspirin Use for Primary Prevention of Cardiovascular DiseaseR01HL126041 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUEPKER, RUSSELL V · 2015 to 2019
$3.5M
NHLBI NIH HHS R01 HL126041
6 · The paper itself

Abstract

introductionCardiovascular diseases are the leading causes of disability and death in the United States. Primary prevention of these events may be achieved through aspirin use. The ability of a community-based intervention to increase aspirin use has not been evaluated. The objective of this study was to evaluate an educational intervention implemented to increase aspirin use for primary prevention of cardiovascular disease in a small city in Minnesota.

methodsA community-based intervention was implemented during 16 months in a medium-sized community in Minnesota. Messages for aspirin use were disseminated to individuals, health care professionals, and the general population. Independent cross-sectional samples of residents (men aged 45-79, women aged 55-79) were surveyed by telephone to identify candidates for primary prevention aspirin use, examine their characteristics, and determine regular aspirin use at baseline and after the campaign at 4 months and 16 months.

resultsIn primary prevention candidates, regular aspirin use rates increased from 36% at baseline to 54% at 4 months (odds ratio = 2.05; 95% confidence interval, 1.09-3.88); the increase was sustained at 52% at 16 months (odds ratio = 1.89; 95% confidence interval, 1.02-3.49). The difference in aspirin use rates at 4 months and 16 months was not significant (P = .77).

conclusionAspirin use rates for primary prevention remain low. A combined public health and primary care approach can increase and sustain primary prevention aspirin use in a community setting.

Indexed as

Community Health ServicesAgedAged, 80 and overAspirinCardiovascular DiseasesCross-Sectional StudiesDrug UtilizationFemaleHumansMaleMiddle AgedMinnesotaPrimary PreventionProgram EvaluationAspirin

Identifiers

PMID24831287
PMCPMC4023687

What Socratic holds

Textmetadata
LicenceCC BY
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.