Digital & care-delivery × lipids

TrialThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Targeted case finding in the prevention of cardiovascular disease: a stepped wedge cluster randomised controlled trial.

Karla Hemming et al.PubMed ↗Full text ↗Publisher ↗

  • Targeted, nurse-led case finding for CVD preventionlooks bad hereHigher assessment of lipid levels, higher proportion of high-risk patients prescribed antihypertensives or statins.Randomised, large.

What the trial testedrandomised · 2,969 people · 2016

Randomised vs no intervention (unexposed period)

Raised assessment of lipid levels

+26.4percentage points+5.30 to +47.5

targeted, nurse-led case finding for CVD prevention vs no intervention (unexposed period)

As reported

difference 26.4 %, 95% CI 5.30–47.5

Not counted

Raised proportion of high-risk patients prescribed antihypertensives or statins

+15.5percentage points+3.90 to +27.1

targeted, nurse-led case finding for CVD prevention vs no intervention (unexposed period)

As reported

difference 15.5 %, 95% CI 3.90–27.1

Who was studied, and how

2,969people with hypertension, in this paper

The trial randomly assignedassigned by chance

targeted, nurse-led case finding for CVD prevention
no intervention (unexposed period)

Raised assessment of lipid levels+26.4

Raised proportion of high-risk patients prescribed antihypertensives or statins+15.5

randomised

the abstract, start to end

temporal effects the risk difference was 15.5% (95% CI = 3.9 to 27.1, P =

lipid levels increased significantly, at 26.4% (99% CI = 5.3 to 47.5, P =

← favours treatmentfavours comparator →
could be chance
Proportion of high-risk patients prescribed antihypertensives or statinstargeted, nurse-led case finding for CVD prevention vs no intervention (unexposed period)
15.53.90–27.1
Assessment of lipid levelstargeted, nurse-led case finding for CVD prevention vs no intervention (unexposed period)
26.45.30–47.5
Digital & care-deliveryLipidsBlood pressure
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Full record →Abstract, authors, funding and every citing paper · PMID 27528707