Evidence map›Paper›PMID 40217248›Full record

Trial reportBMC health services research2025

Participatory care plan for primary care patients with long-term diseases: results after a 36-month follow-up of a randomized controlled trial.

Nina Tusa, Ulla Mikkonen, Hannu Kautiainen, Pekka Mäntyselkä

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02992431 (Participatory Patient Care Planning in Primary Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT02992431 naunknown statusnot on this map

Participatory Patient Care Planning in Primary Care: Effectiveness and Feasibility in Patients With Hypertension, Ischemic Heart Disease or Diabetes

TypeinterventionalSponsorKuopio University HospitalRan2017 to 2023Enrolled600ConditionsHypertension, Ischemic Heart Disease, Diabetes MellitusArmsParticipatory patient care planning, Usual care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nina TusaWellbeing Services County of North Savo, Educational Services, Kuopio, Finland. nina.tusa@pshyvinvointialue.fi.ORCID http://orcid.org/0000-0002-5169-508X
Ulla MikkonenInstitute of Public Health and Clinical Nutrition, General Practice, University of Eastern Finland, P.O. Box 1627, Kuopio, FI-70211, Finland.ORCID http://orcid.org/0000-0003-1333-6948
Hannu KautiainenFolkhälsan Research Center, Helsinki, Finland.ORCID http://orcid.org/0000-0003-0786-0858
Pekka MäntyselkäInstitute of Public Health and Clinical Nutrition, General Practice, University of Eastern Finland, P.O. Box 1627, Kuopio, FI-70211, Finland.ORCID http://orcid.org/0000-0002-5236-1815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA patient care plan can be one way to ensure the coordination and continuity of care, as well as the allocation of limited healthcare resources appropriately to an aging population. This study aimed to analyze any changes in health-related outcomes within and between groups of patients with a participatory patient care plan after 36 months.

methodsThe OSUVAT study was a pragmatic randomized intervention study in a primary care setting involving 605 patients with diabetes (DM), coronary artery disease (CAD), or hypertension (HA). The intervention was a participatory structured care plan. The control was usual care. The follow-up of 12 and 36 months included 592 patients. Measurements were conducted at baseline, 12 months, and 36 months. The outcome variables were health-related quality of life, body mass index, HbA1C, LDL-cholesterol, and blood pressure. In addition, achievement of the treatment goals set by the Finnish Current Care Guidelines was assessed for blood pressure, LDL cholesterol, and HbA1C.

resultsOver 36 months, there were no significant differences in all patients between the intervention and control groups. With CAD, diastolic blood pressure decreased in the intervention group by 3 mmHg (95% CI -6 to 0) whereas in the control group, it increased by 3 mmHg (95% CI 0 to 6). There was a favorable time trend for LDL cholesterol in all patients in both groups [control - 0.32 (-0.42 to -0.24), intervention - 0.39 (-0.49 to -0.30)].

conclusionsThe care plan implemented for all patients with common chronic diseases and relatively effective disease management does not appear to provide significant benefits. Patients with coronary artery disease experienced a modest benefit from the care plan in terms of blood pressure. More extensive studies of targeting care planning with different patient groups and different settings are needed.

trial registrationClinical Trials registration number: NCT02992431, registered on December 14th, 2016.

Indexed as

Coronary Artery DiseaseDiabetes MellitusHypertensionPatient Care PlanningPrimary Health CareAgedBlood PressureCholesterol, LDLChronic DiseaseFemaleFinlandFollow-Up StudiesGlycated HemoglobinHumansMaleMiddle AgedCholesterol, LDLGlycated HemoglobinAging populationCare planCare planningChronic diseasesClinical outcomesCoronary artery diseaseDiabetesHealth-related quality of lifeHypertensionPrimary healthcare

Identifiers

PMID40217248
PMCPMC11992695

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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.