Evidence map›Paper›PMID 12030661›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2002

A randomised controlled trial of a self-management plan for patients with newly diagnosed angina.

R J P Lewin, G Furze, J Robinson, K Griffith, S Wiseman, M Pye, R Boyle

Open access · greenAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
5.8field-weighted citation impact, top 3% of its field
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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Behaviour change techniques in personalised care planning for older people: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Pooled it
  2. Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
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  12. Angina: contemporary diagnosis and management.Heart (British Cardiac Society) · 2020
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Self-Management of Heart Disease in Older Adults.Home health care services quarterly · 2015
    Article
  18. Article
  19. Observational
  20. 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

7 authors at 1 institution in 1 country.

R J P LewinBritish Heart Foundation Rehabilitation Unit, Department of Health Studies, University of York. RJPL1@york.ac.uk
G Furze
J Robinson
K Griffith
S Wiseman
M Pye
R Boyle
British Heart Foundation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are approximately 1.8 million patients with angina in the United Kingdom, many of whom report a poor quality of life, including raised levels of anxiety and depression.

aimTo evaluate the effect of a cognitive behavioural disease management programme, the Angina Plan, on psychological adjustment in patients newly diagnosed with angina pectoris. DESIGN OF STUDY: Randomised controlled trial.

settingPatients from GP practices in a Northern UK city (York) between April 1999 and May 2000.

methodRecruited patients were randomised to receive the Angina Plan or to a routine, practice nurse-led secondary prevention educational session.

resultsTwenty of the 25 practices invited to join the study supplied patients' names; 142 patients attended an assessment clinic and were randomised There were no significant differences in any baseline measures. At the six month post-treatment follow-up, 130 (91%) patients were reassessed. When compared with the educational session patients (using analysis of covariance adjusted for baseline scores in an intention-to-treat analysis) Angina Plan patients showed a greater reduction in anxiety (P = 0.05) and depression (P = 0.01), the frequency of angina (reduced by three episodes per week, versus a reduction of 0.4 per week, P = 0.016) the use of glyceryl trinitrate (reduced by 4.19 fewer doses per week versus a reduction of 0.59 per week, P = 0.018), and physical limitations (P<0.001: Seattle Angina Questionnaire). They were also more likely to report having changed their diet (41 versus 21, P<0.001) and increased their daily walking (30 versus 2, P<0.001). There was no significant difference between the groups on the other sub-scales of the Seattle Angina Questionnaire or in any of the medical variables measured.

conclusionThe Angina Plan appears to improve the psychological, symptomatic, and functional status of patients newly diagnosed with angina.

Indexed as

Adaptation, PsychologicalAgedAngina PectorisCognitive Behavioral TherapyFemaleHumansMalePatient Education as TopicQuality of LifeRelaxation TherapySelf CareTreatment Outcome

Identifiers

PMID12030661
PMCPMC1314238
OpenAlexW1865480706

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.