ArticleBMJ (Clinical research ed.)2002
Resource implications and health benefits of primary prevention strategies for cardiovascular disease in people aged 30 to 74: mathematical modelling study.
Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 57 citations in OpenAlex.
- Targeted case finding in the prevention of cardiovascular disease: a stepped wedge cluster randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016 · on this mapTrial
- Cost-Effectiveness of a Physician-Pharmacist Collaboration Intervention to Improve Blood Pressure Control.Hypertension (Dallas, Tex. : 1979) · 2015Trial
- Mixed methods evaluation of targeted case finding for cardiovascular disease prevention using a stepped wedged cluster RCT.BMC public health · 2012Trial
- Targets and self monitoring in hypertension: randomised controlled trial and cost effectiveness analysis.BMJ (Clinical research ed.) · 2005Trial
- Treatment gaps and potential cardiovascular risk reduction from expanded statin use in the US and England.PloS one · 2018Article
- Cost effectiveness of case-finding strategies for primary prevention of cardiovascular disease: a modelling study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Modeling the costs and long-term health benefits of screening the general population for risks of cardiovascular disease: a review of methods used in the literature.The European journal of health economics : HEPAC : health economics in prevention and care · 2016Review
- Resource modelling: the missing piece of the HTA jigsaw?PharmacoEconomics · 2015Article
- Targeted versus universal prevention. a resource allocation model to prioritize cardiovascular prevention.Cost effectiveness and resource allocation : C/E · 2011Article
- Patient and general practitioner attitudes to taking medication to prevent cardiovascular disease after receiving detailed information on risks and benefits of treatment: a qualitative study.BMC family practice · 2011Article
- Article
- A simple risk score using routine data for predicting cardiovascular disease in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Estimating the population impact of screening strategies for identifying and treating people at high risk of cardiovascular disease: modelling study.BMJ (Clinical research ed.) · 2010Article
- Commentary: point. Blood pressure-lowering treatment should be offered to all patients regardless of blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2009Article
- The Sandwell Project: a controlled evaluation of a programme of targeted screening for prevention of cardiovascular disease in primary care.BMC public health · 2008Article
- Identification of patients for clinical risk assessment by prediction of cardiovascular risk using default risk factor values.BMC public health · 2008Article
- Predictors of patients' preferences for treatments to prevent heart disease.Heart (British Cardiac Society) · 2006Article
- The use of cardiovascular risk factor information in practice databases: making the best of patient data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Population impact of stricter adherence to recommendations for pharmacological and lifestyle interventions over one year in patients with coronary heart disease.Journal of epidemiology and community health · 2005Article
- Estimating the high risk group for cardiovascular disease in the Norwegian HUNT 2 population according to the 2003 European guidelines: modelling study.BMJ (Clinical research ed.) · 2005Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop a model to determine resource costs and health benefits of implementing guidelines for the prevention of cardiovascular disease in primary care.
designModelling of data from six strategies for prevention of cardiovascular disease. Strategies incorporated two ways of identifying patients for assessment: traditional (assessment of all adults) and novel (preselection of patients for assessment using a prior estimate of their risk of cardiovascular disease). Three treatment strategies were modelled in conjunction with each identification strategy.
settingEngland. SUBJECTS: Patients aged 30 to 74 eligible for primary prevention strategies for cardiovascular disease who were selected from a hypothetical population of 2000.
main outcome measuresResource costs of assessing eligible adults, providing treatment and follow up to those eligible, and number of cardiovascular events this should prevent.
resultsNovel strategies prevented more cardiovascular disease, at lower cost, than traditional strategies. Some treatment strategies prevent more cardiovascular disease with fewer resources than others. The findings were robust across a range of different assumptions about workload.
conclusionPreselecting patients for assessment makes better use of staff time than assessing all adults. Treating many patients with low cost drugs is more efficient than prescribing a few patients intensive antihypertensives and statins. Authors of guidelines should model workload implications and health benefits of following their recommendations.
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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.