Trial reportBMJ (Clinical research ed.)2002
Efficacy of case method learning in general practice for secondary prevention in patients with coronary artery disease: randomised controlled study.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04204109 (Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer and the Effect on Healthcare Professionals' Interprofessional Attitudes), which is not on this map. Cited by 18 papers, 6 of them syntheses that pooled 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.
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.
Interprofessional Versus Monoprofessional Case-based Learning in Childhood Cancer and the Effect on Healthcare Professionals' Interprofessional Attitudes: a Randomized Trial
Who cites it
18 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2021Pooled it
- Effects of evidence-based clinical practice guidelines in cardiovascular health care quality improvements: A systematic review.F1000Research · 2019Pooled it
- Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Pooled it
- Pooled it
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Continuing education meetings and workshops: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2009Pooled it
- Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care.BMC health services research · 2019Trial
- Case-based training of evidence-based clinical practice in primary care and decreased mortality in patients with coronary heart disease.Annals of family medicineTrial
- Lessons learnt from the process of designing care coordination interventions through participatory action research in public healthcare networks of six Latin American countries.Health research policy and systems · 2023Article
- Postgraduate Interprofessional Case-Based Learning in Childhood Cancer: A Feasibility Study.Cancers · 2021Article
- Interprofessional versus monoprofessional case-based learning in childhood cancer and the effect on healthcare professionals' knowledge and attitudes: study protocol for a randomised trial.BMC health services research · 2020Article
- What is the extent and quality of documentation and reporting of fidelity to implementation strategies: a scoping review.Implementation science : IS · 2015Article
- Improving occupational physicians' adherence to a practice guideline: feasibility and impact of a tailored implementation strategy.BMC medical education · 2015Article
- Improving knowledge and changing behavior towards guideline based decisions in diabetes care: a controlled intervention study of a team-based learning approach for continuous professional development of physicians.BMC research notes · 2013Article
- Strategies for establishing policy, environmental, and systems-level interventions for managing high blood pressure and high cholesterol in health care settings: a qualitative case study.Preventing chronic disease · 2008Article
- Time trends of chest pain symptoms and health related quality of life in coronary artery disease.Health and quality of life outcomes · 2007Article
- Barriers to detecting and treating hypercholesterolaemia in patients with ischaemic heart disease: primary care perceptions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Participatory learning: a Swedish perspective.Heart (British Cardiac Society) · 2004Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study the efficacy of case method learning, for general practitioners, on patients' lipid concentrations in the secondary prevention of coronary artery disease.
designProspective controlled trial.
settingSödertälje, Stockholm County, Sweden.
participants255 consecutive patients with coronary artery disease.
interventionGuidelines were mailed to all general practitioners (n=54) and presented at a common lecture. General practitioners who were randomised to the intervention group participated in recurrent case method learning dialogues at their primary healthcare centres during a two year period. A locally well known cardiologist served as a facilitator.
main outcome measureConcentration of low density lipoprotein cholesterol at baseline and after two years. Analysis according to intention to treat (intervention and control groups (n=88)) was based on group affiliation at baseline.
resultsLow density lipoprotein cholesterol was reduced by 0.5 mmol/l (95% confidence interval 0.2 to 0.8 mmol/l) (9.3% (2.9% to 15.8%)) from baseline in patients in the intervention group and by 0.5 (0.1 to 0.9) mmol/l compared with controls (P<0.05). No change occurred in the control group (0.0 (-0.2 to 0.2) mmol/l). Low density lipoprotein cholesterol decreased by 0.6 (0.4 to 0.8) mmol/l in a group of patients who received specialist care.
conclusionCase method learning resulted in a lowering of low density lipoprotein cholesterol in the primary care patients with coronary artery disease comparable to that achieved at a specialist clinic. Conventional presentation of practice guidelines had no effect.
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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.