ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Coronary heart disease prevention and age inequalities: the first year of the National Service Framework for CHD.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.Circulation · 2014 · on this mapGuideline
- Atherosclerotic Cardiovascular Disease Risk and Evidence-based Management of Cholesterol.North American journal of medical sciences · 2014Review
- Type 2 diabetes care for patients in a tertiary care setting in UAE: a retrospective cohort study.JRSM short reports · 2012Article
- Ethnic disparities in coronary heart disease management and pay for performance in the UK.Journal of general internal medicine · 2009Article
- Preventive health care in elderly people needs rethinking.BMJ (Clinical research ed.) · 2007Article
- Association of age, sex and deprivation with quality indicators for diabetes: population-based cross sectional survey in primary care.Journal of the Royal Society of Medicine · 2006Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Service Framework for Heart Disease sets national standards and defines service models for coronary heart disease (CHD). Little is known about the impact of this intervention on age inequalities.
aimTo determine the changes in the uptake of coronary prevention measures before and after the first year of implementation of the National Service Framework for Coronary Heart Disease, and to compare these changes in uptake of coronary prevention in patients aged 75 years and over with younger patients. DESIGN OF STUDY: Repeated cross-sectional survey using routinely collected data.
settingSeventeen general practices in 17 primary care groups in the Trent Region.
methodAll registered patients at baseline and follow-up aged >/=35 years were categorised into three groups: those with either coronary heart disease or a history of stroke; those with diabetes or hypertension who were not in in the first group; and the remaining population. Data from electronic records was collected to show differences in the proportions of patients with coronary risk factors recorded in the previous year. Data was also collected about differences in the proportions of patients with adequate disease control measures.
resultsImprovements were demonstrated in the recording of coronary risk factors and of disease control measures. However, compared with patients aged <75 years, older patients were significantly less likely to have a serum cholesterol level recorded at baseline; to be on lipid lowering drugs; to be on beta blockers post myocardial infarction and to have well controlled blood pressure. These differences persisted at follow-up.
conclusionThere have been substantial improvements in both the recording of coronary risk factors and disease control measures following the implementation of the National Service Framework for Coronary Heart Disease. However, there needs to be an effort to strengthen the focus on the care of older patients.
Indexed as
Identifiers
15904556PMC1463160What OpenQuestion holds
Registered trials
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