Evidence map›Paper›PMID 18827904›Full record

SynthesisVascular health and risk management2008

Systematic review of implementation strategies for risk tables in the prevention of cardiovascular diseases.

Ben van Steenkiste, Richard Grol, Trudy van der Weijden

Abstract readSystematic Review
In one paragraph

Synthesis in Vascular health and risk management, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

9 citing papers in PubMed.

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  8. Medication Risk Management.Innovations in pharmacy · 2019
    Article
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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

3 authors.

Ben van SteenkisteCentre for Quality of Care Research, School for Public Health and Primary Care (Caphri), Maastricht University Maastricht, The Netherlands. ben.vansteenkiste@hag.unimaas.nl
Richard Grol
Trudy van der Weijden

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease prevention is guided by so-called risk tables for calculating individual's risk numbers. However, they are not widely used in routine practice and it is important to understand the conditions for their use.

objectivesSystematic review of the literature on professionals' performance regarding cardiovascular risk tables, in order to develop effective implementation strategies. SELECTION CRITERIA: Studies were eligible for inclusion if they reported quantitative empirical data on the effect of professional, financial, organizational or regulatory strategies on the implementation of cardiovascular risk tables. Participants were physicians or nurses. OUTCOME MEASURE: Primary: professionals' self-reported performance related to actual use of cardiovascular risk tables. Secondary: patients' cardiovascular risk reduction. DATA COLLECTION AND ANALYSIS: An extensive strategy was used to search MEDLINE, EMBASE, CINAHL, and PSYCHINFO from database inception to February 2007. MAIN

resultsThe review included 9 studies, covering 3 types of implementation strategies (or combinations). Reported effects were moderate, sometimes conflicting and contradictory. Although no clear relation was observed between a particular type of strategy and success or failure of the implementation, promising strategies for patient selection and risk assessment seem to be teamwork, nurse led-clinics and integrated IT support.

conclusionsImplementation strategies for cardiovascular risk tables have been sparsely studied. Future research on implementation of cardiovascular risk tables needs better embedding in the systematic and problem-based approaches developed in implementation science.

Indexed as

Cardiovascular DiseasesHealth BehaviorHumansPractice Patterns, Physicians'Primary PreventionRisk Assessmentcardiovascular diseasesimplementationprimary preventionsystematic review

Identifiers

PMID18827904
PMCPMC2515414

What OpenQuestion holds

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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.