Evidence map›Paper›PMID 20040167›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial.

Helene R Voogdt-Pruis, George H M I Beusmans, Anton P M Gorgels, Arnold D M Kester, Jan W Van Ree

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
–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

31 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018
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  13. Review
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  17. Advanced Practice Nursing in Cardiology: The Slovak Perspective for the Role Development and Implementation.International journal of environmental research and public health · 2021
    Article
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  19. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Helene R Voogdt-PruisDepartment of Integrated Care, Care and Public Health Research Institute, Maastricht University Medical Centre/CAPHRI Maastricht, the Netherlands. helene.voogdt@mumc.nl
George H M I Beusmans
Anton P M Gorgels
Arnold D M Kester
Jan W Van Ree

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA substantial part of cardiovascular disease prevention is delivered in primary care. Special attention should be paid to the assessment of cardiovascular risk factors. According to the Dutch guideline for cardiovascular risk management, the heavy workload of cardiovascular risk management for GPs could be shared with advanced practice nurses.

aimTo investigate the clinical effectiveness of practice nurses acting as substitutes for GPs in cardiovascular risk management after 1 year of follow-up. DESIGN OF STUDY: Prospective pragmatic randomised trial.

settingPrimary care in the south of the Netherlands. Six centres (25 GPs, six nurses) participated.

methodA total of 1626 potentially eligible patients at high risk for cardiovascular disease were randomised to a practice nurse group (n = 808) or a GP group (n = 818) in 2006. In total, 701 patients were included in the trial. The Dutch guideline for cardiovascular risk management was used as the protocol, with standardised techniques for risk assessment. Changes in the following risk factors after 1 year were measured: lipids, systolic blood pressure, and body mass index. In addition, patients in the GP group received a brief questionnaire.

resultsA larger decrease in the mean level of risk factors was observed in the practice nurse group compared with the GP group. After controlling for confounders, only the larger decrease in total cholesterol in the practice nurse group was statistically significant (P = 0.01, two-sided).

conclusionAdvanced practice nurses are achieving results, equal to or better than GPs for the management of risk factors. The findings of this study support the involvement of practice nurses in cardiovascular risk management in Dutch primary care.

Indexed as

AgedCardiovascular DiseasesFamily PracticeFemaleHumansMaleMiddle AgedNetherlandsNurse PractitionersProspective StudiesRisk FactorsRisk ManagementTreatment Outcome

Identifiers

PMID20040167
PMCPMC2801783

What OpenQuestion holds

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Registered trials

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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.