Evidence map›Paper›PMID 24040920›Full record

ArticleBMC family practice2013

Risk of cardiovascular disease? A qualitative study of risk interpretation among patients with high cholesterol.

Pia Kirkegaard, Adrian Edwards, Mette Bech Risør, Janus Laust Thomsen

Registry-linked trialAbstract read
In one paragraph

Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01187056 (The RISAP-study), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

NCT01187056 nacompletednot on this map

The RISAP-study: a Complex Intervention in Risk Communication and Shared Decision-making in General Practice

TypeinterventionalSponsorUniversity of AarhusRan2007 to 2012Enrolled179ConditionsHigh Cholesterol, Cardiovascular DiseaseArmsTraining programme
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Patient beliefs and attitudes to taking statins: systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
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

4 authors.

Pia KirkegaardResearch Unit for General Practice & Research Centre for Cancer Diagnosis in Primary Care, Aarhus University, Aarhus, Denmark. pia.kirkegaard@alm.au.dk.
Adrian Edwards
Mette Bech Risør
Janus Laust Thomsen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown the importance of paying attention to lay peoples' interpretations of risk of disease, in order to explain health-related behavior. However, risk interpretations interplay with social context in complex ways. The objective was to explore how asymptomatic patients with high cholesterol interpret risk of cardiovascular disease.

methodsFourteen patients with high cholesterol and risk of cardiovascular disease were interviewed, and patterns across patient accounts were identified and analysed from an ethnographic approach.

resultsInformation from the general practitioner about high cholesterol and risk of cardiovascular disease was reinterpreted in everyday social life. The risk associated with fatty foods was weighed against the pleasures of social and cultural events in which this type of food was common and cherished.A positive mindset was applied as a strategy to lower the risk of having high cholesterol, but knowledge about risk was viewed as a cause of anxiety and self-absorption, and this anxiety made the body susceptible to disease, hampering the chances for healthy life.

conclusionInterpretations of high cholesterol and risk of cardiovascular disease are embedded in social relations and everyday life concerns. This should be addressed in general practice in preference-sensitive cases about risk-reducing medication.

trial registrationClinicalTrials.gov: NCT01187056.

Indexed as

Health Knowledge, Attitudes, PracticeAgedCardiovascular DiseasesFemaleHumansHypercholesterolemiaMaleMiddle AgedQualitative ResearchRiskYoung Adult

Identifiers

PMID24040920
PMCPMC3850715

What OpenQuestion holds

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Registered trials

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.