SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2014
Screening for increased cardiometabolic risk in primary care: a systematic review.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02797392 (Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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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.
Early Detection and Prevention of Lifestyle Related Diseases - a Pilot Study
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- General health checks in adults for reducing morbidity and mortality from disease.The Cochrane database of systematic reviews · 2019Pooled it
- Are interventions to increase the uptake of screening for cardiovascular disease risk factors effective? A systematic review and meta-analysis.BMC family practice · 2017Pooled it
- Characteristics and motives of non-responders in a stepwise cardiometabolic disease prevention program in primary care.European journal of public health · 2021Trial
- Cost-effectiveness of a stepwise cardiometabolic disease prevention program: results of a randomized controlled trial in primary care.BMC medicine · 2021Trial
- Feasibility and success rates of response enhancing strategies in a stepwise prevention program for cardiometabolic diseases in primary care.BMC family practice · 2020Trial
- Does GP empathy influence patient enablement and success in lifestyle change among high risk patients?BMC family practice · 2020Trial
- Step-wise approach to prevention of chronic diseases in the Danish primary care sector with the use of a personal digital health profile and targeted follow-up - an assessment of attendance.BMC public health · 2019Trial
- Population-oriented health promotion and disease prevention interventions in primary healthcare: a scoping review of reviews.BMC primary care · 2026Article
- [Factors associated with cardiometabolic disease screening in older adults in the Peruvian AmazonFatores associados ao rastreamento de doenças cardiometabólicas em pessoas idosas da Amazônia peruana].Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Effect of GP visits in the compliance of preventive services: a cross-sectional study in Europe.BMC primary care · 2024Article
- Exploring targeted preventive health check interventions - a realist synthesis.BMC public health · 2023Review
- Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study.BMC public health · 2021Article
- Testing a One-Item Risk Measure to Predict Alameda Seven Health Behaviors in the Republic of Korea.International journal of environmental research and public health · 2021Article
- Changes in Health-Risk Behavior, Body Mass Index, Mental Well-Being, and Risk Status Following Participation in a Stepwise Web-Based and Face-to-Face Intervention for Prevention of Lifestyle-Related Diseases: Nonrandomized Follow-Up Cohort Study.JMIR public health and surveillance · 2020Article
- Uptake and detection rate of a stepwise cardiometabolic disease detection program in primary care-a cohort study.European journal of public health · 2020Article
- Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study.BMC family practice · 2018Article
- Health checks and screening: what works in general practice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- The theme of the world diabetes day 2014; healthy living and diabetes; a nephrology viewpoint.Journal of nephropharmacology · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany programmes to detect and prevent cardiovascular disease (CVD) have been performed, but the optimal strategy is not yet clear.
aimTo present a systematic review of cardiometabolic screening programmes performed among apparently healthy people (not yet known to have CVD, diabetes, or cardiometabolic risk factors) and mixed populations (apparently healthy people and people diagnosed with risk factor or disease) to define the optimal screening strategy. DESIGN AND
settingSystematic review of studies performed in primary care in Western countries.
methodMEDLINE, Embase, and CINAHL databases were searched for studies screening for increased cardiometabolic risk. Exclusion criteria were studies designed to assess prevalence of risk factors without follow-up or treatment; without involving a GP; when fewer than two risk factors were considered as the primary outcome; and studies constrained to ethnic minorities.
resultsThe search strategy yielded 11 445 hits; 26 met the inclusion criteria. Five studies (1995-2012) were conducted in apparently healthy populations: three used a stepwise method. Response rates varied from 24% to 79%. Twenty-one studies (1967-2012) were performed in mixed populations; one used a stepwise method. Response rates varied from 50% to 75%. Prevalence rates could not be compared because of heterogeneity of used thresholds and eligible populations. Observed time trends were a shift from mixed to apparently healthy populations, increasing use of risk scores, and increasing use of stepwise screening methods.
conclusionThe optimal screening strategy in primary care is likely stepwise, in apparently healthy people, with the use of risk scores. Increasing public awareness and actively involving GPs might facilitate screening efficiency and uptake.
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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.