Evidence map›Paper›PMID 25326192›Full record

ArticleJournal of public health (Oxford, England)2015

Estimating the yield of NHS Health Checks in England: a population-based cohort study.

Alice S Forster, Hiten Dodhia, Helen Booth, Alex Dregan, Frances Fuller, Jane Miller, Caroline Burgess, Lisa McDermott, Martin C Gulliford

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Delivery and impact of the NHS Health Check in the first 8 years: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  4. Pooled it
  5. Article
  6. Observational
  7. Article
  8. NHS Health Checks: an observational study of equity and outcomes 2009-2017.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The cost-effectiveness of population Health Checks: have the NHS Health Checks been unfairly maligned?Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2017
    Article
  17. Article
  18. Article
  19. Article
  20. Impact of the National Health Service Health Check on cardiovascular disease risk: a difference-in-differences matching analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016
    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

9 authors.

Alice S ForsterKing's College London, London SE1 3QD, UK.
Hiten DodhiaLambeth-Southwark Public Health Directorate, London SE1 2QH, UK.
Helen BoothKing's College London, London SE1 3QD, UK.
Alex DreganKing's College London, London SE1 3QD, UK.
Frances FullerLondon Borough of Lewisham, London SE6 4RU, UK.
Jane MillerLondon Borough of Lewisham, London SE6 4RU, UK.
Caroline BurgessKing's College London, London SE1 3QD, UK.
Lisa McDermottKing's College London, London SE1 3QD, UK.
Martin C GullifordKing's College London, London SE1 3QD, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the yield of the NHS Health Checks programme.

methodsA cohort study, conducted in the Clinical Practice Research Datalink in England. Electronic health records were analysed for patients aged 40-74 receiving an NHS Health Check between 2010 and 2013.

resultsThere were 65 324 men and 75 032 women receiving a health check. For every 1000 men assessed, there were 205 smokers (95% confidence interval 195-215), 355 (340-369) with hypertension (≥140/90 mmHg) and 633 (607-658) with elevated cholesterol (≥5 mmol/l). Among 1000 women, there were 161 (151-171) smokers, 247 (238-257) with hypertension and 668 (646-689) with elevated cholesterol. In the 12 months following the check, statins were prescribed to 18% of men and 21% of women with ≥20% cardiovascular risk and antihypertensive drugs to 11% of men and 16% of women with ≥20% cardiovascular risk. Slight reductions in risk factor values were observed in the minority of participants with follow-up values recorded in the 15 months following the check.

conclusionsA universal primary prevention programme identifies substantial risk factor burden in a population without known cardiovascular disease. Research is needed to monitor interventions, and intermediate- and long-term outcomes, in those identified at high risk.

Indexed as

Primary PreventionPublic Health PracticeAdultAgedCardiovascular DiseasesCohort StudiesEnglandFemaleHealth PolicyHealth PrioritiesHealth PromotionHumansHypercholesterolemiaHypertensionMaleMass Screeningcirculatory diseaseelectronic health recordsprimary carescreening

Identifiers

PMID25326192
PMCPMC5942532

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.