Evidence map›Paper›PMID 25548314›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015

A cardiovascular educational intervention for primary care professionals in Spain: positive impact in a quasi-experimental study.

Vicente Gil-Guillén, Enrique Hermida, Salvador Pita-Fernandez, Antonio Palazon-Bru, Ramon Durazo-Arvizu, Vicente Pallares-Carratala, Domingo Orozco-Beltran, Concepcion Carratala-Munuera, Adriana Lopez-Pineda, Jorge Navarro

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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

6 citing papers in PubMed, 16 citations in OpenAlex.

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  6. Health checks and screening: what works in general practice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
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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

10 authors at 4 institutions in 2 countries.

Vicente Gil-GuillénClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Enrique HermidaClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Salvador Pita-FernandezClinical Epidemiology and Biostatistics Unit, Complexo Hospitalario Universitario A Coruña (CHUAC), SERGAS, Universidad de A Coruña, A Coruña, Spain.
Antonio Palazon-BruClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Ramon Durazo-ArvizuDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, US.
Vicente Pallares-CarratalaHealth Surveillance Unit, Unión de Mutuas, Castellón, Spain.
Domingo Orozco-BeltranClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Concepcion Carratala-MunueraClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Adriana Lopez-PinedaClinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.
Jorge NavarroValencia University, Valencia, Spain.
Universitat de Miguel Hernández d'Elx · ESComplexo Hospitalario Universitario A Coruña · ESUniversitat de València · ESUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine general practice data collection can help identify patients at risk of cardiovascular disease.

aimTo determine whether a training programme for primary care professionals improves the recording of cardiovascular disease risk factors in electronic health records. DESIGN AND

settingA quasi-experimental study without random assignment of professionals. This was an educational intervention study, consisting of an online-classroom 1-year training programme, and carried out in the Valencian community in Spain.

methodThe prevalence rates of recording of cardiovascular factors (recorded every 6 months over a 4-year period) were compared between intervention and control group. Clinical relevance was calculated by absolute risk reduction (ARR), relative risk reduction (RRR), and number of patients needed-to-attend (NNA), to avoid under-recording, with their 95% confidence intervals (CIs). Linear regression models were used for each of the variables.

resultsOf the 941 professionals initially registered, 78.1% completed the programme. The ARR ranged from 1.87% (95% CI = 1.79 to 1.94) in the diagnosis of diabetes to 15.27% (95% CI = 15.14 to 15.40) in the recording of basal blood glucose. The NNA ranged from 7 in blood pressure, cholesterol, and blood glucose recording to 54 in the diagnosis of diabetes. The RRR ranged from 26.7% in the diagnosis of diabetes to 177.1% in the recording of the Systematic Coronary Risk Evaluation (SCORE). The rates of change were greater in the intervention group and the differences were significant for recording of cholesterol (P<0.001), basal blood glucose (P<0.001), smoking (P<0.001), alcohol (P<0.001), microalbuminuria (P = 0.001), abdominal circumference (P<0.001), and SCORE (P<0.001).

conclusionThe education programme had a beneficial effect at the end of the follow-up that was significant and clinically relevant.

Indexed as

Cardiovascular DiseasesInservice TrainingPrimary Health CareCardiologyEducational MeasurementEducation, ContinuingElectronic Health RecordsFemaleHumansMaleMiddle AgedQuality ImprovementRisk AssessmentSpaincardiovascular diseaseshealth educationprevention and controlregistries

Identifiers

PMID25548314
PMCPMC4276005
OpenAlexW1964609602

What OpenQuestion holds

Textmetadata
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.