Evidence map›Paper›PMID 26350481›Full record

ArticleJournal of public health (Oxford, England)2016

Do health checks improve risk factor detection in primary care? Matched cohort study using electronic health records.

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

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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  5. 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
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  13. 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
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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

7 authors.

Alice S ForsterDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Caroline BurgessDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Hiten DodhiaPublic Health Directorate, London Boroughs of Lambeth and Southwark, London, UK.
Frances FullerDepartment of Public Health, London Borough of Lewisham, London, UK.
Jane MillerDepartment of Public Health, London Borough of Lewisham, London, UK.
Lisa McDermottDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Martin C GullifordDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effect of NHS Health Checks on cardiovascular risk factor detection and inequalities.

methodsMatched cohort study in the Clinical Practice Research Datalink, including participants who received a health check in England between 1 April 2010 and 31 March 2013, together with matched control participants, with linked deprivation scores.

resultsThere were 91 618 eligible participants who received a health check, of whom 75 123 (82%) were matched with 182 245 controls. After the health check, 90% of men and 92% of women had complete data for blood pressure, total cholesterol, smoking and body mass index; a net 51% increase (P < 0.001) over controls. After the check, gender and deprivation inequalities in recording of all risk factors were lower than for controls. Net increase in risk factor detection was greater for hypercholesterolaemia (men +33%; women +32%) than for obesity (men +8%; women +4%) and hypertension in men only (+5%) (all P < 0.001). Detection of smoking was 5% lower in health check participants than controls (P < 0.001). Over 4 years, statins were prescribed to 11% of health -check participants and 7.6% controls (hazard ratio 1.58, 95% confidence interval 1.53-1.63, P < 0.001).

conclusionNHS Health Checks are associated with increased detection of hypercholesterolaemia, and to a lesser extent obesity and hypertension, but smokers may be under-represented.

Indexed as

Blood PressureBody Mass IndexCardiovascular DiseasesCholesterolCohort StudiesElectronic Health RecordsFemaleHealthcare DisparitiesHumansMaleMiddle AgedPrimary Health CarePrimary PreventionQuality ImprovementRisk FactorsSex FactorsCholesterolcardiovascular diseasescardiovascular riskdeprivationelectronic health recordsgenderhealth inequalitiesprimary carescreening

Identifiers

PMID26350481
PMCPMC5072161

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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.