Evidence map›Paper›PMID 26656984›Full record

Trial reportBMJ open2015

Implementing guidelines to routinely prevent chronic vascular disease in primary care: the Preventive Evidence into Practice cluster randomised controlled trial.

Mark Fort Harris, Sharon M Parker, John Litt, Mieke van Driel, Grant Russell, Danielle Mazza, Upali W Jayasinghe, Chris Del Mar, Jane Lloyd, Jane Smith and 4 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 8 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, 8 syntheses or guidelines pooled it.

  1. Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Frontiers in pharmacology · 2017
    Review
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

14 authors.

Mark Fort HarrisCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0705-8913
Sharon M ParkerCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, New South Wales, Australia.
John LittDiscipline of General Practice, School of Medicine, Flinders University, Adelaide, South Australia, Australia.
Mieke van DrielAcademic Discipline of General Practice, University of Queensland, Brisbane, Queensland, Australia.
Grant RussellSouthern Academic Primary Care Research Unit, School of Primary Health Care, Monash University, Notting Hill, Victoria, Australia.
Danielle MazzaDepartment of General Practice, Monash University, Notting Hill, Victoria, Australia.
Upali W JayasingheCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, New South Wales, Australia.
Chris Del MarFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Jane LloydCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, New South Wales, Australia.
Jane SmithFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
Nicholas ZwarSchool of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Richard TaylorSchool of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Gawaine Powell DaviesCentre for Primary Health Care and Equity, University of New South Wales Australia, Sydney, New South Wales, Australia.
Preventive Evidence into Practice Partnership Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate an intervention to improve implementation of guidelines for the prevention of chronic vascular disease.

setting32 urban general practices in 4 Australian states. RANDOMISATION: Stratified randomisation of practices.

participants122 general practitioners (GPs) and practice nurses (PNs) were recruited at baseline and 97 continued to 12 months. 21,848 patient records were audited for those aged 40-69 years who attended the practice in the previous 12 months without heart disease, stroke, diabetes, chronic renal disease, cognitive impairment or severe mental illness.

interventionThe practice level intervention over 6 months included small group training of practice staff, feedback on audited performance, practice facilitation visits and provision of patient education and referral information. OUTCOME MEASURES: Primary: 1. Change in proportion of patients aged 40-69 years with smoking status, alcohol intake, body mass index (BMI), waist circumference (WC), blood pressure (BP) recorded and for those aged 45-69 years with lipids, fasting blood glucose and cardiovascular risk in the medical record. 2. Change in the level of risk for each factor. SECONDARY: change in self-reported frequency and confidence of GPs and PNs in assessment.

resultsRisk recording improved in the intervention but not the control group for WC (OR 2.52 (95% CI 1.30 to 4.91)), alcohol consumption (OR 2.19 (CI 1.04 to 4.64)), smoking status (OR 2.24 (1.17 to 4.29)) and cardiovascular risk (OR 1.50 (1.04 to 2.18)). There was no change in recording of BP, lipids, glucose or BMI and no significant change in the level of risk factors based on audit data. The confidence but not reported practices of GPs and PNs in the intervention group improved in the assessment of some risk factors.

conclusionsThis intervention was associated with improved recording of some risk factors but no change in the level of risk at the follow-up audit. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12612000578808, results.

Indexed as

General PracticeAdultAgedAustraliaBiomarkersCardiovascular DiseasesFemaleGeneral PractitionersHumansLife StyleMaleMedical AuditMiddle AgedNursesPractice Guidelines as TopicPrimary Health CareBiomarkerschronic diseasepractice facilitationPREVENTIVE MEDICINEPRIMARY CAREquality improvement

Identifiers

PMID26656984
PMCPMC4679885

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.