Evidence map›Paper›PMID 27993901›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2017

NHS Health Check comorbidity and management: an observational matched study in primary care.

John Robson, Isabel Dostal, Vichithranie Madurasinghe, Aziz Sheikh, Sally Hull, Kambiz Boomla, Chris Griffiths, Sandra Eldridge

Erratum issuedAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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
  10. Prevalence of Undiagnosed Diabetes in 2004 and 2012: Evidence From the English Longitudinal Study of Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

John RobsonCentre for Primary Care and Public Health, Queen Mary University of London, London.
Isabel DostalCentre for Primary Care and Public Health, Queen Mary University of London, London.
Vichithranie MadurasingheCentre for Primary Care and Public Health, Queen Mary University of London, London.
Aziz SheikhCentre for Primary Care and Public Health, eHealth Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh.
Sally HullCentre for Primary Care and Public Health, Queen Mary University of London, London.
Kambiz BoomlaCentre for Primary Care and Public Health, Queen Mary University of London, London.
Chris GriffithsCentre for Primary Care and Public Health, Queen Mary University of London, London.
Sandra EldridgeCentre for Primary Care and Public Health, Queen Mary University of London, London.

Funding

Medical Research Council MC_PC_13040Medical Research Council MR/K006584/1Medical Research Council MR/K007017/1
6 · The paper itself

Abstract

backgroundThe NHS Health Check programme completed its first 5 years in 2014, identifying those at highest risk of cardiovascular disease and new comorbidities, and offering behavioural change support and treatment.

aimTo describe the coverage and impact of this programme on cardiovascular risk management and identification of new comorbidities. DESIGN AND

settingObservational 5-year study from April 2009 to March 2014, in 139 of 143 general practices in three clinical commissioning groups (CCGs) in east London.

methodA matched analysis compared comorbidity in NHS Health Check attendees and non-attendees.

resultsA total of 252 259 adults aged 40-74 years were eligible for an NHS Health Check and, of these, 85 122 attended in 5 years. Attendance increased from 7.3% (10 900/149 867) in 2009 to 17.0% (18 459/108 525) in 2013 to 2014, representing increasing coverage from 36.4% to 85.0%. Attendance was higher in the more deprived quintiles and among South Asians. Statins were prescribed to 11.5% of attendees and 8.2% of non-attendees. In a matched analysis, newly-diagnosed comorbidity was more likely in attendees than non-attendees, with odds ratios for new diabetes 1.30 (95% confidence interval [CI] = 1.21 to 1.39), hypertension 1.50 (95% CI = 1.43 to 1.57), and chronic kidney disease 1.83 (95% CI = 1.52 to 2.21).

conclusionThe NHS Health Check programme provision in these CCGs was equitable, with recent coverage of 85%. Statins were 40% more likely to be prescribed to attendees than non-attendees, providing estimated absolute benefits of public health importance. More new cases of diabetes, hypertension, and chronic kidney disease were identified among attendees than a matched group of non-attendees.

Indexed as

Directive CounselingHealth PromotionMass ScreeningPrimary Health CareState MedicineAdultAgedAge DistributionCardiovascular DiseasesCase-Control StudiesComorbidityDiabetes Mellitus, Type 2Early DiagnosisEnglandFemaleHealth BehaviorHydroxymethylglutaryl-CoA Reductase Inhibitorscardiovascular diseaseHealth Checkpreventionprimary carestatins

Identifiers

PMID27993901
PMCPMC5308122

What OpenQuestion holds

Texttitle and abstract
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.