Evidence map›Paper›PMID 31662372›Full record

Trial reportBMJ open2019

A Randomised Trial Examining Cardiovascular Morbidity and All-Cause Mortality 24 years Following General Health Checks: the Ebeltoft Health Promotion Project (EHPP).

Martin Bernstorff, Pia Deichgræber, Niels Henrik Bruun, Else-Marie Dalsgaard, Morten Fenger-Grøn, Torsten Lauritzen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00145782 (The Ebeltoft Health Promotion Project - A Randomized Controlled Trial With Multiphasic Preventive Health Screenings and Discussions in General Practice.), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT00145782 phase3completednot on this map

The Ebeltoft Health Promotion Project - A Randomized Controlled Trial With Multiphasic Preventive Health Screenings and Discussions in General Practice.

TypeinterventionalSponsorUniversity of AarhusRan1991 to 1999ConditionsPrimary PreventionArmsLife style
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Martin BernstorffDepartment of Public Health, Research Unit for General Practice, Aarhus University, Aarhus, Denmark martinbernstorff@gmail.com.ORCID 0000-0002-0234-5390
Pia DeichgræberDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Niels Henrik BruunDepartment of Public Health, Research Unit for General Practice, Aarhus University, Aarhus, Denmark.
Else-Marie DalsgaardDepartment of Public Health, Research Unit for General Practice, Aarhus University, Aarhus, Denmark.
Morten Fenger-GrønDepartment of Public Health, Research Unit for General Practice, Aarhus University, Aarhus, Denmark.
Torsten LauritzenDepartment of Public Health, Research Unit for General Practice, Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobal prevalence of risk factors for cardiovascular disease (CVD) and all-cause mortality is increasing. Treatments are available but can only be implemented if individuals at risk are identified. General health checks have been suggested to facilitate this process.

objectivesTo examine the long-term effect of population-based general health checks on CVD and all-cause mortality. DESIGN AND

settingThe Ebeltoft Health Promotion Project (EHPP) is a parallel randomised controlled trial in a Danish primary care setting.

participantsThe EHPP enrolled individuals registered in the Civil Registration System as (1) inhabitants of Ebeltoft municipality, (2) registered with a general practitioner (GP) participating in the study and (3) aged 30-49 on 1 January 1991. A total of 3464 individuals were randomised as invitees (n=2000) or non-invitees (n=1464). Of the invitees, 493 declined. As an external control group, we included 1 511 498 Danes living outside the municipality of Ebeltoft.

interventionsInvitees were offered a general health check and, if test-results were abnormal, recommended a 15-45 min consultation with their GP. Non-invitees in Ebeltoft received a questionnaire at baseline and were offered a general health check at year 5. The external control group, that is, the remaining Danish population, received routine care only. OUTCOME MEASURES: HRs for CVD and all-cause mortality.

resultsEvery individual randomised was analysed. When comparing invitees to non-invitees within the municipality of Ebeltoft, we found no significant effect of general health checks on CVD (HR=1.11 (0.88; 1.41)) or all-cause mortality (HR=0.93 (0.75; 1.16)). When comparing invitees to the remaining Danish population, we found similar results for CVD (adjusted HR=0.99 (0.86; 1.13)) and all-cause mortality (adjusted HR=0.96 (0.85; 1.09)).

conclusionWe found no effect of general health checks offered to the general population on CVD or all-cause mortality. TRIAL REGISTRATION NUMBER: NCT00145782; 2015-57-0002; 62908, 187.

Indexed as

General PracticeHealth PromotionPreventive Health ServicesAdultCardiovascular DiseasesDenmarkFemaleHumansMaleMiddle AgedOutcome Assessment, Health CareSurvival Rateepidemiologyhypertensionorganisation of health servicespreventive medicineprimary carepublic health

Identifiers

PMID31662372
PMCPMC6830618

What OpenQuestion holds

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Registered trials

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.