Evidence map›Paper›PMID 36161134›Full record

ArticlePreventive medicine reports2022

Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil.

Ingrid Maria Novais Barros de Carvalho Costa, Danielle Góes da Silva, Joselina Luzia Meneses Oliveira, José Rodrigo Santos Silva, Larissa Monteiro Costa Pereira, Luciana Vieira Sousa Alves, Fabrício Anjos de Andrade, Juliana de Góes Jorge, Larissa Marina Santana Mendonça de Oliveira, Rebeca Rocha de Almeida and 10 more

Abstract read
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In one paragraph

Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Ingrid Maria Novais Barros de Carvalho CostaProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Danielle Góes da SilvaProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Joselina Luzia Meneses OliveiraProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
José Rodrigo Santos SilvaDepartment of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Larissa Monteiro Costa PereiraProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Luciana Vieira Sousa AlvesProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Fabrício Anjos de AndradePrimavera Hospital, Aracaju, Sergipe, Brazil.
Juliana de Góes JorgeProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Larissa Marina Santana Mendonça de OliveiraProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Rebeca Rocha de AlmeidaProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Victor Batista OliveiraProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Larissa Santos MartinsProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Jamille Oliveira CostaProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Márcia Ferreira Cândido de SouzaDivision of nutrition, University Hospital, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Silvia Maria VociProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Marcos Antonio Almeida-SantosSão Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil.
Victoria Vieira AbreuProgram of Post-Graduation in Nutrition Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Felipe J AidarGroup of Studies and Research in Performance, Sport, Health and Paralympic Sports - GEPEPS, Federal University of Sergipe (UFS), São Cristóvão, Sergipe, Brazil.
Leonardo BaumworcelSão Lucas Clinic and Hospital / Rede D Or São Luiz, Aracaju, Sergipe, Brazil.
Antônio Carlos Sobral SousaProgram of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adherence to secondary prevention measures after acute coronary syndrome (ACS) is essential to prevent disease recurrence. In Brazil, the Brazilian Unified Health System (SUS, in Portuguese), and the private healthcare system (PHCS) coexist. We aimed to evaluate the adherence to secondary prevention in patients with ACS who were assisted by either SUS or PHCS. In this longitudinal prospective study, patients with ACS were admitted to the four cardiological reference hospitals of Sergipe, three of which assisted PHCS users, and one, SUS users. We analyzed the two patient care models with multiple logistic regression models for adherence to physical activity, pharmacotherapy, and smoking cessation. We enrolled 581 volunteers in this study: 44.1 % from SUS and 55.9 % from PHCS. PHCS users showed greater adherence to pharmacotherapy at both 30 and 180 (p = 0.001) days after ACS with better results in all classes of medications (p < 0.05) than SUS users did. They also showed better adherence to physical activity (p = 0.047). There was no distinction between the groups regarding smoking cessation. The secondary prevention measures after ACS were more effective in PHCS users than in SUS users due to better adherence, especially to pharmacotherapy and regular physical activity.

Indexed as

CardiovascularExerciseGlobal healthHealthcare qualityRecurrence

Identifiers

PMID36161134
PMCPMC9502285

What OpenQuestion holds

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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.