Evidence map›Paper›PMID 9572758›Full record

Trial reportBMJ (Clinical research ed.)1998

Secondary prevention clinics for coronary heart disease: randomised trial of effect on health.

N C Campbell, J Thain, H G Deans, L D Ritchie, J M Rawles, J L Squair

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 11 pooled it
8.8field-weighted citation impact, top 2% of its field
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

47 citing papers in PubMed, 11 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Nursing interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Cardiac rehabilitation.Quality in health care : QHC · 1999
    Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Running nurse-led secondary prevention clinics for coronary heart disease in primary care: qualitative study of health professionals' perspectives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Trial
  16. Trial
  17. Trial
  18. Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk: a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2004
    Trial
  19. Trial
  20. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

N C CampbellDepartment of General Practice and Primary Care, Foresterhill Health Centre, Aberdeen AB25 2AY. n.campbell@abdn.ac.uk
J Thain
H G Deans
L D Ritchie
J M Rawles
J L Squair
Primary Health Care · QAUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of secondary prevention clinics run by nurses in general practice on the health of patients with coronary heart disease.

designRandomised controlled trial of clinics over one year with assessment by self completed postal questionnaires and audit of medical records at the start and end of the trial.

settingRandom sample of 19 general practices in northeast Scotland. SUBJECTS: 1173 patients (685 men and 488 women) under 80 years with working diagnoses of coronary heart disease who did not have terminal illness or dementia and were not housebound.

interventionClinic staff promoted medical and lifestyle aspects of secondary prevention and offered regular follow up.

main outcome measuresHealth status measured by the SF-36 questionnaire, chest pain by the angina type specification, and anxiety and depression by the hospital anxiety and depression scale. Use of health services before and during the study.

resultsThere were significant improvements in six of eight health status domains (all functioning scales, pain, and general health) among patients attending the clinic. Role limitations attributed to physical problems improved most (adjusted difference 8.52, 95% confidence interval 4.16 to 12. 9). Fewer patients reported worsening chest pain (odds ratio 0.59, 95% confidence interval 0.37 to 0.94). There were no significant effects on anxiety or depression. Fewer intervention group patients required hospital admissions (0.64, 0.48 to 0.86), but general practitioner consultation rates did not alter.

conclusionsWithin their first year secondary prevention clinics improved patients' health and reduced hospital admissions.

Indexed as

AdultAgedAmbulatory CareAnxietyChest PainCoronary DiseaseDepressionFamily PracticeFemaleHealth PromotionHealth StatusHumansLength of StayMaleMiddle AgedPatient Acceptance of Health Care

Identifiers

PMID9572758
PMCPMC28544
OpenAlexW2004461412

What OpenQuestion holds

Textmetadata
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.