Evidence map›Paper›PMID 9930042›Full record

Trial reportHeart (British Cardiac Society)1998

Secondary prevention in coronary heart disease: a randomised trial of nurse led clinics in primary care.

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

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

Trial report in Heart (British Cardiac Society), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 21 pooled it
7.4field-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

70 citing papers in PubMed, 21 syntheses or guidelines pooled it, 260 citations in OpenAlex.

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  2. Nursing interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
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  4. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
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  9. Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Commented on by
5 · Who and what money

Authors and funding

6 authors.

N C CampbellDepartment of General Practice and Primary Care, Foresterhill Health Centre, Aberdeen, UK.
L D Ritchie
J Thain
H G Deans
J M Rawles
J L Squair

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether nurse run clinics in general practice improve secondary prevention in patients with coronary heart disease.

designRandomised controlled trial.

settingA random sample of 19 general practices in northeast Scotland. PATIENTS: 1173 patients (685 men and 488 women) under 80 years with working diagnoses of coronary heart disease, but without terminal illness or dementia and not housebound.

interventionNurse run clinics promoted medical and lifestyle aspects of secondary prevention and offered regular follow up.

main outcome measuresComponents of secondary prevention assessed at baseline and one year were: aspirin use; blood pressure management; lipid management; physical activity; dietary fat; and smoking status. A cumulative score was generated by counting the number of appropriate components of secondary prevention for each patient.

resultsThere were significant improvements in aspirin management (odds ratio 3.22, 95% confidence interval 2.15 to 4.80), blood pressure management (5.32, 3.01 to 9.41), lipid management (3.19, 2.39 to 4.26), physical activity (1.67, 1.23 to 2.26) and diet (1.47, 1.10 to 1.96). There was no effect on smoking cessation (0.78, 0.47 to 1.28). Of six possible components of secondary prevention, the baseline mean was 3.27. The adjusted mean improvement attributable to intervention was 0.55 of a component (0.44 to 0.67). Improvement was found regardless of practice baseline performance.

conclusionsNurse run clinics proved practical to implement in general practice and effectively increased secondary prevention in coronary heart disease. Most patients gained at least one effective component of secondary prevention and, for them, future cardiovascular events and mortality could be reduced by up to a third.

Indexed as

Ambulatory Care FacilitiesNurse CliniciansAgedAnti-Inflammatory Agents, Non-SteroidalAspirinCoronary DiseaseDietary FatsFemaleHumansHypertensionLipidsMaleMiddle AgedOdds RatioPatient CompliancePatient Education as TopicAnti-Inflammatory Agents, Non-SteroidalAspirinDietary FatsLipids

Identifiers

PMID9930042
PMCPMC1728827
OpenAlexW2129836013

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.