The impact of health care advice given in primary care on cardiovascular risk

Lindholm, Lars; Ekbom, Tord; Dash, C. H.; Eriksson, Margaretha; Tibblin, Gösta; Scherstén, Bengt

doi:10.1136/bmj.310.6987.1105

Cited by 70 publications

(50 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the light of recent reports from three community-based prevention trials in the US commented upon in the introduction (2,4,5) as well as from cardiovascular prevention programmes and controlled randomised trials in primary health care (16)(17)(18), we find our results regarding reduced levels of blood pressure, serum cholesterol and serum triglycerides after intervention encouraging. However, one should of course consider the impact of regression towards the mean, as well as concomittant trends in the society, when interpreting the results from our prevention programme.…”

Section: Discussionmentioning

confidence: 54%

Four years experience of a cardiovascular opportunistic screening and prevention programme in the primary health care in Sollentuna, Sweden

Johansson

et al. 1999

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 54%

Four years experience of a cardiovascular opportunistic screening and prevention programme in the primary health care in Sollentuna, Sweden

Johansson

et al. 1999

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

“…This may be due in part by the fact that some people have adopted the fatalistic viewpoint that nutrition counselling in general practice does not help (Price et al, 2000). Several studies, however, have shown the opposite (Lindholm et al, 1995;Mant, 1997;Pritchard et al, 1999;Steptoe et al, 1999Steptoe et al, , 2001; Van der Veen et al, 2002). As large groups of people still fail to meet the dietary recommendations set out by the Health Council, continuous efforts to improve the lifestyle of the population are needed.…”

Section: Discussionmentioning

confidence: 99%

Potentials and pitfalls for nutrition counselling in general practice

et al. 2005

View full text Add to dashboard Cite

“…Resultados similares a los nuestros encuentran Lindholm et al 31 , que evalúan la efectividad en la reducción de los factores de riesgo principales y del riesgo coronario de una intervención con seis sesiones de educación a los pacientes. Aunque mejoran algunos factores de riesgo, el riesgo coronario global no se modifica.…”

Section: Discussionunclassified

Riesgo cardiovascular del paciente hipertenso con seguimiento prolongado en atención primaria: El efecto del envejecimiento (Ciclo Risk Study)

Gómez‐Marcos¹,

González-Elena²,

Maderuelo‐Fernández³

et al. 2007

Rev. Esp. Salud Publica

View full text Add to dashboard Cite

RESUMENFundamento La evolución del riesgo cardiovascular estimado, puede servir para valorar la efectividad de las diferentes intervenciones terapéuticas que se realizan en pacientes con seguimiento habitual en las consultas del médico de familia. El objetivo de este trabajo es comparar diferentes sistemas de evaluación del efecto de las intervenciones preventivas en la evolución del riesgo coronario en el seguimiento a largo plazo de personas hipertensas en Atención Primaria.Métodos: Estudio descriptivo longitudinal con seguimiento de 8.42 pacientes hipertensos de 34 a 70 años durante 6 años en dos centros de atención primaria, con una intervención de mejora de calidad (ciclo de mejora) en el último año en uno de ellos. El seguimiento mínimo en atención primaria previo al inicio del estudio fue de dos años. Las variables principales fueron edad y sexo, presión arterial, lípidos, tabaquismo, diabetes y riesgo cardiovascular (RCV)(Framingham-Wilson) en la situación real y considerando constante la edad en el primer supuesto y los factores de riesgo en el segundo y el riesgo relativo.Resultados: Se encontró un descenso de la presión arterial sistólica y diastólica de 11,78 mmHg (IC95%:10,51-13,05) y 8,83 mmHg (IC95%:8,13-9,53) respectivamente y LDL-Colesterol 15,94 mg/dl (IC95%:11,77-20,12), un ascenso del HDLColesterol de 7,53 mg/dl (IC95:6,39-8,66), disminución del tabaquismo del 31% y un aumento de diabéticos. El riego coronario disminuyó 1,40(IC95%:0,87-1,93) puntos porcentuales, el RCV con edad constante descendió 3,84(IC95%:3,35-4,33) y con factores de riesgo constantes incrementó 3,06(IC95%:2,82-3,29). El Riesgo relativo descendió de 2,50 a 1,85.Conclusiones: El envejecimiento puede enmascarar el efecto logrado por la atención sanitaria en el control del riesgo cardiovascular absoluto. El riesgo relativo podría ser una alternativa para monitorizar el seguimiento.Palabras clave: Hipertensión. Riesgo coronario. Envejecimiento. Atención primaria de salud. ABSTRACT Cardiovascular Risk of Hypertensive People with Long-Range Monitoring. The Effect of Aging (Ciclo Risk Study)Background: The evolution of estimated cardiovascular risk can be for evaluating the effectiveness of the different treatment interventions which are carried out on patients with regular follow-up by family physicians. This study is aimed at evaluating the effect of aging on the evolution of cardiovascular risk among hypertensive patients with long-range Primary Care monitoring.Methods: Longitudinal, descriptive study with monitoring of 842 hypertensive patients within the 34-70 age range at two primary care centers, with a quality improvement intervention (improvement cycle) during the last year at one of these centers. The main variables were age and gender, blood pressure, lipids, smoking habit, diabetes and cardiovascular risk (CVR) (Framingham-Wilson) in the real-life situation and considering the age constant in the first case, and the risk factors in the second, plus the relative risk.Results: A drop was found in the systolic and diast...

show abstract

The impact of health care advice given in primary care on cardiovascular risk

Abstract: Limited additional benefit was gained from being in the group receiving the intensive health care advice. It is difficult to make an important impact on cardiovascular risk in primary care by using only the practice staff. Better methods of communicating the messages need to be devised.

Cited by 70 publications

References 14 publications

Four years experience of a cardiovascular opportunistic screening and prevention programme in the primary health care in Sollentuna, Sweden

Four years experience of a cardiovascular opportunistic screening and prevention programme in the primary health care in Sollentuna, Sweden

Potentials and pitfalls for nutrition counselling in general practice

Riesgo cardiovascular del paciente hipertenso con seguimiento prolongado en atención primaria: El efecto del envejecimiento (Ciclo Risk Study)

Contact Info

Product

Resources

About