Systematic review of evaluations of a national cardiovascular disease risk assessment programme (NHS Health Check) across England
PHE ePoster Library. Yazdi A. 09/10/18; 221222; 202
Dr. Alireza Yazdi
Dr. Alireza Yazdi
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Abstract
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Abstract Introduction/Background: The NHS Health Check, England's national cardiovascular risk assessment programme, is the first of its kind in the world and aims to detect undiagnosed disease and reduce its related vascular complications. This 'upstream' approach to prevention is clinically effective and cost effective. However, regional variation in uptake and delivery exists. Understanding different organisational provision is important to allow for improved management, good practice and better health outcomes. This systematic review summarises the current evidence. It has been successfully registered in the NIHR PROSPERO Registry (#CRD42017076451).Method: Seven electronic databases and single citation tracking were searched for evaluation studies recording NHSHC related outcome measures. April 2009-October 2016 were considered.Results: Thirteen eligible studies and one dataset were identified. Study quality was mixed yet some statistically significant data were observed and clinically relevant. Conclusions: There is considerable diversity in the delivery of the NHSHC in primary care. Disparities in uptake across the whole of England demonstrate inconsistencies in programme delivery nationally. A formal, standardised model may be required to optimise patient outcomes in cardiovascular disease. Such a standard will make implementation more consistent and evaluation more measurable. Methodological and clinical heterogeneity reported across studies renders the generalisations of review results a challenge. High quality studies comparing organisational provision are required. External funding details Funding: This research is a non-commissioned, externally peer-reviewed and received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
Abstract Introduction/Background: The NHS Health Check, England's national cardiovascular risk assessment programme, is the first of its kind in the world and aims to detect undiagnosed disease and reduce its related vascular complications. This 'upstream' approach to prevention is clinically effective and cost effective. However, regional variation in uptake and delivery exists. Understanding different organisational provision is important to allow for improved management, good practice and better health outcomes. This systematic review summarises the current evidence. It has been successfully registered in the NIHR PROSPERO Registry (#CRD42017076451).Method: Seven electronic databases and single citation tracking were searched for evaluation studies recording NHSHC related outcome measures. April 2009-October 2016 were considered.Results: Thirteen eligible studies and one dataset were identified. Study quality was mixed yet some statistically significant data were observed and clinically relevant. Conclusions: There is considerable diversity in the delivery of the NHSHC in primary care. Disparities in uptake across the whole of England demonstrate inconsistencies in programme delivery nationally. A formal, standardised model may be required to optimise patient outcomes in cardiovascular disease. Such a standard will make implementation more consistent and evaluation more measurable. Methodological and clinical heterogeneity reported across studies renders the generalisations of review results a challenge. High quality studies comparing organisational provision are required. External funding details Funding: This research is a non-commissioned, externally peer-reviewed and received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
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