Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year
Objective: We aimed to assess whether the National Health Service (NHS) Health Check, a systematic cardiovascular disease (CVD) risk assessment and management program, was associated with reduction in CVD risk in attendees after one year. Methods: We extracted data from patients aged 40-74. years, w...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2013
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| _version_ | 1797066785083621376 |
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| author | Artac, M Dalton, A Majeed, A Car, J Millett, C |
| author_facet | Artac, M Dalton, A Majeed, A Car, J Millett, C |
| author_sort | Artac, M |
| collection | OXFORD |
| description | Objective: We aimed to assess whether the National Health Service (NHS) Health Check, a systematic cardiovascular disease (CVD) risk assessment and management program, was associated with reduction in CVD risk in attendees after one year. Methods: We extracted data from patients aged 40-74. years, with high estimated CVD risk, who were registered with general practices in a deprived, culturally diverse setting in England. We included 4748 patients at baseline (July 2008-November 2009), with 3712 at follow-up (December 2009-March 2011). We used a pre-post study design to assess changes in global CVD risk, individual CVD risk factors and statin prescription in patients with a complete and partial Health Check. Results: There were significant reductions in mean CVD risk score (28.2%; 95% confidence interval (CI) = 27.3-29.1 to 26.2%; 95% CI, 25.4-27.1), diastolic blood pressure, total cholesterol levels and lipid ratios after one year in patients with a complete Health Check. Statin prescription increased from 14.0% (95% CI = 11.9-16.0) to 60.6% (95% CI = 57.7-63.5). Conclusions: The introduction of NHS Health Check was associated with significant but modest reductions in CVD risk among screened high-risk individuals. Further cost-effectiveness analysis and work accounting for uptake is required to assess whether the program can make significant changes to population health. © 2013 Elsevier Inc. |
| first_indexed | 2024-03-06T21:46:58Z |
| format | Journal article |
| id | oxford-uuid:49ec3ff1-fce6-4fe4-a355-dbfaed5b01db |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:46:58Z |
| publishDate | 2013 |
| record_format | dspace |
| spelling | oxford-uuid:49ec3ff1-fce6-4fe4-a355-dbfaed5b01db2022-03-26T15:34:38ZEffectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one yearJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:49ec3ff1-fce6-4fe4-a355-dbfaed5b01dbEnglishSymplectic Elements at Oxford2013Artac, MDalton, AMajeed, ACar, JMillett, CObjective: We aimed to assess whether the National Health Service (NHS) Health Check, a systematic cardiovascular disease (CVD) risk assessment and management program, was associated with reduction in CVD risk in attendees after one year. Methods: We extracted data from patients aged 40-74. years, with high estimated CVD risk, who were registered with general practices in a deprived, culturally diverse setting in England. We included 4748 patients at baseline (July 2008-November 2009), with 3712 at follow-up (December 2009-March 2011). We used a pre-post study design to assess changes in global CVD risk, individual CVD risk factors and statin prescription in patients with a complete and partial Health Check. Results: There were significant reductions in mean CVD risk score (28.2%; 95% confidence interval (CI) = 27.3-29.1 to 26.2%; 95% CI, 25.4-27.1), diastolic blood pressure, total cholesterol levels and lipid ratios after one year in patients with a complete Health Check. Statin prescription increased from 14.0% (95% CI = 11.9-16.0) to 60.6% (95% CI = 57.7-63.5). Conclusions: The introduction of NHS Health Check was associated with significant but modest reductions in CVD risk among screened high-risk individuals. Further cost-effectiveness analysis and work accounting for uptake is required to assess whether the program can make significant changes to population health. © 2013 Elsevier Inc. |
| spellingShingle | Artac, M Dalton, A Majeed, A Car, J Millett, C Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title_full | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title_fullStr | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title_full_unstemmed | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title_short | Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year |
| title_sort | effectiveness of a national cardiovascular disease risk assessment program nhs health check results after one year |
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