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https://hdl.handle.net/2440/95318
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dc.contributor.author | Si, S. | - |
dc.contributor.author | Moss, J. | - |
dc.contributor.author | Sullivan, T. | - |
dc.contributor.author | Newton, S. | - |
dc.contributor.author | Stocks, N. | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | British Journal of General Practice, 2014; 64(618):e47-e53 | - |
dc.identifier.issn | 0960-1643 | - |
dc.identifier.issn | 1478-5242 | - |
dc.identifier.uri | http://hdl.handle.net/2440/95318 | - |
dc.description.abstract | BACKGROUND: A recent review concluded that general health checks fail to reduce mortality in adults. AIM: This review focuses on general practice-based health checks and their effects on both surrogate and final outcomes. DESIGN AND SETTING: Systematic search of PubMed, Embase, and the Cochrane Central Register of Controlled Trials. METHOD: Relevant data were extracted from randomised trials comparing the health outcomes of general practice-based health checks versus usual care in middle-aged populations. RESULTS: Six trials were included. The end-point differences between the intervention and control arms in total cholesterol (TC), systolic and diastolic blood pressure (SBP, DBP), and body mass index (BMI) were -0.13 mmol/l (95% confidence interval [CI] = -0.19 to -0.07), -3.65 mmHg (95% CI = -6.50 to -0.81), -1.79 mmHg (95% CI = -2.93 to -0.64), and -0.45 kg/m(2) (95% CI = -0.66 to -0.24), respectively. The odds of a patient remaining at 'high risk' with elevated TC, SBP, DBP, BMI or continuing smoking were 0.63 (95% CI = 0.50 to 0.79), 0.59 (95% CI = 0.28 to 1.23), 0.63 (95% CI = 0.53 to 0.74), 0.89 (95% CI = 0.81 to 0.98), and 0.91 (95% CI = 0.82 to 1.02), respectively. There was little evidence of a difference in total mortality (OR 1.03, 95% CI = 0.90 to 1.18). Higher CVD mortality was observed in the intervention group (OR 1.30, 95% CI = 1.02 to 1.66). CONCLUSION: General practice-based health checks are associated with statistically significant, albeit clinically small, improvements in surrogate outcome control, especially among high-risk patients. Most studies were not originally designed to assess mortality. | - |
dc.description.statementofresponsibility | S Si, J R Moss, TR Sullivan, SS Newton | - |
dc.language.iso | en | - |
dc.publisher | Royal College of General Practitioners | - |
dc.rights | ©British Journal of General Practice | - |
dc.source.uri | http://dx.doi.org/10.3399/bjgp14x676456 | - |
dc.subject | Humans | - |
dc.subject | Hypertension | - |
dc.subject | Hypercholesterolemia | - |
dc.subject | Body Mass Index | - |
dc.subject | Cluster Analysis | - |
dc.subject | Risk Assessment | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Health Promotion | - |
dc.subject | Randomized Controlled Trials as Topic | - |
dc.subject | General Practice | - |
dc.title | Effectiveness of general practice-based health checks: a systematic review and meta-analysis | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.3399/bjgp14X676456 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Moss, J. [0000-0003-4216-1761] | - |
dc.identifier.orcid | Newton, S. [0000-0002-4131-5899] | - |
dc.identifier.orcid | Stocks, N. [0000-0002-9018-0361] | - |
Appears in Collections: | Aurora harvest 7 Public Health publications |
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