Secondary prevention programmes in coronary heart disease improve care
Specialised multidisciplinary clinics for patients with coronary heart
disease improve patient care and quality of life or functional status.
McAlister and colleagues reviewed 12 randomised controlled trials
including nearly 10 000 patients and found greater prescription of
efficacious drugs and better risk factor profiles in patients assigned
to specialised clinics rather than usual care (p 957). Admissions to
hospital were also reduced. The optimal mix of components and the cost
effectiveness of the clinics remain unclear.
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- Randomised trials of secondary prevention programmes in coronary heart disease: systematic review
- Finlay A McAlister, Fiona M E Lawson, Koon K Teo, and Paul W Armstrong
BMJ 2001 323: 957-962.[Abstract] [Full Text] [PDF]
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