Why the study?
Does multidisciplinary disease management programmes (DMPs) improve processes of care and reduce morbidity and mortality in patients with coronary artery disease (CAD)?
Does multidisciplinary disease management programmes (DMPs) improve processes of care and reduce morbidity and mortality in patients with coronary artery disease (CAD)?
Multidisciplinary disease management programmes in CAD patients reduce hospital admissions but do not significantly impact mortality or recurrent MI.
Supports DMPs to reduce CAD hospitalizations; confirms no mortality or recurrent MI benefit.
McAlister FA, Lawson FM, Teo KK , et al. Randomised trials of secondary prevention programmes in coronary heart disease: systematic review. BMJ2001 Oct 27; 323 : 957 –62 [OpenUrl][1][Abstract/FREE Full Text][2] QUESTION: In patients with coronary artery disease (CAD), do multidisciplinary disease management programmes (DMPs) improve processes of care and reduce morbidity and mortality? Studies were identified by searching Medline (1966–2000), EMBASE/Excerpta Medica (1980–99), CINAHL (1982–99), SIGLE (1980–99), the Cochrane Controlled Trials Register, and the Cochrane Effective Practice and Organization of Care Study Register using the terms case management, comprehensive health care, disease management, health services research, home care services, clinical protocols, patient care planning, quality of health care, rehabilitation, nurse led clinics, special clinics, and myocardial ischaemia. Bibliographies of identified studies were scanned and experts were contacted. Studies … [1]: {openurl}?query=rft.jtitle%253DBMJ%26rft.stitle%253DBMJ%26rft.aulast%253DMcAlister%26rft.auinit1%253DF.%2BA%26rft.volume%253D323%26rft.issue%253D7319%26rft.spage%253D957%26rft.epage%253D962%26rft.atitle%253DRandomised%2Btrials%2Bof%2Bsecondary%2Bprevention%2Bprogrammes%2Bin%2Bcoronary%2Bheart%2Bdisease%253A%2Bsystematic%2Breview%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.323.7319.957%26rft_id%253Dinfo%253Apmid%252F11679383%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bmj&resid=323/7319/957&atom=%2Febnurs%2F5%2F2%2F54.atom
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BMJ Publishing Group Ltd and RCN Publishing Company Ltd (2002) studied this question.
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