Why the study?
Does setting up a disease register and systematic recall system improve secondary prevention assessment and clinical outcomes in patients with established coronary heart disease compared to audit alone?
Population
1906 patients aged 55-75 years with established coronary heart disease across 21 general practices.
Comparison
Assistance with setting up a disease register… vs Audit of notes with summary feedback to primary…
Design
RCT, cluster randomised, unblinded
Follow-up
18 months
Authors
Loading...
Recall systems raise CHD risk-factor assessment rates without improving clinical outcomes; challenges assumption that better processes alone yield outcome gains.
Does setting up a disease register and systematic recall system improve secondary prevention assessment and clinical outcomes in patients with established coronary heart disease compared to audit alone?
Setting up a coronary heart disease register and recall system in primary care improves patient assessment but does not necessarily translate to improved clinical outcomes or risk factor levels compared to audit alone.
M Moher (2001) studied this question.