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Pragmatic randomised controlled trial
Advanced practice nurses achieve results equal to or better than those of GPs in cardiovascular risk management in primary care
  1. Marije Koelewijn-van Loon
  1. Correspondence to Marije Koelewijn-van Loon
    Department of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands; m.koelewijn{at}hag.unimaas.nl

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Many patients at high risk for cardiovascular disease (CVD) are managed in primary care. According to national and international guidelines, measures to prevent CVD, such as patient education, can be delegated to practice nurses in primary care. Studies have shown reductions in cardiovascular risk factors in rehabilitation programmes, but the effect of primary prevention of CVD by practice nurses is unclear.1 ,2

The study by Voogdt-Pruis and colleagues is a pragmatic randomised trial of the …

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