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Treatment
Review: counselling and education reduce cardiovascular risk factors but not mortality

https://doi.org/10.1136/ebn.3.1.22

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    Ebrahim S, Davey Smith G. Multiple risk factor interventions for primary prevention of coronary heart disease. (Cochrane Review, latest version 24 February 1999). In: Cochrane Library. Oxford: Update Software.

    QUESTION: In people without evidence of established cardiovascular disease, do counselling or educational interventions reduce cardiovascular risk factors, deaths from all causes, and deaths from coronary artery disease (CAD)?

    Data sources

    Studies were identified using Medline (1966 to April 1995), bibliographies of relevant studies, and by contacting experts.

    Study selection

    Studies were selected if they were randomised controlled trials with ≥6 months of follow up of counselling or educational interventions with or without medications aimed at controlling ≥1 cardiovascular risk factor (blood pressure, smoking, total blood cholesterol, physical activity, and diet) …

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    Footnotes

    • Sources of funding: NHS Centre for Reviews & Dissemination, University of York, UK; Health Education Authority, London, UK.

    • For correspondence: Professor S Ebrahim, Epidemiology of Ageing, Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. FAX +44 (0)117 928 7325.

    • A modified version of this abstract appears in Evidence-Based Medicine and ACP Journal Club.