Review: multidisciplinary disease management programmes do not reduce death or recurrent myocardial infarction but reduce admission to hospital
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 were selected if they were randomised controlled trials in any language investigating the effect of DMPs on death, myocardial infarction (MI), …