Nurse led clinics controlled hypertension and hyperlipidaemia better than usual care in diabetes
Q In patients with diabetes and high blood pressure (BP) or high cholesterol, is a nurse led hypertension or hyperlipidaemia clinic more effective than usual care for controlling BP and lipid concentrations?
METHODS
Design:
randomised controlled trial.
Allocation:
concealed.
Blinding:
data collectors {and data analysts}*.
Follow up period:
1 year.
Setting:
Hope Hospital, Salford, UK.
Patients:
patients with diabetes mellitus who were receiving shared care provided by a general practitioner and hospital diabetes clinic and had elevated BP (systolic ⩾140 mm Hg or diastolic ⩾80 mm Hg) or elevated serum cholesterol concentrations (total cholesterol ⩾5.0 mmol/l). 1014 patients (mean age 64 y, 52% men) were enrolled in the BP control protocol, and 683 patients (mean age 57 y, 54% men) in the lipid management protocol.
Interventions:
patients with elevated BP were allocated to a …
