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  • Review: multidisciplinary disease management programmes do not reduce death or recurrent myocardial infarction but reduce admission to hospital

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Review: multidisciplinary disease management programmes do not reduce death or recurrent myocardial infarction but reduce admission to hospital

https://doi.org/10.1136/ebn.5.2.54

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    McAlister FA, Lawson FM, Teo KK, et al. Randomised trials of secondary prevention programmes in coronary heart disease: systematic review.BMJ2001 Oct 27;323:957–62OpenUrlAbstract/FREE Full Text

    QUESTION: In patients with coronary artery disease (CAD), do multidisciplinary disease management programmes (DMPs) improve processes of care and reduce morbidity and mortality?

    Data sources

    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.

    Study selection

    Studies …

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    Footnotes

    • Source of funding: Alberta Heritage Foundation for Medical Research.

    • For correspondence: Professor F McAlister, University of Alberta Hospital, Edmonton, Alberta, Canada. Finlay.McAlister{at}ualberta.ca

    • A modified version of this abstract appears in ACP Journal Club.

    • ↵* p Values calculated from data in article