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QUESTION: In patients with pre-existing coronary heart disease (CHD), do the benefits of nurse led secondary prevention clinics continue beyond 1 year?
Design
Randomised {allocation concealed}*, unblinded*, controlled trial with mean follow up of 4.7 years.
Setting
19 randomly selected general practices in Scotland, UK.
Patients
1343 patients (mean age 66 y, 58% men) who had CHD. Exclusion criteria were terminal illness, dementia, and inability to leave home. 82% of patients were followed up.
Intervention
673 patients were allocated to receive invitations to attend secondary prevention clinics at their general practice where nurses reviewed symptoms and treatments, …
Footnotes
Source of funding: Chief Scientist Office at the Scottish Executive.
For correspondence: Mr P Murchie, Department of General Practice and Primary Care, University of Aberdeen, Aberdeen, UK. p.murchie{at}abdn.ac.uk
A modified version of this abstract appears in Evidence-Based Medicine.