Estimating the yield of NHS Health Checks in England: A population-based cohort study
Authors: Forster, A.S., Dodhia, H., Booth, H., Dregan, A., Fuller, F., Miller, J., Burgess, C., McDermott, L., Gulliford, M.C.
Journal: Journal of Public Health United Kingdom
Publication Date: 01/06/2015
Volume: 37
Issue: 2
Pages: 234-240
eISSN: 1741-3850
ISSN: 1741-3842
DOI: 10.1093/pubmed/fdu079
Abstract:Background This study aimed to evaluate the yield of the NHS Health Checks programme. Methods A cohort study, conducted in the Clinical Practice Research Datalink in England. Electronic health records were analysed for patients aged 40-74 receiving an NHS Health Check between 2010 and 2013. Results There were 65 324 men and 75 032 women receiving a health check. For every 1000 men assessed, there were 205 smokers (95% confidence interval 195-215), 355 (340-369) with hypertension ( ≥140/90mmHg) and 633 (607-658) with elevated cholesterol ( ≥5 mmol/l). Among 1000 women, there were 161 (151-171) smokers, 247 (238-257) with hypertension and 668 (646-689) with elevated cholesterol. In the 12 months following the check, statins were prescribed to 18% of men and 21% of women with ≥20% cardiovascular risk and antihypertensive drugs to 11% of men and 16% of women with ≥20% cardiovascular risk. Slight reductions in risk factor values were observed in the minority of participants with follow-up values recorded in the 15 months following the check. Conclusions A universal primary prevention programme identifies substantial risk factor burden in a population without known cardiovascular disease. Research is needed to monitor interventions, and intermediate- and long-term outcomes, in those identified at high risk.
Source: Scopus
Estimating the yield of NHS Health Checks in England: a population-based cohort study.
Authors: Forster, A.S., Dodhia, H., Booth, H., Dregan, A., Fuller, F., Miller, J., Burgess, C., McDermott, L., Gulliford, M.C.
Journal: J Public Health (Oxf)
Publication Date: 06/2015
Volume: 37
Issue: 2
Pages: 234-240
eISSN: 1741-3850
DOI: 10.1093/pubmed/fdu079
Abstract:BACKGROUND: This study aimed to evaluate the yield of the NHS Health Checks programme. METHODS: A cohort study, conducted in the Clinical Practice Research Datalink in England. Electronic health records were analysed for patients aged 40-74 receiving an NHS Health Check between 2010 and 2013. RESULTS: There were 65 324 men and 75 032 women receiving a health check. For every 1000 men assessed, there were 205 smokers (95% confidence interval 195-215), 355 (340-369) with hypertension (≥140/90 mmHg) and 633 (607-658) with elevated cholesterol (≥5 mmol/l). Among 1000 women, there were 161 (151-171) smokers, 247 (238-257) with hypertension and 668 (646-689) with elevated cholesterol. In the 12 months following the check, statins were prescribed to 18% of men and 21% of women with ≥20% cardiovascular risk and antihypertensive drugs to 11% of men and 16% of women with ≥20% cardiovascular risk. Slight reductions in risk factor values were observed in the minority of participants with follow-up values recorded in the 15 months following the check. CONCLUSIONS: A universal primary prevention programme identifies substantial risk factor burden in a population without known cardiovascular disease. Research is needed to monitor interventions, and intermediate- and long-term outcomes, in those identified at high risk.
Source: PubMed
Estimating the yield of NHS Health Checks in England: a population-based cohort study
Authors: Forster, A.S., Dodhia, H., Booth, H., Dregan, A., Fuller, F., Miller, J., Burgess, C., McDermott, L., Gulliford, M.C.
Journal: JOURNAL OF PUBLIC HEALTH
Publication Date: 06/2015
Volume: 37
Issue: 2
Pages: 234-240
eISSN: 1741-3850
ISSN: 1741-3842
DOI: 10.1093/pubmed/fdu079
Source: Web of Science
Estimating the yield of NHS Health Checks in England: a population-based cohort study.
Authors: Forster, A.S., Dodhia, H., Booth, H., Dregan, A., Fuller, F., Miller, J., Burgess, C., McDermott, L., Gulliford, M.C.
Journal: Journal of public health (Oxford, England)
Publication Date: 06/2015
Volume: 37
Issue: 2
Pages: 234-240
eISSN: 1741-3850
ISSN: 1741-3842
DOI: 10.1093/pubmed/fdu079
Abstract:Background
This study aimed to evaluate the yield of the NHS Health Checks programme.Methods
A cohort study, conducted in the Clinical Practice Research Datalink in England. Electronic health records were analysed for patients aged 40-74 receiving an NHS Health Check between 2010 and 2013.Results
There were 65 324 men and 75 032 women receiving a health check. For every 1000 men assessed, there were 205 smokers (95% confidence interval 195-215), 355 (340-369) with hypertension (≥140/90 mmHg) and 633 (607-658) with elevated cholesterol (≥5 mmol/l). Among 1000 women, there were 161 (151-171) smokers, 247 (238-257) with hypertension and 668 (646-689) with elevated cholesterol. In the 12 months following the check, statins were prescribed to 18% of men and 21% of women with ≥20% cardiovascular risk and antihypertensive drugs to 11% of men and 16% of women with ≥20% cardiovascular risk. Slight reductions in risk factor values were observed in the minority of participants with follow-up values recorded in the 15 months following the check.Conclusions
A universal primary prevention programme identifies substantial risk factor burden in a population without known cardiovascular disease. Research is needed to monitor interventions, and intermediate- and long-term outcomes, in those identified at high risk.Source: Europe PubMed Central