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dc.contributor.authorFernández-Luque, Maria Jesús
dc.contributor.authorSanchez-Gomez, Luis Maria 
dc.contributor.authorPastor y Aldeguer, Vicente
dc.contributor.authorSuárez-Fernández, Carmen
dc.contributor.authorSierra-García, Belén
dc.contributor.authorMayayo-Vicente, Soledad
dc.contributor.authorRuiz-López, Marta
dc.contributor.authorGallego-Arenas, Ángela
dc.contributor.authorSánchez Alcalde, Rosa
dc.contributor.authorLoeches-Belinchón, Pilar
dc.contributor.authorLópez-González, Javier
dc.contributor.authorRodríguez-Salvanés, Francisco
dc.contributor.authorNovella-Arribas, Blanca
dc.identifier.citationWorld J Cardiovasc Dis. 2020; Vol.10 (3): 117-130.es_ES
dc.description.abstractBackground: A number of strategies exist for the implementation of clinical practice guides (CPGs). Aim: To assess the efficacy of implementing a cardiovascular risk CPG based on an educational method involving opinion leaders, and the habitual method of dissemination among primary healthcare teams. Design and Setting: Controlled, blinded, community intervention trial randomised by clusters. Methods: 21 primary healthcare centres were randomly assigned to either the intervention arm (n = 11) or the control arm (n = 10). The study subjects were patients aged ≥45 years assigned to the centres. The overall impact of the intervention was measured as the difference between the increase in the proportion of patients whose medical records showed the recording of all the variables necessary to calculate cardiovascular risk in both arms. Analyses were performed with Generalized Lineal Model on an intention-to-treat basis. Results: 917 subjects were included at the beginning of the trial (437 in the intervention arm and 480 in the control arm). 826 subjects were included in the final evaluation (436 in the intervention group and 390 in the control arm). At the end of the trial, the recording of the variables necessary for the calculation of the cardiovascular risk in the intervention group had increased more than in the control group (difference between increases 7.49% (95% CI 4.62 - 10.35)) after adjusting for confounding variables. Conclusions: Compared to the habitual method of dissemination, the implementation of this CPG using an educational method involving opinion leaders, improved the recording of the variables needed to calculate patients’ cardiovascular risk.es_ES
dc.description.sponsorshipFunding for the trial was provided by the Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I). Instituto de Salud Carlos III—Fondo de Investigación Sanitaria. Expediente N˚ 031216.es_ES
dc.publisherScientific Research Publishing (SCIRP)es_ES
dc.subjectRandomized controlled triales_ES
dc.subjectCluster analysises_ES
dc.subjectClinical practice guidelineses_ES
dc.subjectPrimary healthcarees_ES
dc.subjectRisk factorses_ES
dc.subjectCardiovascular diseaseses_ES
dc.titleEfficacy of a Strategy for Implementing Guidelines for the Control of Cardiovascular Risk in Primary Healthcarees_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III es_ES
dc.contributor.funderPlan Nacional de I+D+i (España) es_ES
dc.identifier.journalWorld Journal of Cardiovascular Diseaseses_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES
dc.rights.accessRightsopen accesses_ES

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