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Quality improvement
Case method learning for general practitioners reduces cholesterol concentrations in coronary artery disease

https://doi.org/10.1136/ebm.8.3.95

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    (2002) BMJ 325, 877. Kiessling A, Henriksson P.. Efficacy of case method learning in general practice for secondary prevention in patients with coronary artery disease: randomised controlled study.. ;. :. –80.
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 QUESTION: In patients with coronary artery disease, is case method learning (CML) for general practitioners (GPs) based on clinical practice guidelines (CPGs) more effective at reducing cholesterol concentrations than conventional introduction of CPGs for secondary prevention of coronary artery disease?

    Design

    Cluster randomised (allocation concealed*), blinded (GPs, patients, data collectors, and data analysts/statisticians),* controlled trial with 2 years of follow up.

    Setting

    Södertälje, Stockholm County, Sweden.

    Patients

    88 patients ≤70 years of age (mean age 62 y, 85% men) with an objective diagnosis of coronary artery disease. Exclusion criteria included other life threatening diseases and moving out of the catchment area. Follow up was 89%.

    Intervention

    The 14 primary healthcare centres in Södertälje were divided into 2 matched and balanced groups (“clusters”) taking into account geographic …

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    Footnotes

    • Sources of funding: Stockholm County Council and Karolinska Institute.

    • For correspondence: Dr P Henriksson, Danderyd University Hospital and Karolinska Institute, Stockholm, Sweden. Peter.Henriksson{at}med.ds.sll.se

    • ↵* See glossary.