You are here

  • Home
  • Archive
  • Volume 15, Issue 4
  • Advanced practice nurses achieve results equal to or better than those of GPs in cardiovascular risk management in primary care

Article Text

Article menu
Download PDFPDF
Therapeutics
Pragmatic randomised controlled trial
Advanced practice nurses achieve results equal to or better than those of GPs in cardiovascular risk management in primary care
  1. Christianne L Roumie1,2,3,4,
  2. Russell L Rothman4
  1. 1VA Tennessee Valley Geriatric Research Education Clinical Center (GRECC), Nashville, Tennessee, USA
  2. 2HSR&D Targeted Research Enhancement Program for Patient Healthcare Behavior, Nashville, Tennessee, USA
  3. 3Clinical Research Center of Excellence (CRCoE), Nashville, Tennessee, USA
  4. 4Departments of Medicine and Pediatrics, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to Russell L Rothman
    Center for Health Services Research, Vanderbilt University Medical Center, Suite 6000 Medical Center East, Nashville, Tennessee 37232-8300, USA; russell.rothman{at}vanderbilt.edu

https://doi.org/10.1136/ebm1033

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Commentary on:

    1. Voogdt-Pruis HR,
    2. Beusmans GH,
    3. Gorgels AP,
    4. et al
    . Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial. Br J Gen Pract 2010;60:40–6.
    OpenUrlAbstract/FREE Full Text

    Context of the problem

    Guidelines have been available for the diagnosis and management of chronic diseases, particularly cardiovascular risk factors, for the past 25 years. Despite widespread promotion, guidelines have had limited effects on provider behaviour, and a gap in the quality of healthcare remains.1 Strategies to increase the provision of cardiovascular disease (CVD) prevention in primary care may involve information technology, decision support, provider and patient education and the use of physician extenders. For example, a recent study by Becker and colleagues2 demonstrated that a nurse-led intervention could significantly improve cholesterol levels compared with usual primary care.

    Current study

    Voogdt-Pruis and colleagues investigated the effectiveness of CVD risk management by advanced practice nurses in six primary care practices in the Netherlands. They used a modified Zelen's design …

    View Full Text

    Footnotes

    • Competing interests None.