TY - JOUR T1 - The benefits of nurse led secondary prevention clinics continued after 4 years JF - Evidence Based Medicine JO - Evid Based Med SP - 158 LP - 158 DO - 10.1136/ebm.8.5.158 VL - 8 IS - 5 A2 - , Y1 - 2003/09/01 UR - http://ebm.bmj.com/content/8/5/158.abstract N2 - (2003) BMJ 326, 84. Murchie P, Campbell NC, Ritchie LD, et al.. Secondary prevention clinics for coronary heart disease: four year follow up of a randomised controlled trial in primary care.. ;. :. –7.OpenUrlAbstract/FREE Full Text
 
 QUESTION: In patients with pre-existing coronary artery disease (CAD), do the benefits of nurse led secondary prevention clinics continue after 4 years? Randomised {allocation concealed*}†, unblinded,* controlled trial with mean 4.7 years of follow up. 19 randomly selected general practices in Scotland, UK. 1343 patients (mean age 66 y, 58% men) with CAD. Exclusion criteria were terminal illness, dementia, or inability to leave home. 82% of patients were followed up. 673 patients were allocated to receive invitations to attend secondary prevention clinics at their general practice where nurses reviewed symptoms and treatments, promoted aspirin use, reviewed blood pressure and lipid management, assessed lifestyle factors, and negotiated any necessary behavioural changes. 670 patients were allocated to usual care. The intervention ended after 1 year, individual results were sent to the general practices, and patients in both groups were allowed to attend secondary … ER -