Limited data suggest that systematic risk assessment for CVD has no statistically significant effects on clinical endpoints .
There is limited evidence to suggest that CVD systematic risk assessment may have some favourable effects on cardiovascular risk factors .
BACKGROUND Screening programmes can potentially identify people at high cardiovascular risk and reduce cardiovascular disease ( CVD ) morbidity and mortality .
However , there is currently not enough evidence showing clear clinical or economic benefits of systematic screening-like programmes over the widely practised opportunistic risk assessment of CVD in primary care setting s. OBJECTIVES The primary objective of this review was to assess the effectiveness , costs and adverse effects of systematic risk assessment compared to opportunistic risk assessment for the primary prevention of CVD .
Cardiovascular Health Awareness Program (CHAP): a community cluster-randomised trial among elderly Canadians.
OBJECTIVE High blood pressure is an important and modifiable cardiovascular disease risk factor that remains under-detected and under-treated . Community-level interventions that address high blood pressure and other modifiable risk factors are a promising strategy to improve cardiovascular health in population s. The present study is a community cluster-r and omised trial testing the effectiveness of CHAP ( Cardiovascular Health Awareness Program ) on the cardiovascular health of older adults . METHODS Thirty-nine mid-sized communities in Ontario , Canada were stratified by geographic location and size of the population aged > or=65 years and r and omly allocated to receive CHAP or no intervention . In CHAP communities , residents aged > or=65 years were invited to attend cardiovascular risk assessment sessions held in pharmacies over 10 weeks in Fall , 2006 . Sessions included blood pressure measurement and feedback to family physicians . Trained volunteers delivered the program with support from pharmacists , community nurses and local organisations . RESULTS The primary outcome measure is the relative change in the mean annual rate of hospital admission for acute myocardial infa rct ion , congestive heart failure and stroke ( composite end-point ) among residents aged > or=65 years in intervention and control communities , using routinely collected , population -based administrative health data . CONCLUSION This paper highlights considerations in design , implementation and evaluation of a large-scale , community-wide cardiovascular health promotion initiative
Limited data suggest that systematic risk assessment for CVD has no statistically significant effects on clinical endpoints .
There is limited evidence to suggest that CVD systematic risk assessment may have some favourable effects on cardiovascular risk factors .
BACKGROUND Screening programmes can potentially identify people at high cardiovascular risk and reduce cardiovascular disease ( CVD ) morbidity and mortality .
However , there is currently not enough evidence showing clear clinical or economic benefits of systematic screening-like programmes over the widely practised opportunistic risk assessment of CVD in primary care setting s. OBJECTIVES The primary objective of this review was to assess the effectiveness , costs and adverse effects of systematic risk assessment compared to opportunistic risk assessment for the primary prevention of CVD .