Do health checks improve risk factor detection in primary care? Matched cohort study using electronic health records

Journal of Public Health
Alice S ForsterMartin C Gulliford

Abstract

To evaluate the effect of NHS Health Checks on cardiovascular risk factor detection and inequalities. Matched cohort study in the Clinical Practice Research Datalink, including participants who received a health check in England between 1 April 2010 and 31 March 2013, together with matched control participants, with linked deprivation scores. There were 91 618 eligible participants who received a health check, of whom 75 123 (82%) were matched with 182 245 controls. After the health check, 90% of men and 92% of women had complete data for blood pressure, total cholesterol, smoking and body mass index; a net 51% increase (P < 0.001) over controls. After the check, gender and deprivation inequalities in recording of all risk factors were lower than for controls. Net increase in risk factor detection was greater for hypercholesterolaemia (men +33%; women +32%) than for obesity (men +8%; women +4%) and hypertension in men only (+5%) (all P < 0.001). Detection of smoking was 5% lower in health check participants than controls (P < 0.001). Over 4 years, statins were prescribed to 11% of health -check participants and 7.6% controls (hazard ratio 1.58, 95% confidence interval 1.53-1.63, P < 0.001). NHS Health Checks are associated with...Continue Reading

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Citations

Jun 20, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Adam MartinJuliet A Usher-Smith
Dec 21, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John RobsonSandra Eldridge
Jul 18, 2018·European Journal of Public Health·Anne-Karien M de WaardUNKNOWN SPIMEU Project Group
Oct 5, 2018·Journal of Epidemiology and Community Health·Kiara C-M ChangChristopher Millett
Apr 14, 2016·Journal of Epidemiology and Community Health·Claudia GeueGerard McCartney
Apr 18, 2019·Pharmacoepidemiology and Drug Safety·Helen StrongmanJanet Valentine
Nov 16, 2019·International Journal of Environmental Research and Public Health·Ying-Hsuan TaiChien-Chang Liao
Jun 9, 2021·JAMA : the Journal of the American Medical Association·David T LissJeffrey A Linder
Feb 16, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John RobsonJulia Hippisley-Cox

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