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Clinical trials
Disease management programme for secondary prevention of coronary heart disease and heart failure in primary care: a cluster randomised controlled trial
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  • Published on:
    • Kamlesh Khunti, Professor of Primary Care Diabetes & Vascular Medicine
    • Other Contributors:
      • Dr Margaret Stone, Dr Sanjoy Paul, Mr David A Turner, Dr Iain Squire

    Dear Editor,

    We would like to thank Jaarsma on highlighting an important topic regarding choosing appropriate outcomes in heart failure research. The COACH trial recently found that neither moderate or intensive disease management programmes by a nurse specialising in management of patients with heart failure reduced death or hospitalisation compared to standard treatment. (1) In contrast, our trial evaluated...

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    Conflict of Interest:
    None declared.
  • Published on:
    When is a heart failure programme successful?

    Dear Editor,

    With great interest we read the article of Khunti and colleagues reporting on a cluster randomized controlled trial evaluating a nurse-led disease management programme for secondary prevention of coronary heart disease and heart failure in primary care (1). The authors should be commended for their large trial with 1316 patients from 20 primary care practices.
    The authors describ...

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    Conflict of Interest:
    None declared.