Download PDFPDF
Clinical trials
Disease management programme for secondary prevention of coronary heart disease and heart failure in primary care: a cluster randomised controlled trial
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • 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...

    Show More
    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...

    Show More
    Conflict of Interest:
    None declared.