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

摘要: Background To evaluate the effect of NHS Health Checks on cardiovascular risk factor detection and inequalities. Methods Matched cohort study in Clinical Practice Research Datalink, including participants who received a health check England between 1 April 2010 31 March 2013, together with matched control participants, linked deprivation scores. Results There were 91 618 eligible check, whom 75 123 (82%) 182 245 controls. After 90% men 92% women had complete data for blood pressure, total cholesterol, smoking body mass index; net 51% increase (P , 0.001) over gender inequalities recording all factors lower than Net was greater hypercholesterolaemia (men þ33%; þ32%) obesity þ8%; þ4%) hypertension only (þ5%) (all P 0.001). Detection 5% controls Over 4 years, statins prescribed to 11% -check 7.6% (hazard ratio 1.58, 95% confidence interval 1.53‐1.63, Conclusion are associated increased hypercholesterolaemia, lesserextent