Hypertension Clinical Trial
Official title:
The ZWOlle Transmural Integrated Care for CArdiovaScular Risk Management Study
Cardiovascular disease (CVD) contributes importantly to mortality and morbidity. Prevention
of CVD by lifestyle change and medication is important and needs full attention.
In the Netherlands an integrated program for cardiovascular risk management (CVRM), based on
the Chronic Care Model (CCM), has been introduced in many regions in recent years, but
evidence from studies that this approach is beneficial is very limited.
In the ZWOT-CASE study the investigators will assess the effect of integrated care for CVRM
in the region of Zwolle on two major cardiovascular risk factors: systolic blood pressure
(SBP) and low-density lipoprotein cholesterol (LDL-cholesterol) in patients with or at high
risk of CVD.
This study is a pragmatic clinical trial comparing integrated care for CVRM with usual care
among patients aged 40-80 years with CVD (n= 370) or with a high CVD risk (n= 370) within 26
general practices. After one year follow-up, primary outcomes (SBP and LDL-cholesterol level)
are measured. Secondary outcomes include lifestyle habits (smoking, dietary habits, alcohol
use, physical activity), risk factor awareness, 10-year risk of cardiovascular morbidity or
mortality, health care consumption, patient satisfaction and quality of life.
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