Academic Journal
Effectiveness of nurse-led clinics for patients with coronary heart disease: a systematic review and meta-analysis.
| Τίτλος: | Effectiveness of nurse-led clinics for patients with coronary heart disease: a systematic review and meta-analysis. |
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| Συγγραφείς: | Alzhanova A; Adelaide Nursing School, University of Adelaide, 14 Semillon CCT, Reynella, 5161, Adelaide, SA 5005, Australia., Schadewaldt V; The Department of Neurosurgery, The Royal Melbourne Hospital, Grattan St, Parkville VIC 3050, Australia.; Department of Surgery, Melbourne Medical School, The University of Melbourne, Parkville VIC 3010, Australia., Hendriks JM; Department of Nursing, Maastricht University Medical Centre+, PO Box 5800, 6202 AZ Maastricht, The Netherlands.; Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, PO Box 616 6200 MD Maastricht, The Netherlands.; Centre for Heart Rhythm Disorders, Adelaide University, North Terrace, Adelaide 5001, Australia., Schultz TJ; Flinders Health and Medical Research Institute, Flinders University, Sturt Road, Bedford Park South Australia 5042, Australia. |
| Πηγή: | European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2026 Jun 16; Vol. 25 (3), pp. 443-457. |
| Τύπος έκδοσης: | Journal Article; Systematic Review; Meta-Analysis |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101128793 Publication Model: Print Cited Medium: Internet ISSN: 1873-1953 (Electronic) Linking ISSN: 14745151 NLM ISO Abbreviation: Eur J Cardiovasc Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2021- : [Oxford] : Oxford University Press Original Publication: Amsterdam ; New York : Elsevier, c2002- |
| Ιατρικοί όροι (MeSH): | Coronary Disease*/nursing , Coronary Disease*/mortality , Secondary Prevention*/methods , Practice Patterns, Nurses'*/organization & administration , Cardiovascular Nursing*, Humans ; Randomized Controlled Trials as Topic ; Female ; Male |
| Περίληψη: | Aims: Nurse-led clinics can potentially provide effective secondary prevention for coronary heart disease (CHD). This study updated an existing systematic review to determine the effectiveness of nurse-led clinics for patients with CHD on mortality, morbidity and other clinical and patient outcomes. Methods and Results: This review of randomized controlled trials used Joanna Briggs Institute methodology, RoB 2 for critical appraisal, RevMan software for synthesis, GRADE for certainty of evidence, and PRISMA for reporting. Twenty-nine trials of nurse-led clinics compared with usual care by another healthcare professional for adults with existing or newly diagnosed CHD (e.g. angina pectoris and myocardial infarction) were included. Nurse-led clinics probably result in little to no difference in mortality (RR 0.91, 95% CI 0.59-1.40; P = 0.67; I2 = 43%; six studies, 3921 participants; moderate certainty evidence) and a slight reduction in CHD exacerbations (RR 0.87, 95% CI 0.76-0.99; P = 0.03; I2 = 40%; five studies, 2848 participants; moderate certainty evidence). Risk factors including systolic and diastolic blood pressure (low certainty) and total cholesterol (moderate certainty) were probably slightly decreased in NLCs although there was no difference in high density lipoprotein (low certainty) between the groups. Low-moderate certainty evidence for behavioural outcomes (exercise and smoking), adherence to medications (Beta blockers, ACE inhibitors, statins and antiplatelets), health-related quality of life (both physical and mental health) and depression and anxiety indicates that patient outcomes are better than, or at least no worse than, usual care. Conclusion: Treatment in nurse-led clinics for secondary prevention of CHD is supported by the best available evidence. Registration: PROSPERO (CRD42020205270). (© The Author(s) 2026. Published by Oxford University Press on behalf of the European Society of Cardiology.) |
| Competing Interests: | Conflict of interest: none declared. |
| Σχόλια: | Comment in: Eur J Cardiovasc Nurs. 2026 Jun 16;25(3):458-460. doi: 10.1093/eurjcn/zvag019.. (PMID: 41700593) Erratum in: Eur J Cardiovasc Nurs. 2026 Jul 28:zvag173. doi: 10.1093/eurjcn/zvag173.. (PMID: 42520212) |
| Grant Information: | Australian Government Research Training Program Scholarship; Master of Clinical Science at Adelaide Nursing School; University of Adelaide |
| Contributed Indexing: | Keywords: Cardiac; Coronary heart disease; Myocardial infarction; Nurse-led clinics |
| Entry Date(s): | Date Created: 20260115 Date Completed: 20260616 Latest Revision: 20260809 |
| Update Code: | 20260810 |
| DOI: | 10.1093/eurjcn/zvaf207 |
| PMID: | 41539333 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1873-1953 |
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| DOI: | 10.1093/eurjcn/zvaf207 |