Effect of an educational program (PEGASE) on cardiovascular risk in hypercholesterolaemic patients.

Abstract:

BACKGROUND:Many studies have demonstrated a gap between guidelines for the prevention of cardiovascular disease (CVD) and their implementation in clinical practice. AIM:The PEGASE education program has been devised with an aim to improve the management of patients at high risk of CVD. METHODS:In a multicentre study carried out from 2001-2004 in France, 96 participating physicians were randomized into a "trained" group, which included 398 "educated" patients, and a "non-trained" group, which included 242 "non-educated" patients. Educated patients received six hospital-based educational sessions, four collective and two individual. Framingham score, smoking, lipid levels, glycaemia, blood pressure, dietary intake and drug compliance, as well as quality of life, were evaluated at baseline (M0) and 6 months (M6). The primary endpoint of the study was the efficacy of the PEGASE program in reducing global CVD risk in high-risk patients. RESULTS:The Framingham score was calculated for 473 patients. The Framingham score improved significantly at M6 vs M0 in the educated group (13.0 +/- 8.21 vs 13.6 +/- 8.48, d = -0.658, p = 0.016), but not in the non-educated group (12.5 +/- 8.19 vs 12.4 +/- 7.81, d = +0.064, p = 0.836); the mean change between the two groups did not reach significance. Quality of life, LDL-c level and diet scores improved in the "educated" group only. CONCLUSIONS:The PEGASE education program improved risk factors for CVD, although global assessment by Framingham score was not significantly different between groups. This program, aimed at meeting needs and expectations of patients and physicians, was easily implemented in all hospital centres.

journal_name

Cardiovasc Drugs Ther

authors

Bruckert E,Giral P,Paillard F,Ferrières J,Schlienger JL,Renucci JF,Abdennbi K,Durack I,Chadarevian R,PEGASE group.

doi

10.1007/s10557-008-6137-4

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

495-505

issue

6

eissn

0920-3206

issn

1573-7241

journal_volume

22

pub_type

杂志文章,多中心研究,随机对照试验
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    pub_type: 杂志文章,meta分析

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    pub_type: 杂志文章

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    pub_type: 杂志文章,评审

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    更新日期:1990-10-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1997-09-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

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