By a News Reporter-Staff News Editor at China Weekly News -- Fresh data on Clinical Research are presented in a new report. According to news reporting originating in Beijing, People's Republic of China, by VerticalNews journalists, research stated, "The high-risk strategy has been proven effective in preventing cardiovascular disease; however, the population benefits from these interventions remain unknown. This study aims to assess, at the population level, the effects of an evidence-based high cardiovascular risk management program delivered by village doctors in rural China."
The news reporters obtained a quote from the research from Peking University, "The study will employ a cluster-randomized controlled trial in which a total of 120 villages in five northern provinces of China, will be assigned to either intervention (60 villages) or control (60 villages). Village doctors in intervention villages will be trained to implement a simple evidence-based management program designed to identify, treat and follow-up as many as possible individuals at high-risk of cardiovascular disease in the village. The intervention will also include performance feedback as well as a performance-based incentive payment scheme and will last for 2 years. We will draw two different (independent) random samples, before and after the intervention, 20 men aged >= 50 years and 20 women aged >= 60 years from each village in each sample and a total of 9,600 participants from 2 samples to measure the study outcomes at the population level. The primary outcome will be the pre-post difference in mean systolic blood pressure, analyzed with a generalized estimating equations extension of linear regression model to account for cluster effect. Secondary outcomes will include monthly clinic visits, provision of lifestyle advice, use of antihypertensive medications and use of aspirin. Process and economic evaluations will also be conducted. This trial will be the first implementation trial in the world to evaluate the population impact of the high-risk strategy in prevention and control of cardiovascular disease."
According to the news reporters, the research concluded: "The results are expected to provide important information (effectiveness, cost-effectiveness, feasibility and acceptability) to guide policy making for rural China as well as other resource-limited countries."
For more information on this research see: Population impact of a high cardiovascular risk management program delivered by village doctors in rural China: design and rationale of a large, cluster-randomized controlled trial. BMC Public Health, 2014;14():1-8. BMC Public Health can be contacted at: Biomed Central Ltd, 236 Grays Inn Rd, Floor 6, London WC1X 8HL, England. (BioMed Central - www.biomedcentral.com/; BMC Public Health - www.biomedcentral.com/bmcpublichealth/)
Our news correspondents report that additional information may be obtained by contacting L.J.L. Yan, Peking University, Hlth Sci Center, George Inst Global Hlth, Beijing 100088, People's Republic of China. Additional authors for this research include W.G. Fang, E. Delong, B. Neal, E.D. Peterson, Y.N. Huang, N.L. Sun, C. Yao, X. Li, S. MacMahon and Y.F. Wu.
Keywords for this news article include: Beijing, Cardiology, Clinical Research, Cardiovascular Diseases, People's Republic of China, Clinical Trials and Studies
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