对多民族人群中NHS健康检查计划的回顾性评估。
A retrospective evaluation of the NHS Health Check Programme in a multi-ethnic population.
作者信息
Carter P, Bodicoat D H, Davies M J, Ashra N B, Riley D, Joshi N, Farooqi A, Browne I, Khunti K
机构信息
Diabetes Research Centre, Leicester Diabetes Centre, Leicester General Hospital, The University of Leicester, Leicester LE5 4PW, UK.
Leicester City Commissioning Group, Leicester LE1 6NB, UK.
出版信息
J Public Health (Oxf). 2016 Sep;38(3):534-542. doi: 10.1093/pubmed/fdv115. Epub 2015 Aug 27.
BACKGROUND
The NHS Health Check Programme was introduced in 2009 to improve primary prevention of coronary heart disease, stroke, diabetes and chronic kidney disease; however, there has been debate regarding the impact. We present a retrospective evaluation of Leicester City Clinical Commissioning Group.
METHODS
Data are reported on diagnosis of type 2 diabetes, hypertension, chronic kidney disease, high risk of type 2 diabetes and high risk of cardiovascular disease. Data on management following the Health Check are also reported.
RESULTS
Over a 5-year period, 53 799 health checks were performed, 16 388 (30%) people were diagnosed with at least one condition when diagnosis of being at high risk of cardiovascular disease was defined as ≥20%. This figure increased to 43% when diagnosis of high cardiovascular risk ≥10% was included. Of the 3063 (5.7%) individuals diagnosed with type 2 diabetes, 54% were prescribed metformin and 26% were referred for structured education. Of the 5797 (10.8%) individuals diagnosed at high risk of cardiovascular disease (≥20%), 64% were prescribed statins.
CONCLUSIONS
A high proportion of new cases of people at risk of cardiovascular disease were identified by the NHS Health Check Programme. Data suggest that this has translated into appropriate preventative measures.
背景
英国国民健康服务（NHS）健康检查计划于2009年推出，旨在改善冠心病、中风、糖尿病和慢性肾病的一级预防；然而，其影响一直存在争议。我们对莱斯特市临床委托小组进行了一项回顾性评估。
方法
报告了2型糖尿病、高血压、慢性肾病、2型糖尿病高风险和心血管疾病高风险的诊断数据。还报告了健康检查后的管理数据。
结果
在5年期间，共进行了53799次健康检查，当心血管疾病高风险诊断定义为≥20%时，16388人（30%）被诊断出至少患有一种疾病。当纳入心血管高风险≥10%的诊断时，这一数字增至43%。在3063名（5.7%）被诊断为2型糖尿病的个体中，54%的人被开了二甲双胍，26%的人被转介接受结构化教育。在5797名（10.8%）被诊断为心血管疾病高风险（≥20%）的个体中，64%的人被开了他汀类药物。
结论
NHS健康检查计划识别出了很大比例的心血管疾病风险新病例。数据表明，这已转化为适当的预防措施。
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