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  1. The costs and effects of two different lipid intervention programmes in primary health care.

    Article - En anglais

    Objective

    To compare the costs and effects of two different intervention strategies for the nonpharmacological treatment of hypercholesterolaemia.

    Design

    Randomized, controlled trial.

    Subjects were randomly allocated to one of two intervention models and followed up for 1 year.

    Setting

    Varby Health Centre, a primary care practice located in a suburb of Stockholm.

    Subjects

    Subjects with a total serum cholesterol in the range 7.0-7.8 mmol L-1 and no signs of ischaemic heart disease or diabetes mellitus, randomized to a low-intensity (n=35) or medium-intensity (n=41) intervention.

    Intervention

    Two strategies were used, one labelled medium-intensity strategy which followed national current guidelines for nonpharmacological treatment of hypercholesterolaemia, the other was a lowintensity strategy.

    Main outcome measures

    Total serum cholesterol and intervention costs.

    Results.

    Both intervention strategies resulted in small (mean 3.5%) decreases in total cholesterol with no significant difference between the groups.

    The cost per subject in the low-intensity group was SEK 753 and in the medium-intensity group SEK 3614.

    Conclusions

    Because the effect of the two intervention programmes did not differ, the low-intensity programme is to be preferred from a cost-effectiveness point of view.

    Mots-clés Pascal : Hypercholestérolémie, Traitement, Régime alimentaire, Exercice physique, Intensité, Relation, Coût, Efficacité, Soin santé primaire, Homme, Lipide, Cholestérol, Métabolisme pathologie, Hyperlipoprotéinémie

    Mots-clés Pascal anglais : Hypercholesterolemia, Treatment, Diet, Physical exercise, Intensity, Relation, Costs, Efficiency, Primary health care, Human, Lipids, Cholesterol, Metabolic diseases, Hyperlipoproteinemia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0192361

    Code Inist : 002B26F. Création : 09/06/1995.