Prevention & lipidsMeta-analysis

Cardiovascular disease risk communication and prevention: a meta-analysis

Eur Heart JPublished

  • Systematic review and meta-analysis of randomised trials

Paired reviewers independently screened records and extracted data; disagreements resolved by a third author

Authors' conclusion

In this systematic review and meta-analysis, communicating CVD risk information, regardless of the method, reduced the overall risk factors and enhanced patients' self-perceived risk.

Study context

Population
Patients or clinicians in randomised trials of cardiovascular disease (CVD) risk communication62 trials
Comparison
CVD risk communication vs usual care
Outcome
Accuracy of risk perception

Pooled result

As reported in the abstract

Accuracy of risk perception higher among intervention participants (vs usual care)

odds ratio = 2.31, 95% confidence interval = 1.63 to 3.27

Further pooled results

Outcomemean difference (95% CI)
Overall CVD risk scores · 6-12 months−0.27 (−0.45 to −0.09)
OutcomeOR (95% CI)
Self-reported dietary modification (primary prevention)1.50 (1.21–1.86)

Smoking cessation and physical activity (primary prevention)

No increase in intention or actual changes in smoking cessation or physical activity

Intention to start preventive medication

Significant impact on intention for primary and secondary prevention, with changes at follow-up for primary prevention

Original publication

Cardiovascular disease risk communication and prevention: a meta-analysis. Eur Heart J. Published 19 January 2024. doi:10.1093/eurheartj/ehae002

Summarised from the published abstract; every number is checked against it