What should selective cardiometabolic prevention programmes in European primary care look like? A consensus-based design by the SPIMEU group

Norbert Král, Anne Karien M. de Waard, François G. Schellevis, Joke C. Korevaar, Christos Lionis, Axel C. Carlsson, Anders Larrabee Sønderlund, Jens Søndergaard, Lars Bruun Larsen, Monika Hollander, Trine Thilsing, Agapi Angelaki, Niek J. de Wit, Bohumil Seifert*

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Background: Selective prevention of cardiometabolic diseases (CMD)—that is, preventive measures specifically targeting the high-risk population—may represent the most effective approach for mitigating rising CMD rates. Objectives: To develop a universal concept of selective CMD prevention that can guide implementation within European primary care. Methods: Initially, 32 statements covering different aspects of selective CMD prevention programmes were identified based on a synthesis of evidence from two systematic literature reviews and surveys conducted within the SPIMEU project. The Rand/UCLA appropriateness method (RAM) was used to find consensus on these statements among an international panel consisting of 14 experts. Before the consensus meeting, statements were rated by the experts in a first round. In the next step, during a face-to-face meeting, experts were provided with the results of the first rating and were then invited to discuss and rescore the statements in a second round. Results: In the outcome of the RAM procedure, 28 of 31 statements were considered appropriate and three were rated uncertain. The panel deleted one statement. Selective CMD prevention was considered an effective approach for preventing CMD and a proactive approach was regarded as more effective compared to case-finding alone. The most efficient method to implement selective CMD prevention systematically in primary care relies on a stepwise approach: initial risk assessment followed by interventions if indicated. Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care.

OriginalsprogEngelsk
TidsskriftEuropean Journal of General Practice
Vol/bind25
Udgave nummer3
Sider (fra-til)101-108
ISSN1381-4788
DOI
StatusUdgivet - 2019

Fingeraftryk

Primary Health Care

Citer dette

Král, Norbert ; de Waard, Anne Karien M. ; Schellevis, François G. ; Korevaar, Joke C. ; Lionis, Christos ; Carlsson, Axel C. ; Sønderlund, Anders Larrabee ; Søndergaard, Jens ; Larsen, Lars Bruun ; Hollander, Monika ; Thilsing, Trine ; Angelaki, Agapi ; de Wit, Niek J. ; Seifert, Bohumil. / What should selective cardiometabolic prevention programmes in European primary care look like? A consensus-based design by the SPIMEU group. I: European Journal of General Practice. 2019 ; Bind 25, Nr. 3. s. 101-108.
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title = "What should selective cardiometabolic prevention programmes in European primary care look like?: A consensus-based design by the SPIMEU group",
abstract = "Background: Selective prevention of cardiometabolic diseases (CMD)—that is, preventive measures specifically targeting the high-risk population—may represent the most effective approach for mitigating rising CMD rates. Objectives: To develop a universal concept of selective CMD prevention that can guide implementation within European primary care. Methods: Initially, 32 statements covering different aspects of selective CMD prevention programmes were identified based on a synthesis of evidence from two systematic literature reviews and surveys conducted within the SPIMEU project. The Rand/UCLA appropriateness method (RAM) was used to find consensus on these statements among an international panel consisting of 14 experts. Before the consensus meeting, statements were rated by the experts in a first round. In the next step, during a face-to-face meeting, experts were provided with the results of the first rating and were then invited to discuss and rescore the statements in a second round. Results: In the outcome of the RAM procedure, 28 of 31 statements were considered appropriate and three were rated uncertain. The panel deleted one statement. Selective CMD prevention was considered an effective approach for preventing CMD and a proactive approach was regarded as more effective compared to case-finding alone. The most efficient method to implement selective CMD prevention systematically in primary care relies on a stepwise approach: initial risk assessment followed by interventions if indicated. Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care.",
keywords = "cardiometabolic disease, consensus development, general practice, primary care, Selective prevention",
author = "Norbert Kr{\'a}l and {de Waard}, {Anne Karien M.} and Schellevis, {Fran{\cc}ois G.} and Korevaar, {Joke C.} and Christos Lionis and Carlsson, {Axel C.} and S{\o}nderlund, {Anders Larrabee} and Jens S{\o}ndergaard and Larsen, {Lars Bruun} and Monika Hollander and Trine Thilsing and Agapi Angelaki and {de Wit}, {Niek J.} and Bohumil Seifert",
year = "2019",
doi = "10.1080/13814788.2019.1641195",
language = "English",
volume = "25",
pages = "101--108",
journal = "European Journal of General Practice",
issn = "1381-4788",
publisher = "Taylor & Francis",
number = "3",

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What should selective cardiometabolic prevention programmes in European primary care look like? A consensus-based design by the SPIMEU group. / Král, Norbert; de Waard, Anne Karien M.; Schellevis, François G.; Korevaar, Joke C.; Lionis, Christos; Carlsson, Axel C.; Sønderlund, Anders Larrabee; Søndergaard, Jens; Larsen, Lars Bruun; Hollander, Monika; Thilsing, Trine; Angelaki, Agapi; de Wit, Niek J.; Seifert, Bohumil.

I: European Journal of General Practice, Bind 25, Nr. 3, 2019, s. 101-108.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - What should selective cardiometabolic prevention programmes in European primary care look like?

T2 - A consensus-based design by the SPIMEU group

AU - Král, Norbert

AU - de Waard, Anne Karien M.

AU - Schellevis, François G.

AU - Korevaar, Joke C.

AU - Lionis, Christos

AU - Carlsson, Axel C.

AU - Sønderlund, Anders Larrabee

AU - Søndergaard, Jens

AU - Larsen, Lars Bruun

AU - Hollander, Monika

AU - Thilsing, Trine

AU - Angelaki, Agapi

AU - de Wit, Niek J.

AU - Seifert, Bohumil

PY - 2019

Y1 - 2019

N2 - Background: Selective prevention of cardiometabolic diseases (CMD)—that is, preventive measures specifically targeting the high-risk population—may represent the most effective approach for mitigating rising CMD rates. Objectives: To develop a universal concept of selective CMD prevention that can guide implementation within European primary care. Methods: Initially, 32 statements covering different aspects of selective CMD prevention programmes were identified based on a synthesis of evidence from two systematic literature reviews and surveys conducted within the SPIMEU project. The Rand/UCLA appropriateness method (RAM) was used to find consensus on these statements among an international panel consisting of 14 experts. Before the consensus meeting, statements were rated by the experts in a first round. In the next step, during a face-to-face meeting, experts were provided with the results of the first rating and were then invited to discuss and rescore the statements in a second round. Results: In the outcome of the RAM procedure, 28 of 31 statements were considered appropriate and three were rated uncertain. The panel deleted one statement. Selective CMD prevention was considered an effective approach for preventing CMD and a proactive approach was regarded as more effective compared to case-finding alone. The most efficient method to implement selective CMD prevention systematically in primary care relies on a stepwise approach: initial risk assessment followed by interventions if indicated. Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care.

AB - Background: Selective prevention of cardiometabolic diseases (CMD)—that is, preventive measures specifically targeting the high-risk population—may represent the most effective approach for mitigating rising CMD rates. Objectives: To develop a universal concept of selective CMD prevention that can guide implementation within European primary care. Methods: Initially, 32 statements covering different aspects of selective CMD prevention programmes were identified based on a synthesis of evidence from two systematic literature reviews and surveys conducted within the SPIMEU project. The Rand/UCLA appropriateness method (RAM) was used to find consensus on these statements among an international panel consisting of 14 experts. Before the consensus meeting, statements were rated by the experts in a first round. In the next step, during a face-to-face meeting, experts were provided with the results of the first rating and were then invited to discuss and rescore the statements in a second round. Results: In the outcome of the RAM procedure, 28 of 31 statements were considered appropriate and three were rated uncertain. The panel deleted one statement. Selective CMD prevention was considered an effective approach for preventing CMD and a proactive approach was regarded as more effective compared to case-finding alone. The most efficient method to implement selective CMD prevention systematically in primary care relies on a stepwise approach: initial risk assessment followed by interventions if indicated. Conclusion: The final set of statements represents the key characteristics of selective CMD prevention and can serve as a guide for implementing selective prevention actions in European primary care.

KW - cardiometabolic disease

KW - consensus development

KW - general practice

KW - primary care

KW - Selective prevention

U2 - 10.1080/13814788.2019.1641195

DO - 10.1080/13814788.2019.1641195

M3 - Journal article

C2 - 31411091

AN - SCOPUS:85070869227

VL - 25

SP - 101

EP - 108

JO - European Journal of General Practice

JF - European Journal of General Practice

SN - 1381-4788

IS - 3

ER -