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Table 4 Effect of TRA on drugs prescription in relation to guidelines (secondary outcomes)

From: Effect of using cardiovascular risk scoring in routine risk assessment in primary prevention of cardiovascular disease: an overview of systematic reviews

SR

According to guidelines

Against guidelines

Aspirin

Antihypertensive

lipid-lowering

antidiabetic

Brindle 2006 [16]

 

All CVD risk groups:

No difference: 1 study

High CVD risk group:

Increase: 1 study

All CVD risk groups:

No difference: 1 study

High CVD risk group:

Increase: 1 study

No difference: 1 study

Sheridan 2008 [17]

 

All CVD risk groups:

No difference: 1 study

High CVD risk group:

Increase: 1 study

All CVD risk groups:

No difference: 2 studies

High CVD risk group:

Increase: 1 study; No difference: 1 study

All CVD risk groups:

No difference: 1 study

High CVD risk group:

No difference: 1 study

Sheridan 2010 [18]

No difference: 1

Waldron 2011 [35]

van Dieren 2012 [36]

Increase: 2 studies;

No difference: 1 study

Increase: 2 studies;

No difference: 1 study

No difference: 1 study

Willis 2012 [19]

Usher-Smith 2015 [37]

All CVD risk groups:

No difference: 3 studies;

High CVD risk group:

Increase: 1 study

All CVD risk groups:

No difference: MA, 4 studies (RR 1,35, 95% CI 0.96 to 1.90, I2 = 0%)

High CVD risk group:

Increase: MA, 3 studies (RR 1,83, 95% CI 1.13 to 2.98)

All CVD risk groups:

No difference: 3 studies;

High CVD risk group:

No difference: 2 studies

Tomasik 2017 [38]

 

Karmali 2017 [39]

Increase: MA, 3 studies (RR 2,71; 95% CI 1.24 to 5.91; I2 = 0%);

No difference: 2 studies

Increase: MA, 8 studies (RR 1,51, 95% CI 1.08 to 2.11, I2 = 53%);

No difference: 3 studies

Increase: MA, 11 studies (RR 1,47, 95% CI 1.15 to 1.87, I2 = 40%);

No difference: 4 studies

 

Low CVD risk group:

Reduction: 1 study

Collins 2017 [40]

  1. MA meta-analysis, NS non-significant, RR risk ratio, CI confidence interval, CVD cardiovascular disease