Scolaris Content Display Scolaris Content Display

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Figure 1

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Figure 2

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Figure 3

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Figure 4

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Figure 5

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Figure 6

Comparison 1 Multiple risk factor intervention versus control, Outcome 1 Total mortality.
Figuras y tablas -
Analysis 1.1

Comparison 1 Multiple risk factor intervention versus control, Outcome 1 Total mortality.

Comparison 1 Multiple risk factor intervention versus control, Outcome 2 Total mortality (individual analysis or cluster).
Figuras y tablas -
Analysis 1.2

Comparison 1 Multiple risk factor intervention versus control, Outcome 2 Total mortality (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 3 Total mortality (by allocation concealment).
Figuras y tablas -
Analysis 1.3

Comparison 1 Multiple risk factor intervention versus control, Outcome 3 Total mortality (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 4 Total mortality (by co‐morbidity).
Figuras y tablas -
Analysis 1.4

Comparison 1 Multiple risk factor intervention versus control, Outcome 4 Total mortality (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 5 Total mortality (by drug treatment).
Figuras y tablas -
Analysis 1.5

Comparison 1 Multiple risk factor intervention versus control, Outcome 5 Total mortality (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 6 Total mortality (by era).
Figuras y tablas -
Analysis 1.6

Comparison 1 Multiple risk factor intervention versus control, Outcome 6 Total mortality (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 7 Total mortality (by age of study).
Figuras y tablas -
Analysis 1.7

Comparison 1 Multiple risk factor intervention versus control, Outcome 7 Total mortality (by age of study).

Comparison 1 Multiple risk factor intervention versus control, Outcome 8 Coronary heart disease mortality.
Figuras y tablas -
Analysis 1.8

Comparison 1 Multiple risk factor intervention versus control, Outcome 8 Coronary heart disease mortality.

Comparison 1 Multiple risk factor intervention versus control, Outcome 9 Coronary heart disease mortality (individual analysis or cluster).
Figuras y tablas -
Analysis 1.9

Comparison 1 Multiple risk factor intervention versus control, Outcome 9 Coronary heart disease mortality (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 10 Coronary heart disease mortality (by allocation concealment).
Figuras y tablas -
Analysis 1.10

Comparison 1 Multiple risk factor intervention versus control, Outcome 10 Coronary heart disease mortality (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 11 Coronary heart disease mortality (by co‐morbidity).
Figuras y tablas -
Analysis 1.11

Comparison 1 Multiple risk factor intervention versus control, Outcome 11 Coronary heart disease mortality (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 12 Coronary heart disease (by drug treatment).
Figuras y tablas -
Analysis 1.12

Comparison 1 Multiple risk factor intervention versus control, Outcome 12 Coronary heart disease (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 13 Coronary heart disease (by era).
Figuras y tablas -
Analysis 1.13

Comparison 1 Multiple risk factor intervention versus control, Outcome 13 Coronary heart disease (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 14 Coronary heart disease mortality (by study age).
Figuras y tablas -
Analysis 1.14

Comparison 1 Multiple risk factor intervention versus control, Outcome 14 Coronary heart disease mortality (by study age).

Comparison 1 Multiple risk factor intervention versus control, Outcome 15 Stroke mortality.
Figuras y tablas -
Analysis 1.15

Comparison 1 Multiple risk factor intervention versus control, Outcome 15 Stroke mortality.

Comparison 1 Multiple risk factor intervention versus control, Outcome 16 Stroke mortality (by allocation concealment).
Figuras y tablas -
Analysis 1.16

Comparison 1 Multiple risk factor intervention versus control, Outcome 16 Stroke mortality (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 17 Stroke mortality (by co‐morbidity).
Figuras y tablas -
Analysis 1.17

Comparison 1 Multiple risk factor intervention versus control, Outcome 17 Stroke mortality (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 18 Stroke mortality (by drug treatment).
Figuras y tablas -
Analysis 1.18

Comparison 1 Multiple risk factor intervention versus control, Outcome 18 Stroke mortality (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 19 Stroke mortality (by era).
Figuras y tablas -
Analysis 1.19

Comparison 1 Multiple risk factor intervention versus control, Outcome 19 Stroke mortality (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 20 Stroke mortality (by study age).
Figuras y tablas -
Analysis 1.20

Comparison 1 Multiple risk factor intervention versus control, Outcome 20 Stroke mortality (by study age).

Comparison 1 Multiple risk factor intervention versus control, Outcome 21 Fatal and non‐fatal clinical events.
Figuras y tablas -
Analysis 1.21

Comparison 1 Multiple risk factor intervention versus control, Outcome 21 Fatal and non‐fatal clinical events.

Comparison 1 Multiple risk factor intervention versus control, Outcome 22 Fatal and non‐fatal clinical events (individual analysis or cluster).
Figuras y tablas -
Analysis 1.22

Comparison 1 Multiple risk factor intervention versus control, Outcome 22 Fatal and non‐fatal clinical events (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 23 Fatal and non‐fatal clinical events (by allocation concealment).
Figuras y tablas -
Analysis 1.23

Comparison 1 Multiple risk factor intervention versus control, Outcome 23 Fatal and non‐fatal clinical events (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 24 Fatal and non‐fatal clinical events (by co‐morbidity).
Figuras y tablas -
Analysis 1.24

Comparison 1 Multiple risk factor intervention versus control, Outcome 24 Fatal and non‐fatal clinical events (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 25 Fatal and non‐fatal clinical events (by drug treatment).
Figuras y tablas -
Analysis 1.25

Comparison 1 Multiple risk factor intervention versus control, Outcome 25 Fatal and non‐fatal clinical events (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 26 Fatal and non‐fatal clinical events (by era).
Figuras y tablas -
Analysis 1.26

Comparison 1 Multiple risk factor intervention versus control, Outcome 26 Fatal and non‐fatal clinical events (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 27 Fatal and non‐fatal clinical events (by age of study).
Figuras y tablas -
Analysis 1.27

Comparison 1 Multiple risk factor intervention versus control, Outcome 27 Fatal and non‐fatal clinical events (by age of study).

Comparison 1 Multiple risk factor intervention versus control, Outcome 28 Smoking prevalence.
Figuras y tablas -
Analysis 1.28

Comparison 1 Multiple risk factor intervention versus control, Outcome 28 Smoking prevalence.

Comparison 1 Multiple risk factor intervention versus control, Outcome 29 Smoking prevalence (individual analysis or cluster).
Figuras y tablas -
Analysis 1.29

Comparison 1 Multiple risk factor intervention versus control, Outcome 29 Smoking prevalence (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 30 Smoking prevalence (by allocation concealment).
Figuras y tablas -
Analysis 1.30

Comparison 1 Multiple risk factor intervention versus control, Outcome 30 Smoking prevalence (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 31 Smoking prevalence (by co‐morbidity).
Figuras y tablas -
Analysis 1.31

Comparison 1 Multiple risk factor intervention versus control, Outcome 31 Smoking prevalence (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 32 Smoking prevalence (by drug treatment).
Figuras y tablas -
Analysis 1.32

Comparison 1 Multiple risk factor intervention versus control, Outcome 32 Smoking prevalence (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 33 Smoking prevalence (by era).
Figuras y tablas -
Analysis 1.33

Comparison 1 Multiple risk factor intervention versus control, Outcome 33 Smoking prevalence (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 34 Smoking prevalence (by age of study).
Figuras y tablas -
Analysis 1.34

Comparison 1 Multiple risk factor intervention versus control, Outcome 34 Smoking prevalence (by age of study).

Comparison 1 Multiple risk factor intervention versus control, Outcome 35 Systolic blood pressure.
Figuras y tablas -
Analysis 1.35

Comparison 1 Multiple risk factor intervention versus control, Outcome 35 Systolic blood pressure.

Comparison 1 Multiple risk factor intervention versus control, Outcome 36 Systolic blood pressure (individual analysis or cluster).
Figuras y tablas -
Analysis 1.36

Comparison 1 Multiple risk factor intervention versus control, Outcome 36 Systolic blood pressure (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 37 Systolic blood pressure (by allocation concealment).
Figuras y tablas -
Analysis 1.37

Comparison 1 Multiple risk factor intervention versus control, Outcome 37 Systolic blood pressure (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 38 Systolic blood pressure (by co‐morbidity).
Figuras y tablas -
Analysis 1.38

Comparison 1 Multiple risk factor intervention versus control, Outcome 38 Systolic blood pressure (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 39 Systolic blood pressure (by drug treatment).
Figuras y tablas -
Analysis 1.39

Comparison 1 Multiple risk factor intervention versus control, Outcome 39 Systolic blood pressure (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 40 Systolic blood pressure (by era).
Figuras y tablas -
Analysis 1.40

Comparison 1 Multiple risk factor intervention versus control, Outcome 40 Systolic blood pressure (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 41 Systolic blood pressure (by age of study).
Figuras y tablas -
Analysis 1.41

Comparison 1 Multiple risk factor intervention versus control, Outcome 41 Systolic blood pressure (by age of study).

Comparison 1 Multiple risk factor intervention versus control, Outcome 42 Diastolic blood pressure.
Figuras y tablas -
Analysis 1.42

Comparison 1 Multiple risk factor intervention versus control, Outcome 42 Diastolic blood pressure.

Comparison 1 Multiple risk factor intervention versus control, Outcome 43 Diastolic blood pressure (individual analysis or cluster).
Figuras y tablas -
Analysis 1.43

Comparison 1 Multiple risk factor intervention versus control, Outcome 43 Diastolic blood pressure (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 44 Diastolic blood pressure (by allocation concealment).
Figuras y tablas -
Analysis 1.44

Comparison 1 Multiple risk factor intervention versus control, Outcome 44 Diastolic blood pressure (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 45 Diastolic blood pressure (by co‐morbidity).
Figuras y tablas -
Analysis 1.45

Comparison 1 Multiple risk factor intervention versus control, Outcome 45 Diastolic blood pressure (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 46 Diastolic blood pressure (by drug treatment).
Figuras y tablas -
Analysis 1.46

Comparison 1 Multiple risk factor intervention versus control, Outcome 46 Diastolic blood pressure (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 47 Diastolic blood pressure (by era).
Figuras y tablas -
Analysis 1.47

Comparison 1 Multiple risk factor intervention versus control, Outcome 47 Diastolic blood pressure (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 48 Diastolic blood pressure (by age of study).
Figuras y tablas -
Analysis 1.48

Comparison 1 Multiple risk factor intervention versus control, Outcome 48 Diastolic blood pressure (by age of study).

Comparison 1 Multiple risk factor intervention versus control, Outcome 49 Blood cholesterol.
Figuras y tablas -
Analysis 1.49

Comparison 1 Multiple risk factor intervention versus control, Outcome 49 Blood cholesterol.

Comparison 1 Multiple risk factor intervention versus control, Outcome 50 Blood cholesterol (individual analysis or cluster).
Figuras y tablas -
Analysis 1.50

Comparison 1 Multiple risk factor intervention versus control, Outcome 50 Blood cholesterol (individual analysis or cluster).

Comparison 1 Multiple risk factor intervention versus control, Outcome 51 Blood cholesterol (by allocation concealment).
Figuras y tablas -
Analysis 1.51

Comparison 1 Multiple risk factor intervention versus control, Outcome 51 Blood cholesterol (by allocation concealment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 52 Blood cholesterol (by co‐morbidity).
Figuras y tablas -
Analysis 1.52

Comparison 1 Multiple risk factor intervention versus control, Outcome 52 Blood cholesterol (by co‐morbidity).

Comparison 1 Multiple risk factor intervention versus control, Outcome 53 Blood cholesterol (by drug treatment).
Figuras y tablas -
Analysis 1.53

Comparison 1 Multiple risk factor intervention versus control, Outcome 53 Blood cholesterol (by drug treatment).

Comparison 1 Multiple risk factor intervention versus control, Outcome 54 Blood cholesterol (by era).
Figuras y tablas -
Analysis 1.54

Comparison 1 Multiple risk factor intervention versus control, Outcome 54 Blood cholesterol (by era).

Comparison 1 Multiple risk factor intervention versus control, Outcome 55 Blood cholesterol (by age of study).
Figuras y tablas -
Analysis 1.55

Comparison 1 Multiple risk factor intervention versus control, Outcome 55 Blood cholesterol (by age of study).

Comparison 1. Multiple risk factor intervention versus control

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Total mortality Show forest plot

14

139232

Peto Odds Ratio (Peto, Fixed, 95% CI)

1.00 [0.96, 1.05]

2 Total mortality (individual analysis or cluster) Show forest plot

14

139232

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.96, 1.05]

2.1 Individual

12

70355

Odds Ratio (M‐H, Fixed, 95% CI)

0.95 [0.89, 1.00]

2.2 Cluster randomisation ‐ analysis by individual

2

68877

Odds Ratio (M‐H, Fixed, 95% CI)

1.12 [1.04, 1.22]

3 Total mortality (by allocation concealment) Show forest plot

14

139232

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.96, 1.05]

3.1 Adequate allocation concealment

3

18729

Odds Ratio (M‐H, Fixed, 95% CI)

1.02 [0.86, 1.21]

3.2 Inadequate allocation concealment

4

13388

Odds Ratio (M‐H, Fixed, 95% CI)

0.82 [0.71, 0.94]

3.3 Unclear allocation concealment

7

107115

Odds Ratio (M‐H, Fixed, 95% CI)

1.03 [0.98, 1.09]

4 Total mortality (by co‐morbidity) Show forest plot

13

138010

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.96, 1.05]

4.1 No co‐morbidity

7

120158

Odds Ratio (M‐H, Fixed, 95% CI)

1.04 [0.99, 1.09]

4.2 Co‐morbidity (hypertension and diabetes)

6

17852

Odds Ratio (M‐H, Fixed, 95% CI)

0.78 [0.68, 0.89]

5 Total mortality (by drug treatment) Show forest plot

13

139091

Odds Ratio (M‐H, Fixed, 95% CI)

1.01 [0.96, 1.05]

5.1 No drug treatment

4

76589

Odds Ratio (M‐H, Fixed, 95% CI)

1.12 [1.04, 1.21]

5.2 Antihypertensives OR lipid‐lowering drugs

6

26113

Odds Ratio (M‐H, Fixed, 95% CI)

0.86 [0.78, 0.96]

5.3 Antihypertensives AND lipid‐lowering drugs

3

36389

Odds Ratio (M‐H, Fixed, 95% CI)

0.98 [0.92, 1.06]

6 Total mortality (by era) Show forest plot

14

139232

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.96, 1.05]

6.1 Low rate of CVD

7

18818

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.73, 1.18]

6.2 High Rate of CVD

7

120414

Odds Ratio (M‐H, Fixed, 95% CI)

1.01 [0.96, 1.06]

7 Total mortality (by age of study) Show forest plot

14

139232

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.96, 1.05]

7.1 Before 2000

11

133228

Odds Ratio (M‐H, Fixed, 95% CI)

1.01 [0.96, 1.05]

7.2 After 2000

3

6004

Odds Ratio (M‐H, Fixed, 95% CI)

0.90 [0.51, 1.60]

8 Coronary heart disease mortality Show forest plot

11

132564

Peto Odds Ratio (Peto, Fixed, 95% CI)

0.99 [0.92, 1.07]

9 Coronary heart disease mortality (individual analysis or cluster) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

9.1 Individual

10

69102

Odds Ratio (M‐H, Fixed, 95% CI)

0.96 [0.87, 1.05]

9.2 Cluster randomisation ‐ analysis by individual

1

63732

Odds Ratio (M‐H, Fixed, 95% CI)

1.08 [0.94, 1.23]

10 Coronary heart disease mortality (by allocation concealment) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

10.1 Adequate

1

12866

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.72, 1.20]

10.2 Inadequate

3

12853

Odds Ratio (M‐H, Fixed, 95% CI)

0.85 [0.67, 1.07]

10.3 Unclear

7

107115

Odds Ratio (M‐H, Fixed, 95% CI)

1.02 [0.94, 1.11]

11 Coronary heart disease mortality (by co‐morbidity) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

11.1 No co‐morbidity

7

120845

Odds Ratio (M‐H, Fixed, 95% CI)

1.02 [0.94, 1.11]

11.2 Co‐morbidity (hypertension or diabetes)

4

11989

Odds Ratio (M‐H, Fixed, 95% CI)

0.82 [0.66, 1.01]

12 Coronary heart disease (by drug treatment) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

12.1 No drug treatment

1

1232

Odds Ratio (M‐H, Fixed, 95% CI)

0.44 [0.17, 1.15]

12.2 Antihypertensives OR lipid‐lowering drugs

5

88079

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.89, 1.10]

12.3 Antihypertensives AND lipid‐lowering drugs

5

43523

Odds Ratio (M‐H, Fixed, 95% CI)

1.01 [0.90, 1.13]

13 Coronary heart disease (by era) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

13.1 Low rate of CVD

4

12420

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.66, 1.49]

13.2 High rate of CVD

7

120414

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

14 Coronary heart disease mortality (by study age) Show forest plot

11

132834

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

14.1 Before 2000

10

132693

Odds Ratio (M‐H, Fixed, 95% CI)

0.99 [0.92, 1.07]

14.2 After 2000

1

141

Odds Ratio (M‐H, Fixed, 95% CI)

0.57 [0.13, 2.50]

15 Stroke mortality Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

16 Stroke mortality (by allocation concealment) Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

16.1 Adequate

1

12866

Odds Ratio (M‐H, Fixed, 95% CI)

1.18 [0.53, 2.64]

16.2 Inadequate

2

12172

Odds Ratio (M‐H, Fixed, 95% CI)

0.58 [0.37, 0.91]

16.3 Unclear

4

31893

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.60, 1.05]

17 Stroke mortality (by co‐morbidity) Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

17.1 No co‐morbidity

4

45342

Odds Ratio (M‐H, Fixed, 95% CI)

0.87 [0.66, 1.14]

17.2 Co‐morbidity (hypertension or diabetes)

3

11589

Odds Ratio (M‐H, Fixed, 95% CI)

0.54 [0.36, 0.83]

18 Stroke mortality (by drug treatment) Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

18.1 No drug treatment

1

1232

Odds Ratio (M‐H, Fixed, 95% CI)

2.08 [0.19, 23.03]

18.2 Antihypertensives OR lipid‐lowering drugs

3

23947

Odds Ratio (M‐H, Fixed, 95% CI)

0.66 [0.45, 0.97]

18.3 Antihypertensives AND lipid‐lowering drugs

3

31752

Odds Ratio (M‐H, Fixed, 95% CI)

0.80 [0.60, 1.06]

19 Stroke mortality (by era) Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

19.1 Low rate of CVD

2

649

Odds Ratio (M‐H, Fixed, 95% CI)

0.49 [0.17, 1.46]

19.2 High rate of CVD

5

56282

Odds Ratio (M‐H, Fixed, 95% CI)

0.77 [0.61, 0.97]

20 Stroke mortality (by study age) Show forest plot

7

56931

Odds Ratio (M‐H, Fixed, 95% CI)

0.75 [0.60, 0.95]

20.1 Before 2000

6

56790

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.60, 0.95]

20.2 After 2000

1

141

Odds Ratio (M‐H, Fixed, 95% CI)

0.65 [0.10, 4.00]

21 Fatal and non‐fatal clinical events Show forest plot

9

121381

Odds Ratio (M‐H, Random, 95% CI)

0.84 [0.73, 0.98]

22 Fatal and non‐fatal clinical events (individual analysis or cluster) Show forest plot

9

121381

Odds Ratio (M‐H, Fixed, 95% CI)

0.92 [0.88, 0.96]

22.1 Individual

8

57649

Odds Ratio (M‐H, Fixed, 95% CI)

0.89 [0.84, 0.93]

22.2 Cluster randomisation ‐ analysis by individual

1

63732

Odds Ratio (M‐H, Fixed, 95% CI)

1.06 [0.97, 1.17]

23 Fatal and non‐fatal clinical events (by allocation concealment) Show forest plot

9

121381

Odds Ratio (M‐H, Fixed, 95% CI)

0.92 [0.88, 0.96]

23.1 Adequate

2

13584

Odds Ratio (M‐H, Fixed, 95% CI)

0.82 [0.76, 0.88]

23.2 Inadequate

2

12172

Odds Ratio (M‐H, Fixed, 95% CI)

0.73 [0.62, 0.86]

23.3 Unclear

5

95625

Odds Ratio (M‐H, Fixed, 95% CI)

1.02 [0.96, 1.08]

24 Fatal and non‐fatal clinical events (by co‐morbidity) Show forest plot

9

121381

Odds Ratio (M‐H, Fixed, 95% CI)

0.92 [0.88, 0.96]

24.1 No co‐morbidity

5

109074

Odds Ratio (M‐H, Fixed, 95% CI)

0.94 [0.90, 0.99]

24.2 Co‐morbidity (hypertension or diabetes)

4

12307

Odds Ratio (M‐H, Fixed, 95% CI)

0.71 [0.61, 0.83]

25 Fatal and non‐fatal clinical events (by drug treatment) Show forest plot

9

121381

Odds Ratio (M‐H, Fixed, 95% CI)

0.92 [0.88, 0.96]

25.1 No drug treatment

1

1232

Odds Ratio (M‐H, Fixed, 95% CI)

0.57 [0.33, 0.97]

25.2 Antihypertensives OR lipid‐lowering drugs

5

88397

Odds Ratio (M‐H, Fixed, 95% CI)

0.88 [0.84, 0.93]

25.3 Antihypertensives AND lipid‐lowering drugs

3

31752

Odds Ratio (M‐H, Fixed, 95% CI)

1.00 [0.93, 1.08]

26 Fatal and non‐fatal clinical events (by era) Show forest plot

9

121381

Odds Ratio (M‐H, Fixed, 95% CI)

0.92 [0.88, 0.96]

26.1 Low rate of CVD

3

1367

Odds Ratio (M‐H, Fixed, 95% CI)

0.60 [0.44, 0.84]

26.2 High Rate of CVD

6

120014

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.89, 0.97]

27 Fatal and non‐fatal clinical events (by age of study) Show forest plot

9

120011

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.89, 0.97]

27.1 Before 2000

7

119152

Odds Ratio (M‐H, Fixed, 95% CI)

0.94 [0.90, 0.98]

27.2 After 2000

2

859

Odds Ratio (M‐H, Fixed, 95% CI)

0.46 [0.25, 0.85]

28 Smoking prevalence Show forest plot

20

51586

Odds Ratio (M‐H, Random, 95% CI)

0.87 [0.75, 1.00]

29 Smoking prevalence (individual analysis or cluster) Show forest plot

20

51586

Odds Ratio (M‐H, Random, 95% CI)

0.87 [0.75, 1.00]

29.1 Cluster randomisation ‐ analysis by cluster

1

520

Odds Ratio (M‐H, Random, 95% CI)

0.43 [0.28, 0.64]

29.2 Individual randomisation

16

31506

Odds Ratio (M‐H, Random, 95% CI)

0.89 [0.76, 1.04]

29.3 Cluster randomisation ‐ analysis by individual

3

19560

Odds Ratio (M‐H, Random, 95% CI)

0.98 [0.89, 1.07]

30 Smoking prevalence (by allocation concealment) Show forest plot

20

51586

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.76, 0.82]

30.1 Adequate allocation concealment

4

12136

Odds Ratio (M‐H, Fixed, 95% CI)

0.58 [0.54, 0.63]

30.2 Inadequate allocation concealment

5

4365

Odds Ratio (M‐H, Fixed, 95% CI)

1.03 [0.91, 1.17]

30.3 Unclear allocation concealment

11

35085

Odds Ratio (M‐H, Fixed, 95% CI)

0.89 [0.84, 0.94]

31 Smoking prevalence (by co‐morbidity) Show forest plot

15

49681

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.75, 0.82]

31.1 No co‐morbidity

15

49681

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.75, 0.82]

32 Smoking prevalence (by drug treatment) Show forest plot

20

53491

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.76, 0.83]

32.1 No drug treatment

9

10724

Odds Ratio (M‐H, Fixed, 95% CI)

0.86 [0.78, 0.93]

32.2 Antihypertensives OR lipid‐lowering drugs

6

31599

Odds Ratio (M‐H, Fixed, 95% CI)

0.72 [0.68, 0.76]

32.3 Antihypertensives AND lipid‐lowering drugs

5

9263

Odds Ratio (M‐H, Fixed, 95% CI)

0.91 [0.83, 1.00]

32.4 Co‐morbidity (hypertension or diabetes)

5

1905

Odds Ratio (M‐H, Fixed, 95% CI)

0.89 [0.70, 1.12]

33 Smoking prevalence (by era) Show forest plot

20

51586

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.76, 0.82]

33.1 Low rate of CVD

15

16120

Odds Ratio (M‐H, Fixed, 95% CI)

0.85 [0.79, 0.92]

33.2 High rate of CVD

5

35466

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.72, 0.80]

34 Smoking prevalence (by age of study) Show forest plot

20

51586

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.76, 0.82]

34.1 Study before 2000

15

50166

Odds Ratio (M‐H, Fixed, 95% CI)

0.79 [0.75, 0.82]

34.2 Study after 2000

5

1420

Odds Ratio (M‐H, Fixed, 95% CI)

0.89 [0.68, 1.18]

35 Systolic blood pressure Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

36 Systolic blood pressure (individual analysis or cluster) Show forest plot

53

64809

Mean Difference (IV, Random, 95% CI)

‐2.71 [‐3.49, ‐1.93]

36.1 Cluster randomisation ‐ analysis by cluster

1

504

Mean Difference (IV, Random, 95% CI)

2.5 [‐0.79, 5.79]

36.2 Individual randomisation

45

38261

Mean Difference (IV, Random, 95% CI)

‐2.99 [‐3.87, ‐2.11]

36.3 Cluster randomisation ‐ analysis by individual

7

26044

Mean Difference (IV, Random, 95% CI)

‐1.79 [‐3.54, ‐0.04]

37 Systolic blood pressure (by allocation concealment) Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

37.1 Adequate allocation concealment

14

18950

Mean Difference (IV, Fixed, 95% CI)

‐4.32 [‐4.69, ‐3.96]

37.2 Inadequate allocation concealment

9

4669

Mean Difference (IV, Fixed, 95% CI)

‐2.03 [‐2.84, ‐1.23]

37.3 Unclear allocation concealment

30

41190

Mean Difference (IV, Fixed, 95% CI)

‐2.65 [‐3.03, ‐2.26]

38 Systolic blood pressure (by co‐morbidity) Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

38.1 No co‐morbidity

29

52275

Mean Difference (IV, Fixed, 95% CI)

‐3.70 [‐4.01, ‐3.38]

38.2 Co‐morbidity (hypertension or diabetes)

24

12534

Mean Difference (IV, Fixed, 95% CI)

‐2.81 [‐3.23, ‐2.38]

39 Systolic blood pressure (by drug treatment) Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

39.1 No drug treatment

29

15846

Mean Difference (IV, Fixed, 95% CI)

‐2.74 [‐3.19, ‐2.29]

39.2 Antihypertensives OR lipid‐lowering drugs

17

34517

Mean Difference (IV, Fixed, 95% CI)

‐3.89 [‐4.28, ‐3.51]

39.3 Antihypertensives AND lipid‐lowering drugs

7

14446

Mean Difference (IV, Fixed, 95% CI)

‐3.31 [‐3.81, ‐2.80]

40 Systolic blood pressure (by era) Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

40.1 Low rate of CVD

49

30562

Mean Difference (IV, Fixed, 95% CI)

‐3.07 [‐3.38, ‐2.75]

40.2 High rate of CVD

4

34247

Mean Difference (IV, Fixed, 95% CI)

‐3.92 [‐4.34, ‐3.51]

41 Systolic blood pressure (by age of study) Show forest plot

53

64809

Mean Difference (IV, Fixed, 95% CI)

‐3.38 [‐3.63, ‐3.13]

41.1 Study before 2000

36

53606

Mean Difference (IV, Fixed, 95% CI)

‐3.59 [‐3.90, ‐3.28]

41.2 Study after 2000

17

11203

Mean Difference (IV, Fixed, 95% CI)

‐2.97 [‐3.41, ‐2.54]

42 Diastolic blood pressure Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

43 Diastolic blood pressure (individual analysis or cluster) Show forest plot

53

75400

Mean Difference (IV, Random, 95% CI)

‐2.13 [‐2.67, ‐1.58]

43.1 Cluster randomisation ‐ analysis by cluster

1

503

Mean Difference (IV, Random, 95% CI)

‐0.30 [‐2.86, 2.26]

43.2 Individual randomisation

46

49255

Mean Difference (IV, Random, 95% CI)

‐2.36 [‐2.94, ‐1.77]

43.3 Cluster randomisation ‐ analysis by individual

6

25642

Mean Difference (IV, Random, 95% CI)

‐0.79 [‐1.42, ‐0.16]

44 Diastolic blood pressure (by allocation concealment) Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

44.1 Adequate concealment

14

18969

Mean Difference (IV, Fixed, 95% CI)

‐2.38 [‐2.60, ‐2.16]

44.2 Inadequate allocation concealment

10

15644

Mean Difference (IV, Fixed, 95% CI)

‐3.70 [‐4.01, ‐3.40]

44.3 Unclear allocation concealment

29

40787

Mean Difference (IV, Fixed, 95% CI)

‐1.60 [‐1.85, ‐1.35]

45 Diastolic blood pressure (by co‐morbidity) Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

45.1 No co‐morbidity

28

51891

Mean Difference (IV, Fixed, 95% CI)

‐2.33 [‐2.52, ‐2.13]

45.2 Co‐morbidity (hypertension or diabetes)

25

23509

Mean Difference (IV, Fixed, 95% CI)

‐2.51 [‐2.73, ‐2.29]

46 Diastolic blood pressure (by drug treatment) Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

46.1 No drug treatment

28

15449

Mean Difference (IV, Fixed, 95% CI)

‐2.09 [‐2.40, ‐1.79]

46.2 Antihypertensives OR lipid‐lowering drugs

18

45505

Mean Difference (IV, Fixed, 95% CI)

‐3.05 [‐3.25, ‐2.85]

46.3 Antihypertensives AND lipid‐lowering drugs

7

14446

Mean Difference (IV, Fixed, 95% CI)

‐1.41 [‐1.70, ‐1.13]

47 Diastolic blood pressure (by era) Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

47.1 Low rate of CVD

48

30200

Mean Difference (IV, Fixed, 95% CI)

‐1.70 [‐1.90, ‐1.49]

47.2 High Rate of CVD

5

45200

Mean Difference (IV, Fixed, 95% CI)

‐3.15 [‐3.36, ‐2.94]

48 Diastolic blood pressure (by age of study) Show forest plot

53

75400

Mean Difference (IV, Fixed, 95% CI)

‐2.41 [‐2.55, ‐2.26]

48.1 Study before 2000

36

64197

Mean Difference (IV, Fixed, 95% CI)

‐2.76 [‐2.93, ‐2.59]

48.2 Study after 2000

17

11203

Mean Difference (IV, Fixed, 95% CI)

‐1.38 [‐1.67, ‐1.10]

49 Blood cholesterol Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

50 Blood cholesterol (individual analysis or cluster) Show forest plot

50

71776

Mean Difference (IV, Random, 95% CI)

‐0.24 [‐0.32, ‐0.16]

50.1 Cluster randomisation ‐ analysis by cluster

2

2475

Mean Difference (IV, Random, 95% CI)

0.01 [‐0.01, 0.03]

50.2 Individual randomisation

43

49428

Mean Difference (IV, Random, 95% CI)

‐0.28 [‐0.39, ‐0.17]

50.3 Cluster randomisation (analysis by individual)

5

19873

Mean Difference (IV, Random, 95% CI)

0.01 [‐0.03, 0.04]

51 Blood cholesterol (by allocation concealment) Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

51.1 Adequate allocation concealment

12

13108

Mean Difference (IV, Fixed, 95% CI)

‐0.16 [‐0.19, ‐0.13]

51.2 Inadequate allocation concealment

11

16876

Mean Difference (IV, Fixed, 95% CI)

‐0.13 [‐0.16, ‐0.10]

51.3 Unclear allocation concealment

27

41792

Mean Difference (IV, Fixed, 95% CI)

‐0.04 [‐0.06, ‐0.03]

52 Blood cholesterol (by co‐morbidity) Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

52.1 No co‐morbidity

34

55462

Mean Difference (IV, Fixed, 95% CI)

‐0.08 [‐0.09, ‐0.06]

52.2 Co‐morbidity (hypertension and/or diabetes)

16

16314

Mean Difference (IV, Fixed, 95% CI)

‐0.06 [‐0.08, ‐0.03]

53 Blood cholesterol (by drug treatment) Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

53.1 No drug treatment

31

19210

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.05]

53.2 Antihypertensives OR lipid‐lowering drugs

13

43070

Mean Difference (IV, Fixed, 95% CI)

‐0.06 [‐0.08, ‐0.04]

53.3 Antihypertensives AND lipid‐lowering drug

6

9496

Mean Difference (IV, Fixed, 95% CI)

‐0.18 [‐0.22, ‐0.14]

54 Blood cholesterol (by era) Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

54.1 Low rate of CVD

44

25887

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.05]

54.2 High rate of CVD

6

45889

Mean Difference (IV, Fixed, 95% CI)

‐0.09 [‐0.11, ‐0.07]

55 Blood cholesterol (by age of study) Show forest plot

50

71776

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

55.1 Study before 2000

33

66040

Mean Difference (IV, Fixed, 95% CI)

‐0.07 [‐0.08, ‐0.06]

55.2 Study after 2000

17

5736

Mean Difference (IV, Fixed, 95% CI)

‐0.14 [‐0.18, ‐0.10]

Figuras y tablas -
Comparison 1. Multiple risk factor intervention versus control