Cardiovascular disease risk and management in people who experience serious mental illness: an evidence review

This summary updates the findings from an evidence review undertaken by Candace Bagnall, Te Pou, Helen Lockett, the Wise Group, and Dr Ruth Cunningham, Department of Public Health, University of Otago Wellington, with support from Kim Arcus, Heart Foundation (2016), as part of the Ministry of Health’s review of guidance on CVD risk assessment and management within primary care. It supports the priorities of Equally Well, in working to improve the physical health of people with mental health and/or addiction problems.

We found two additional studies (Correll, Detraux, et al., 2015; Lin, Chen et al., 2014) which strengthens our previous findings, and have been incorporated into this summary. In addition, the Royal Australian and New Zealand College of Psychiatrists (RANZCP) has published clinical guidelines for schizophrenia and related disorders (Galletly, Castle et al., 2016) and mood disorders (Malhi, Bassett et al., 2015), both of which have relevance for CVD risk assessment in primary care and are therefore also referred to in this update.

EW CVD chart
Pooled estimates
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