Barely Significant
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Integrated cardiovascular risk management programme versus usual care in patients at high cardiovascular risk: an observational study in general practice.

BJGP Open · 2021 · PMC8170599 · PMID 33436457

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showed a trendno p-value reported
8 – 10 Some studies showed a trend towards improved lifestyle, but did not show an effect on CV risk factors and CV outcomes. 11 – 13 However, the studies were heterogeneous in design, target population, and interventions tested, and adequate comparison with usual care was often lacking.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.