Evidence map›Paper›PMID 14564132›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)

Quality of life measured in a practice-based hypertension trial of an angiotensin receptor blocker.

Michael A Weber, George L Bakris, Joel M Neutel, Giora Davidai, Thomas D Giles

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Association of PPAR-γ2 and β3-AR Polymorphisms With Postmenopausal Hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2015
    Article
  2. The human side of failed hypertension treatment.Journal of clinical hypertension (Greenwich, Conn.) · 2013
    Article
  3. Dispelling the myth of "aggressive" antihypertensive therapy.Journal of clinical hypertension (Greenwich, Conn.) · 2006
    Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael A WeberState University of New York Downstate College of Medicine, Brooklyn, NY 11203, USA. michaelwebermd@cs.com
George L Bakris
Joel M Neutel
Giora Davidai
Thomas D Giles

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effectiveness of antihypertensive treatment depends not only on drugs that avoid or minimize symptomatic side effects but also on therapy that has a positive effect on quality of life. This study assessed the effect on quality of life of a contemporary agent (an angiotensin receptor blocker) and evaluated the validity and practicality of using a quality-of-life instrument in the practice-based setting. A total of 2716 hypertensive patients, either untreated or on single-agent therapy, were started on or switched to 40 mg telmisartan for 6 weeks; in patients whose blood pressures remained above 130/85 mm Hg after 2 weeks, the dose was increased to 80 mg for the remaining 4 weeks of treatment. Quality of life was measured by patient self-administration of the Psychological General Well-Being Index (GWBI) at baseline and at the end of the study. Sixty-eight percent (n=1858) of patients treated with telmisartan fully completed both GWBI tests; the test score increased by 5.2+/-0.3 (p<0.0001) from 77.7+/-0.4. This improvement was observed across all six emotional and health subscales of the GWBI. White and black patients, those aged <65 or >/=65 years, and men and women had similar increases, though the baseline value in women was sharply lower (p<0.001) than in men. The GWBI rose more in patients whose blood pressure was controlled by treatment (<140/90 mm Hg) than in noncontrolled patients (6.1 vs. 4.1, p<0.0001); for all patients the decreases in systolic and diastolic blood pressures produced by telmisartan correlated significantly (p<0.001 for each) with the increases in the GWBI scores. Controlling blood pressure appears to be an important element in improving subjective health perceptions of hypertensive patients.

Indexed as

Angiotensin Receptor AntagonistsQuality of LifeAdrenergic beta-AntagonistsAdultAgedAge FactorsAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsBenzimidazolesBenzoatesBlood PressureCalcium Channel BlockersCohort StudiesDiastoleDiureticsDose-Response Relationship, DrugAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsBenzimidazolesBenzoatesCalcium Channel BlockersDiureticsReceptors, AngiotensinTelmisartan

Identifiers

PMID14564132
PMCPMC8101801

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.