ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Organisational factors in relation to control of blood pressure: an observational study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2010Pooled it
- Participatory care plan for primary care patients with long-term diseases: results after a 36-month follow-up of a randomized controlled trial.BMC health services research · 2025Trial
- Feasibility of a checklist in treating hypertension in primary care - base line results from a cluster-randomised controlled trial (check and support).BMC cardiovascular disorders · 2018Trial
- Telehealth for patients at high risk of cardiovascular disease: pragmatic randomised controlled trial.BMJ (Clinical research ed.) · 2016Trial
- Instrumental variable methods to assess quality of care the marginal effects of process-of-care on blood pressure change and treatment costs.Research in social & administrative pharmacy : RSAPTrial
- Continuity of care for people with hypertension in primary health care: a scoping review.Revista da Escola de Enfermagem da U S P · 2026Article
- The impact of antihypertensive treatment initiation on health-related quality of life and cardiovascular risk factor levels: a prospective, interventional study.BMC cardiovascular disorders · 2021Observational
- Team-Based Care for Improving Hypertension Management: A Pragmatic Randomized Controlled Trial.Frontiers in cardiovascular medicine · 2021Article
- Factors associated with intensification of antihypertensive drug therapy in patients with poorly controlled hypertension.Journal of geriatric cardiology : JGC · 2019Article
- Trends in the diagnosis and management of hypertension: repeated primary care survey in South West England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Treatment of Hypertensive Patients with a Fixed-Dose Combination of Bisoprolol and Amlodipine: Results of a Cohort study with More Than 10,000 Patients.Cardiology and therapy · 2015Article
- Prevalence of uncontrolled hypertension in primary care settings in Al seeb wilayat, oman.Sultan Qaboos University medical journal · 2011Article
- Blood pressure control and drug therapy in patients with diagnosed hypertension: a survey in Italian general practice.Journal of human hypertension · 2009Article
- Tackling therapeutic inertia: role of treatment data in quality indicators.BMJ (Clinical research ed.) · 2007Review
- Adherence to antihypertensive medication and association with patient and practice factors.Journal of human hypertension · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies show that 60-75% of treated patients with hypertension in general practice, still do not reach the recommended blood pressure targets of <150/90 mmHg.
aimTo investigate aspects of hypertension management in relation to sociodemographic variables, antihypertensive drug treatment, and organisational factors in primary care. DESIGN OF STUDY: Observational study over 3 years.
settingEight general practices in Tayside, UK.
methodParticipants were 560 randomly selected patients aged 40-79 years receiving treatment for hypertension. The outcome measurement was blood pressure control, expressed in binary form based on the British Hypertension Society audit standard of <150/90 mmHg.
resultsOf 536 eligible patients, 261 (49%) were defined as having inadequate blood pressure control at the end of the study period. No significant associations were discovered with sex, age, deprivation score and comorbidity. In those patients with inadequate control, 30% had no modifications to their drug treatment during the study period. Blood pressure control at the end of the study period was not associated with number of antihypertensive drugs taken or number of antihypertensive drug modifications. The mean number of clinician contacts was 11 (standard deviation = 8), and mean continuity in primary care was high, although this was not associated with improved blood pressure control. A higher proportion of hypertension-related consultations were associated with increased odds of having inadequate blood pressure control.
conclusionAchieving adequate blood pressure control continues to represent a substantial health problem in a significant proportion of the hypertensive population. Patient, physician and organisational elements play a role in ensuring effective delivery of hypertension care in the community.
Indexed as
Identifiers
16378562PMC1570519W1912162225What OpenQuestion holds
Registered trials
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.