ArticleBMJ (Clinical research ed.)2006
Applicability to primary care of national clinical guidelines on blood pressure lowering for people with stroke: cross sectional study.
Article in BMJ (Clinical research ed.), 2006. 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.
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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.
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Cost-effectiveness analysis of different systolic blood pressure targets for people with a history of stroke or transient ischaemic attack: Economic analysis of the PAST-BP study.European journal of preventive cardiology · 2016Trial
- Different systolic blood pressure targets for people with history of stroke or transient ischaemic attack: PAST-BP (Prevention After Stroke--Blood Pressure) randomised controlled trial.BMJ (Clinical research ed.) · 2016Trial
- Protocol for Past BP: a randomised controlled trial of different blood pressure targets for people with a history of stroke of transient ischaemic attack (TIA) in primary care.BMC cardiovascular disorders · 2010Trial
- Primary care evidence in clinical guidelines: a mixed methods study of practitioners' views.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- A review of clinical practice guidelines found that they were often based on evidence of uncertain relevance to primary care patients.Journal of clinical epidemiology · 2014Review
- Five-year prognosis in an incident cohort of people presenting with acute myocardial infarction.PloS one · 2011Article
- The impact of renal insufficiency and anaemia on survival in patients with cardiovascular disease: a cohort study.BMC cardiovascular disorders · 2009Article
- Five year prognosis in patients with angina identified in primary care: incident cohort study.BMJ (Clinical research ed.) · 2009Article
- The inclusion of cognition in vascular risk factor clinical practice guidelines.Clinical interventions in aging · 2009Article
- Multimorbidity and risk among patients with established cardiovascular disease: a cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- How to formulate research recommendations.BMJ (Clinical research ed.) · 2006Review
- Under pressure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Blood pressure lowering in elderly patients with stroke.BMJ (Clinical research ed.) · 2006Article
- What sort of evidence do we need in primary care?BMJ (Clinical research ed.) · 2006Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the characteristics of patients with cerebrovascular disease in primary care with those of the participants in the PROGRESS trial, on which national guidelines for blood pressure lowering are based.
designPopulation based cross sectional survey of patients with confirmed stroke or transient ischaemic attack.
settingSeven general practices in south Birmingham, England.
participantsAll patients with a validated history of stroke (n = 413) or transient ischaemic attack (n = 107).
main outcome measuresPATIENT CHARACTERISTICS: age, sex, time since last cerebrovascular event, blood pressure, and whether receiving antihypertensive treatment.
resultsPatients were 12 years older than the participants in PROGRESS and twice as likely to be women. The median time that had elapsed since their cerebrovascular event was two and a half years, compared with eight months in PROGRESS. The systolic blood pressure of 315 (61%) patients was over 140 mm Hg, and for 399 (77%) it was over 130 mm Hg. One hundred and forty seven (28%) patients were receiving a thiazide diuretic, and 136 (26%) were receiving an angiotensin converting enzyme inhibitor.
conclusionsImportant differences exist between the PROGRESS trial participants and a typical primary care stroke population, which undermine the applicability of the trial's findings. Research in appropriate populations is urgently needed before the international guidelines are implemented in primary care.
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