Evidence map›Paper›PMID 16760680›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2006

Clinical and nonclinical correlates of adherence to prescribing guidelines for hypertension in a large managed care organization.

Philip C Skelding, Sumit R Majumdar, Ken Kleinman, Cheryl Warner, Susanne Salem-Schatz, Irina Miroshnik, Lisa Prosser, Steven R Simon

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Compliance and fixed-dose combination therapy.Current hypertension reports · 2007
    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

8 authors at 2 institutions in 2 countries.

Philip C SkeldingDepartment of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA.
Sumit R Majumdar
Ken Kleinman
Cheryl Warner
Susanne Salem-Schatz
Irina Miroshnik
Lisa Prosser
Steven R Simon
Harvard Pilgrim Health Care · USHarvard Vanguard Medical Associates · US

Funding

THE HMO RESEARCH NETWORK CERTU18HS010391 · AHRQ · HARVARD PILGRIM HEALTH CARE, INC. · PI PLATT, RICHARD · 2000 to 2006
$799k
RCT to Reduce Prescribing Errors in HypertensionU18HS012019 · AHRQ · HARVARD PILGRIM HEALTH CARE, INC. · PI SOUMERAI, STEPHEN B · 2001 to 2003
–
AHRQ HHS U18 HS010391AHRQ HHS U18 HS 12019
6 · The paper itself

Abstract

To examine correlates of guideline adherence in a population with access to health care and prescription drug benefits, the authors conducted a cross-sectional analysis among 5789 patients undergoing hypertension treatment with a single medication in a large New England managed care organization. Logistic regression was used to determine correlates of adherence, defined as use of diuretics or beta blocker as antihypertensive monotherapy during the 1-year study period. Women were more likely than men to receive guideline-adherent therapy (odds ratio [OR], 1.63; 95% confidence interval [CI], 1.45-1.85). Compared with patients covered by health maintenance organization plans, Medicare coverage was positively associated with guideline adherence (OR, 1.38; 95% CI, 1.13-1.69), but fee-for-service coverage was negatively associated (OR, 0.66; 95% CI, 0.48-0.91). Patient age was not a significant correlate of adherence to guidelines (OR, 1.01; 95% CI, 0.94-1.09). Understanding these observations may lead to strategies to improve guideline adherence and reduce health care disparities.

Indexed as

Practice Guidelines as TopicAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsAdultAgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsCalcium Channel BlockersDiureticsDrug Utilization ReviewFemaleGuideline AdherenceHealth Care SurveysHumansHypertensionAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsCalcium Channel BlockersDiuretics

Identifiers

PMID16760680
PMCPMC8109477
OpenAlexW2003526775

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.