ArticleJournal of clinical hypertension (Greenwich, Conn.)2007
Explicit and implicit evaluation of physician adherence to hypertension guidelines.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00201019 (Improving Adherence to Blood Pressure Guidelines), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled 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.
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.
Improving Adherence to Blood Pressure Guidelines
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The concept and definition of therapeutic inertia in hypertension in primary care: a qualitative systematic review.BMC family practice · 2014Pooled it
- Trial
- Physician-pharmacist co-management and 24-hour blood pressure control.Journal of clinical hypertension (Greenwich, Conn.) · 2013Trial
- The effect of a translating research into practice (TRIP)--cancer intervention on cancer pain management in older adults in hospice.Pain medicine (Malden, Mass.) · 2012Trial
- Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): a cluster randomized trial.Contemporary clinical trials · 2012Trial
- A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control.Circulation. Cardiovascular quality and outcomes · 2010Trial
- Deterioration of blood pressure control after discontinuation of a physician-pharmacist collaborative intervention.Pharmacotherapy · 2010Trial
- Physician and pharmacist collaboration to improve blood pressure control.Archives of internal medicine · 2009Trial
- The Iowa Continuity of Care study: Background and methods.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2008Trial
- Application of hypertension clinical guidelines among family medicine doctors in primary health care centers in Riyadh City, Saudi Arabia.Journal of family medicine and primary care · 2025Article
- Therapeutic inertia and contributing factors among ambulatory patients with hypertension.BMC cardiovascular disorders · 2024Observational
- Designing and validating a clinical decision support algorithm for diabetic nephroprotection in older patients.BMJ health & care informatics · 2024Article
- Trends of Antihypertensive Prescription Among US Adults From 2010 to 2019 and Changes Following Treatment Guidelines: Analysis of Multicenter Electronic Health Records.Journal of the American Heart Association · 2024Article
- Analysing the context and characteristics of legal abortion and comprehensive post-abortion care among adolescents aged 10-14 in a network of sentinel centres in Latin America: a retrospective cross-sectional study, 2016-2020.Sexual and reproductive health matters · 2023Article
- Referrals to, and characteristics of patients attending a specialist hypertension clinic.Journal of human hypertension · 2022Article
- The Ecology of Antihypertensives in the United States, 1997-2017.Journal of general internal medicine · 2021Article
- Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol.Contemporary clinical trials · 2021Article
- Implementation of the 2017 American College of Cardiology/American Heart Association Guidelines on Hypertension in Clinical Practice.Ochsner journal · 2021Article
- Primary health care physicians' knowledge and adherence regarding hypertension management guidelines in southwest of Saudi Arabia.Medicine · 2020Article
- Cost of Unnecessary Amylase and Lipase Testing at Multiple Academic Health Systems.American journal of clinical pathology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
This study evaluated physician adherence to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) hypertension guidelines in 6 community-based clinics. Explicit review of retrospective medical record data for patients with uncontrolled hypertension measured guideline adherence using 22 criteria. Mean overall guideline adherence was 53.5% and did not improve significantly over time. Random-effects models demonstrated significant associations between guideline adherence and various demographic and medical predictors, including age, minority status, comorbid conditions, and number of medications. A subsequent implicit review evaluated the degree to which nonadherence was justifiable and identified factors that might have affected adherence. Nonadherence was rated as justifiable for only 6.6% of the failed explicit criteria. In general, adherence to the JNC 7 guidelines was modest even when barriers that might have affected adherence were taken into consideration.
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What 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.