ArticleJournal of clinical hypertension (Greenwich, Conn.)2007
Understanding uncontrolled hypertension: is it the patient or the provider?
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. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Pooled it
- Prevalence of uncontrolled hypertension in people with comorbidities in sub-Saharan Africa: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- A pharmacist intervention for monitoring and treating hypertension using bidirectional texting: PharmText BP.Contemporary clinical trials · 2020Trial
- A Cluster-Randomized Trial of a Centralized Clinical Pharmacy Cardiovascular Risk Service to Improve Guideline Adherence.Pharmacotherapy · 2015Trial
- Pharmacist intervention for blood pressure control: medication intensification and adherence.Journal of the American Society of Hypertension : JASH · 2015Trial
- Physician-pharmacist collaborative management of asthma in primary care.Pharmacotherapy · 2014Trial
- Hypertension management using mobile technology and home blood pressure monitoring: results of a randomized trial in two low/middle-income countries.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2012Trial
- Effect of a physician uncertainty reduction intervention on blood pressure in uncontrolled hypertensives--a cluster randomized trial.Journal of general internal medicine · 2012Trial
- Why physicians do not prescribe a thiazide diuretic.Journal of clinical hypertension (Greenwich, Conn.) · 2010Trial
- A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control.Circulation. Cardiovascular quality and outcomes · 2010Trial
- Clinical inertia in cardiovascular risk management: prevalence, associated factors, and impact on outcomes of the OPM study.Journal of global health · 2026Article
- Applying the Target Study Conceptual Model to Measure Racial and Ethnic Disparities in Hypertension Treatment Intensification.Epidemiology (Cambridge, Mass.) · 2026Article
- Clinical Inertia in the Diagnosis and Management of Hypertension Following Ambulatory Blood Pressure Monitoring.American journal of hypertension · 2025Article
- Association Between Self-Reported Medication Adherence and Therapeutic Inertia in Hypertension: A Secondary Analysis of SPRINT (Systolic Blood Pressure Intervention Trial).Journal of the American Heart Association · 2024Article
- Testing interventions to reduce clinical inertia in the treatment of hypertension: rationale and design of a pragmatic randomized controlled trial.American heart journal · 2024Article
- Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association.Hypertension (Dallas, Tex. : 1979) · 2022Article
- The Relationship Between Racial/Ethnic Concordance and Hypertension Control.The Permanente journal · 2021Article
- Treatment Intensification for Elevated Blood Pressure and Risk of Recurrent Stroke.Journal of the American Heart Association · 2021Observational
- Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol.Contemporary clinical trials · 2021Article
- Clinical inertia and the 2017 ACA/AHA guideline.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The relative contributions of adherence and treatment intensity to blood pressure (BP) control are not well understood. The authors studied patients with uncontrolled hypertension (N=410) from 3 primary care clinics in the Veterans Affairs (VA) medical system. A questionnaire was used to assess patient adherence to therapy, and VA system pharmacy fills were used to assess the intensity of the antihypertensive regimen. At baseline, an inadequate antihypertensive regimen was implicated as the most probable reason for uncontrolled BP in a majority of patients (72%), while nonadherence could only be implicated in 13%. In multivariate longitudinal analyses, patients who had an increase in their medical treatment during the study had lower final diastolic BP levels compared with the patients who did not (-3.70 mm Hg; P<.05). While patient adherence to therapy plays a role, vigorous clinical management by the clinician is a more important contributor to BP control.
Indexed as
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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.