Evidence map›Paper›PMID 21049213›Full record

Trial reportClinics (Sao Paulo, Brazil)2010

How to avoid discontinuation of antihypertensive treatment: The experience in São Paulo, Brazil.

Katia Coelho Ortega, Josiane Lima de Gusmão, Angela Maria Geraldo Pierin, José Luiz Nishiura, Edna Caetano Ignez, Carlos Alexandre Segre, Carlucci Gualberto Ventura, Gisele Peixoto Mano, Viviane Fontes, Francisco Mogadouro da Cunha and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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

11 authors at 3 institutions in 1 country.

Katia Coelho OrtegaHospital das Clínicas, Universidade de São Paulo, SP, Brazil. katiaortega29@gmail.com
Josiane Lima de Gusmão
Angela Maria Geraldo Pierin
José Luiz Nishiura
Edna Caetano Ignez
Carlos Alexandre Segre
Carlucci Gualberto Ventura
Gisele Peixoto Mano
Viviane Fontes
Francisco Mogadouro da Cunha
Décio Mion
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRGuarulhos University · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the importance of providing guidelines to patients via active telephone calls for blood pressure control and for preventing the discontinuation of treatment among hypertensive patients.

introductionMany reasons exist for non-adherence to medical regimens, and one of the strategies employed to improve treatment compliance is the use of active telephone calls.

methodsHypertensive patients (n=354) who could receive telephone calls to remind them of their medical appointments and receive instruction about hypertension were distributed into two groups: a) "uncomplicated" - hypertensive patients with no other concurrent diseases and b) "complicated" - severe hypertensive patients (mean diastolic ≥ 110 mmHg with or without medication) or patients with comorbidities. All patients, except those excluded (n=44), were open-block randomized to follow two treatment regimens ("traditional" or "current") and to receive or not receive telephone calls ("phone calls" and "no phone calls" groups, respectively).

resultsSignificantly fewer patients in the "phone calls" group discontinued treatment compared to those in the "no phone calls" group (4 vs. 30; p<0.0094). There was no difference in the percentage of patients with controlled blood pressure in the "phone calls" group and "no phone calls" group or in the "traditional" and "current" groups. The percentage of patients with controlled blood pressure (<140/90 mmHg) was increased at the end of the treatment (74%), reaching 80% in the "uncomplicated" group and 67% in the "complicated" group (p<0.000001).

conclusionGuidance to patients via active telephone calls is an efficient strategy for preventing the discontinuation of antihypertensive treatment.

Indexed as

Drug MonitoringAngiotensin II Type 1 Receptor BlockersAntihypertensive AgentsAtenololCalcium Channel BlockersClinical ProtocolsFemaleHumansHydrochlorothiazideHypertensionLosartanMaleMiddle AgedTelephoneAngiotensin II Type 1 Receptor BlockersAntihypertensive AgentsAtenololCalcium Channel BlockersHydrochlorothiazideLosartan

Identifiers

PMID21049213
PMCPMC2974815
OpenAlexW2122181742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.