Evidence map›Paper›PMID 21339475›Full record

ArticleHypertension (Dallas, Tex. : 1979)2011

Missed opportunities in cardiovascular disease prevention?: low rates of hypertension recognition for women at medicine and obstetrics-gynecology clinics.

Julie Schmittdiel, Joe V Selby, Bix Swain, Stacie L Daugherty, Thomas K Leong, Michael Ho, Karen L Margolis, Patrick O'Connor, David J Magid, Kirsten Bibbins-Domingo

Abstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Childhood beverage intake and risk of hypertension and hyperlipidaemia in young adults.International journal of food sciences and nutrition · 2022
    Article
  5. Article
  6. Review
  7. Article
  8. Recognizing Cardiovascular Risk After Preeclampsia: The P4 Study.Journal of the American Heart Association · 2020
    Article
  9. Article
  10. Observational
  11. Article
  12. Observational
  13. Article
  14. Observational
  15. Review
  16. Observational
  17. Observational
  18. Observational
  19. Article
  20. 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

10 authors.

Julie SchmittdielKaiser Permanente Northern California, Division of Research, 2000 Broadway, Oakland, CA 94612, USA. Julie.A.Schmittdiel@kp.org
Joe V Selby
Bix Swain
Stacie L Daugherty
Thomas K Leong
Michael Ho
Karen L Margolis
Patrick O'Connor
David J Magid
Kirsten Bibbins-Domingo

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
HMO Research Network Cardiovascular Research NetworkU19HL091179 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GO, ALAN S · 2007 to 2011
$8.7M
Gender Disparities in Invasive CVD Procedure Use: the Role of Provider BiasK08HL103776 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAUGHERTY, STACIE LUTHER · 2010 to 2014
$657k
NHLBI NIH HHS K08 HL103776NHLBI NIH HHS K08HL103776NHLBI NIH HHS U19 HL091179NHLBI NIH HHS U19 HL91179-01NICHD NIH HHS K12 HD052163NICHD NIH HHS K12HD052163
6 · The paper itself

Abstract

Younger women use both internal medicine and obstetrics-gynecology (OBGYN) clinics as primary sources of health care. However, the role of OBGYN clinics in cardiovascular disease prevention is largely unexplored. The objective of this study was to examine rates of hypertension recognition in women<50 years of age who presented with elevated blood pressures in family practice and internal medicine (medicine) OBGYN clinics and to compare these rates across clinic type. The study's population consisted of 34 627 nonpregnant women ages 18 to 49 years with new-onset hypertension (defined as 2 consecutive visits with elevated blood pressures of systolic blood pressure≥140 mm Hg or diastolic blood pressure≥90 mm Hg with no previous hypertension history) from 2002 to 2006. Multivariate logistic regressions predicting the clinical recognition of hypertension (a recorded diagnosis of hypertension and/or an antihypertensive prescription by any provider within 1 year of the second elevated blood pressure) assessed the association between hypertension recognition and the clinic where the second elevated blood pressure was recorded. Analysis showed that hypertension was recognized in <33% of women with new-onset hypertension. Women whose second consecutive elevated blood pressure was recorded in OBGYN clinics were less likely to be recognized as having hypertension within 12 months by any provider compared with women whose second consecutive elevated blood pressure was recorded in a medicine clinic (odds ratio: 0.51 [95% CI: 0.48 to 0.54]). This study suggests that further attention be paid to identifying and treating cardiovascular disease risk factors in women<50 years of age presenting in both medicine and OBGYN clinics and that improved coordination across care settings has the potential to improve cardiovascular disease prevention in young women.

Indexed as

Ambulatory Care FacilitiesWomen's HealthAdolescentAdultBlood Pressure DeterminationCardiovascular DiseasesFemaleGynecologyHumansHypertensionLogistic ModelsMiddle AgedObstetricsOdds Ratio

Identifiers

PMID21339475
PMCPMC3075110

What OpenQuestion holds

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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.