Evidence map›Paper›PMID 22514242›Full record

ArticleBMJ open2012

Intervention for control of hypertension in Catalonia, Spain (INCOTECA Project): results of a multicentric, non-randomised, quasi-experimental controlled intervention study.

Roser Vallès-Fernández, Teresa Rodriguez-Blanco, Lucas Mengual-Martínez, Magdalena Rosell-Murphy, Gemma Prieto-De Lamo, Fina Martínez-Frutos, Sonia Mimoso-Moreno, Eva Bellerino-Serrano, Alícia Alvarez-Lázaro, Alícia Franzi-Sisó and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 83% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

15 authors at 5 institutions in 1 country.

Roser Vallès-FernándezPrimary Care Service (SAP) Cerdanyola-Ripollet, Catalan Institute of Health (ICS), Cerdanyola del Vallès, Spain.
Teresa Rodriguez-Blanco
Lucas Mengual-Martínez
Magdalena Rosell-Murphy
Gemma Prieto-De Lamo
Fina Martínez-Frutos
Sonia Mimoso-Moreno
Eva Bellerino-Serrano
Alícia Alvarez-Lázaro
Alícia Franzi-Sisó
Juan Carlos Martínez-Vindel
M Socorro Alonso-Ortega
Imma Olmedo-Muñoz
Josep M Bonet-Simó
INCOTECA research group
Institut Català de la Salut · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESCatalan Institute for Water Research · ESDeleted InstitutionUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to assess the effectiveness of a quality improvement (QI) plan aimed at primary healthcare teams (PHCTs) to optimise hypertension control and to compare it with standard clinical care.

methodsDesign Multicentric, non-randomised, quasi-experimental controlled intervention study. Setting 5 PHCTs in the intervention and 13 in the standard care group in the province of Barcelona, Catalonia, Spain. Participants This is a population-based study in which all patients over 18 years of age with a diagnosis of hypertension before 1 January 2006 were included (n=9877 in the intervention group and n=21 704 in the control group). Intervention A QI plan that targeted primary care professionals. The plan included training sessions, implementation of recommended clinical practice guidelines for the management of hypertensive patients and audit and feedback to health professionals. Main outcome measure Prevalence of hypertensive patients with an adequate blood pressure (BP) control.

resultsThe adjusted difference between intervention and standard care groups in the odds of BP control was 1.3 (95% CI 1.1 to 1.6, p=0.003). Results of the mixed model on repeated measures showed that, on average, an individual in the intervention group had an increase of 92% in the odds of BP control (OR 1.9, 95% CI 1.7 to 2.1).

conclusionsThe implementation of a QI plan can improve BP control. This strategy is potentially feasible for up-scaling within the existing PHCTs.

trial registrationClinicalTrials.gov MS: 1998275938244441.

Identifiers

PMID22514242
PMCPMC3332244
OpenAlexW2101161558

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.