Evidence map›Paper›PMID 22533659›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2012

Reducing clinical inertia in hypertension treatment: a pragmatic randomized controlled trial.

Amy G Huebschmann, Trina Mizrahi, Alyssa Soenksen, Brenda L Beaty, Thomas D Denberg

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01145391 (Health Promotion Outreach To Overcome Clinical Inertia In The Treatment Of Patients With Poorly-Controlled Hypertension), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
–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.

NCT01145391 nacompletednot on this map

Health Promotion Outreach To Overcome Clinical Inertia In The Treatment Of Patients With Poorly-Controlled Hypertension

TypeinterventionalSponsorUniversity of Colorado, DenverRan2009 to 2010Enrolled591ConditionsHypertensionArmsActive Outreach to Patients and Providers
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

5 authors.

Amy G HuebschmannDivision of General Internal Medicine, University of Colorado School of Medicine, Academic Office 1, 12631 East 17th Avenue, Mailstop B180, Aurora, CO 80045, USA. amy.huebschmann@ucdenver.edu
Trina Mizrahi
Alyssa Soenksen
Brenda L Beaty
Thomas D Denberg

Funding

Colorado Clinical and Translational Sciences InstituteKL2TR001080 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$2.6M
Colorado Clinical and Translational Science Institute (KL2)KL2RR025779 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$2.2M
NCATS NIH HHS KL2 TR001080NCRR NIH HHS KL2 RR025779
6 · The paper itself

Abstract

Clinical inertia is a major contributor to poor blood pressure (BP) control. The authors tested the effectiveness of an intervention targeting physician, patient, and office system factors with regard to outcomes of clinical inertia and BP control. A total of 591 adult primary care patients with elevated BP (mean systolic BP ≥ 140 mm Hg or mean diastolic BP ≥ 90 mm Hg) were randomized to intervention or usual care. An outreach coordinator raised patient and provider awareness of unmet BP goals, arranged BP-focused primary care clinic visits, and furnished providers with treatment decision support. The intervention reduced clinical inertia (-29% vs -11%, P=.001). Nonetheless, change in BP did not differ between intervention and usual care (-10.1/-4.1 mm Hg vs -9.1/-4.5 mm Hg, P=.50 and 0.71 for systolic and diastolic BP, respectively). Future primary care-focused interventions might benefit from the use of specific medication titration protocols, treatment adherence support, and more sustained patient follow-up visits.

Indexed as

Disease ManagementHealth Knowledge, Attitudes, PracticeAdolescentAdultAgedAntihypertensive AgentsCritical PathwaysDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedPatient CompliancePrimary Health CareAntihypertensive Agents

Identifiers

PMID22533659
PMCPMC3340617

What OpenQuestion holds

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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.