SynthesisBMC health services research2012
Effectiveness of interventions for hypertension care in the community--a meta-analysis of controlled studies in China.
Synthesis in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Publication and related biases in health services research: a systematic review of empirical evidence.BMC medical research methodology · 2020Pooled it
- The evaluation of a nurse-led hypertension management model in an urban community healthcare: A randomized controlled trial.Medicine · 2020Trial
- Family member-based supervision of patients with hypertension: a cluster randomized trial in rural China.Journal of human hypertension · 2017Trial
- Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Trial
- One-year routine opportunistic screening for hypertension in formal medical settings and potential improvements in hypertension awareness among older persons in developing countries: evidence from the Study on Global Ageing and Adult Health (SAGE).American journal of epidemiology · 2015Trial
- Trial
- Change in cascade of care among individuals with hypertension - India hypertension control initiative, 2018-2024.American journal of preventive cardiology · 2026Article
- Testing the psychometric properties of a Chinese version of Dyadic Relationship Scale for families of people with hypertension in China.BMC psychology · 2022Article
- Evaluation of the Community-Based Hypertension Management Programs in China.Frontiers in public health · 2022Article
- Cardiovascular Disease Mortality and Potential Risk Factor in China: A Multi-Dimensional Assessment by a Grey Relational Approach.International journal of public health · 2022Article
- Association between attendance at outpatient follow-up appointments and blood pressure control among patients with hypertension.BMC cardiovascular disorders · 2020Article
- The effectiveness of hypertension management in China: a community-based intervention study.Primary health care research & development · 2019Article
- Outcomes of a multi-community hypertension implementation study: the American Heart Association's Check. Change. Control. program.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Validation of Self-Management Screening (SeMaS), a tool to facilitate personalised counselling and support of patients with chronic diseases.BMC family practice · 2015Article
- An assessment of randomized controlled trials (RCTs) for non-communicable diseases (NCDs): more and higher quality research is required in less developed countries.Scientific reports · 2015Article
- Factors associated with grade 1 hypertension: implications for hypertension care based on the Dietary Approaches to Stop Hypertension (DASH) in primary care settings.BMC family practice · 2015Article
- Essential Public Health Services' Accessibility and its Determinants among Adults with Chronic Diseases in China.PloS one · 2015Article
- Higher blood pressure control rate in a real life management program provided by the community health service center in China.BMC public health · 2014Article
- Health system strengthening and hypertension awareness, treatment and control: data from the China Health and Retirement Longitudinal Study.Bulletin of the World Health Organization · 2014Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is a serious public health problem in China and in other developing countries. Our aim is to conduct a systematic review of studies on the effectiveness of community interventions for hypertension management in China.
methodsChina National Knowledge Infrastructure, PubMed, and references of retrieved articles were searched to identify randomised or quasi-randomised controlled studies that evaluated community hypertension care in mainland China. One reviewer extracted and a second reviewer checked data from the included studies.
resultsWe included 94 studies, 93 of which were in Chinese language, that evaluated the following interventions: health education, improved monitoring, family-support, self-management, healthcare management changes and training of providers. The study quality was generally poor, with high risk of biased outcome reporting and significant heterogeneity between studies. When reported, the vast majority of the included studies reported statistically significantly improved outcomes in the intervention group. By assuming zero treatment effects for missing outcomes, the weighted reduction in the intervention group was 6.9 (95% CI: 4.9 to 8.9) mm Hg for systolic BP, and 3.8 (95% CI: 2.6 to 5.0) mm Hg for diastolic BP. Exploratory subgroup analyses found no significant differences between different interventions.
conclusionsAfter taking account of possible reporting biases, a wide range of community interventions for hypertension care remain effective. The findings have implications for China and other low and middle income countries facing similar challenges. Because of significant heterogeneity and high risk of bias in the available studies, further well designed studies should be conducted in China to provide high quality evidence to inform policy decisions on hypertension control.
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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.