Evidence map›Paper›PMID 23680809›Full record

ArticleCritical pathways in cardiology2013

The "rule of halves" does not apply in Peru: awareness, treatment, and control of hypertension and diabetes in rural, urban, and rural-to-urban migrants.

Alana G Lerner, Antonio Bernabe-Ortiz, Robert H Gilman, Liam Smeeth, J Jaime Miranda

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Critical pathways in cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05524987 (Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 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.

NCT05524987 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru (ANDES Study)

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2023 to 2026Enrolled1,068ConditionsHypertension, DiabetesArmsANDES INTERVENTION
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022
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  14. Effect of a salt-reduction strategy on blood pressure and acceptability among customers of a food concessionaire in Lima, Peru.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2019
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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.

Alana G LernerCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Antonio Bernabe-Ortiz
Robert H Gilman
Liam Smeeth
J Jaime Miranda

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
FIC NIH HHS R24 TW007988Medical Research Council MR/K007467/1NHLBI NIH HHS HHSN268200900033CNHLBI NIH HHS HHSN 268200900033C-1-0-1Wellcome Trust 098504
6 · The paper itself

Abstract

objectiveTo determine the awareness, treatment, and control of hypertension and diabetes by migration status.

designCross-sectional study, secondary analyses of the PERU MIGRANT study. PATIENTS: Rural, rural-to-urban migrants, and urban participants.

main outcome measuresAwareness, treatment, and control of hypertension and diabetes mellitus were calculated using weights to account for participant's group size.

resultsOf 205 of the 987 (weighted prevalence 24.1%, 95% confidence interval: 21.1%-27.1%) participants identified as hypertensive, 48.3% were aware of their diagnosis, 40% of them were receiving treatment, and 30.4% of those receiving treatment were controlled. Diabetes was present in 33 of the 987 (weighted prevalence 4.6%, 95% confidence interval: 3.1%-6%), and diabetes awareness, treatment, and control were 71.1%, 40.6%, and 7.7%, respectively. Suboptimal control rates, defined as those not meeting blood pressure or glycaemia targets among those with the condition, were 95.1% for hypertension and 97% for diabetes. Higher awareness, treatment, and control rates, for both hypertension and diabetes, were observed in rural-to-urban migrants and urban participants compared with rural participants. However, treatment rates were much lower among migrants compared with the urban group.

conclusionsThese results identify major unmet needs in awareness, treatment, and control of hypertension and diabetes. Particular challenges are lack of awareness of both hypertension and diabetes in rural areas, and poor levels of treatment and control among people who have migrated from rural into urban areas.

Indexed as

Health Knowledge, Attitudes, PracticeRural PopulationTransients and MigrantsUrban PopulationAdultCross-Sectional StudiesDiabetes MellitusFemaleHumansHypertensionMaleMiddle AgedPeruPrevalenceSex Factors

Identifiers

PMID23680809
PMCPMC4656025

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.