Evidence map›Paper›PMID 25537780›Full record

Trial reportBMJ open2014

Awareness and control of hypertension in Bangladesh: follow-up of a hypertensive cohort.

Dewan Shamsul Alam, Muhammad Ashique Haider Chowdhury, Ali Tanweer Siddiquee, Shyfuddin Ahmed, Louis Wilhelmus Niessen

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  4. Transforming healthcare: Saudi Arabia's vision 2030 healthcare model.Journal of pharmaceutical policy and practice · 2025
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  12. The Influence of Anthropometric Indices and Intermediary Determinants of Hypertension in Bangladesh.International journal of environmental research and public health · 2021
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  14. Observational
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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 at 2 institutions in 3 countries.

Dewan Shamsul AlamCentre for Control of Chronic Diseases (CCCD), icddr,b, Dhaka, Bangladesh.
Muhammad Ashique Haider ChowdhuryCentre for Control of Chronic Diseases (CCCD), icddr,b, Dhaka, Bangladesh.
Ali Tanweer SiddiqueeCentre for Control of Chronic Diseases (CCCD), icddr,b, Dhaka, Bangladesh.
Shyfuddin AhmedCentre for Control of Chronic Diseases (CCCD), icddr,b, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-4754-6281
Louis Wilhelmus NiessenJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Liverpool School of Tropical Medicine, University of Warwick, Liverpool, UK.
International Centre for Diarrhoeal Disease Research · BDJohns Hopkins University · US

Funding

PHS HHS HHSN26820900032C
6 · The paper itself

Abstract

objectivesTo assess the effect of awareness and advice to seek care on blood pressure (BP) control among patients with hypertension in Bangladesh.

designLongitudinal study.

settingThe study was carried out in icddr,b surveillance sites at rural Matlab in Chandpur district and semi-urban Kamalapur in Dhaka, Bangladesh.

participantsRandomly selected men and non-pregnant women aged 20 years or older without any acute illness or history of any vascular events such as stroke or acute myocardial infarction.

main outcome measureHypertension was defined as systolic BP (SBP) ≥140 and/or diastolic BP (DBP) ≥90 mm Hg or as self-reported hypertension under medication. We advised patients to seek care from a qualified provider and to adopt a healthy lifestyle. We compared changes in BP from baseline to follow-up at around 6 months.

resultsOverall, 17.1% (n=287) of participants had hypertension at baseline with significantly higher prevalence in the semi-urban than in the rural population (23.6% vs 10.8%; p<0.001); half were unaware of their condition. At follow-up, 83% (n=204) reported a visit to any healthcare provider. In the semi-urban area, a higher proportion of patients visited medically qualified practitioners than in the rural area (76.7% vs 36.6%, p<0.000). SBP (-3.3±20.7 mm Hg; p<0.01) and DBP (-2.0±13.0 mm Hg; p<0.02) were lower at follow-up. Those who visited medically qualified practitioners had significant SBP (-3.9±22.4 mm Hg; p<0.03) and DBP (-2.7±14.1 mm Hg; p<0.02) reduction. BP reduction did not reach statistical significance among those visiting a pharmacist or their village doctors. Overall, half of the patients with hypertension achieved the BP control goal (BP<140/90 mm Hg).

conclusionsAwareness and simple health messages increase provider visit, reduce blood pressure and improve BP control in hypertensive Bangladeshis. Longer-term follow-up is required to verify the sustainability.

Indexed as

AwarenessBlood PressureHealth PromotionPatient Acceptance of Health CareAdultAntihypertensive AgentsBangladeshBlood Pressure Monitoring, AmbulatoryFemaleFollow-Up StudiesHealth BehaviorHealth ServicesHumansHypertensionLife StyleLongitudinal StudiesAntihypertensive AgentsEPIDEMIOLOGYPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID25537780
PMCPMC4275678
OpenAlexW2099729968

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.