Evidence map›Paper›PMID 26077795›Full record

Trial reportJournal of the American Society of Hypertension : JASH2015

Pharmacist intervention for blood pressure control: medication intensification and adherence.

Tyler H Gums, Liz Uribe, Mark W Vander Weg, Paul James, Christopher Coffey, Barry L Carter

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Hypertension : JASH, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  7. Physician-pharmacist collaboration versus usual care for treatment-resistant hypertension.Journal of the American Society of Hypertension : JASH · 2016
    Trial
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  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Collaborative care model for hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2018
    Article
  16. Review
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

6 authors.

Tyler H GumsDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA. Electronic address: tyler-gums@uiowa.edu.
Liz UribeDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA.
Mark W Vander WegDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA; Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IA, USA; Department of Psychology, College of Liberal Arts and Sciences, University of Iowa, Iowa City, IA, USA.
Paul JamesDepartment of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Christopher CoffeyDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA.
Barry L CarterDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.

Funding

A collaborative model to improve BP control and minimize racial disparities-CCCR01HL091841 · NHLBI · UNIVERSITY OF IOWA · PI CARTER, BARRY L · 2009 to 2013
$4.7M
A collaborative model to improve BP control and minimize racial disparities--DCCR01HL091843 · NHLBI · UNIVERSITY OF IOWA · PI FOSTER, ERIC D. · 2009 to 2013
$3.6M
NHLBI NIH HHS R01 HL091841NHLBI NIH HHS R01 HL091843
6 · The paper itself

Abstract

The objective of this study was to describe medication adherence and medication intensification in a physician-pharmacist collaborative management (PPCM) model compared with usual care. This study was a prospective, cluster, randomized study in 32 primary care offices from 15 states. The primary outcomes were medication adherence and anti-hypertensive medication changes during the first 9 months of the intervention. The 9-month visit was completed by 539 patients, 345 of which received the intervention. There was no significant difference between intervention and usual care patients in regards to medication adherence at 9 months. Intervention patients received significantly more medication changes (4.9 vs.1.1; P = .0003) and had significantly increased use of diuretics and aldosterone antagonists when compared with usual care (P = .01).The PPCM model increased medication intensification; however, no significant change in medication adherence was detected. PPCM models will need to develop non-adherence identification and intervention methods to further improve the potency of the care team.

Indexed as

Medication AdherencePharmacistsPrimary Health CareAdolescentAdultAgedAged, 80 and overAntihypertensive AgentsCooperative BehaviorDiureticsDrug Information ServicesFemaleHumansMaleMiddle AgedMineralocorticoid Receptor AntagonistsAntihypertensive AgentsDiureticsMineralocorticoid Receptor AntagonistsCollaborationhypertensionteam-based care

Identifiers

PMID26077795
PMCPMC4508208

What OpenQuestion holds

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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.