Evidence map›Paper›PMID 26309457›Full record

Observational studyThe Pan African medical journal2015

An observational study of hypertension treatment and patient outcomes in a primary care setting.

Keneuoe Hycianth Thinyane, Tumelo Mothebe, Mopa Sooro, Lekotoane David Namole, Varsay Cooper

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The Pan African medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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 1 institution in 1 country.

Keneuoe Hycianth ThinyaneDepartment of Pharmacy, National University of Lesotho, Roma, Lesotho.
Tumelo MothebeDepartment of Pharmacy, National University of Lesotho, Roma, Lesotho.
Mopa SooroDepartment of Pharmacy, National University of Lesotho, Roma, Lesotho.
Lekotoane David NamoleDepartment of Pharmacy, National University of Lesotho, Roma, Lesotho.
Varsay CooperQueen Mamohato Memorial Hospital, Maseru, Lesotho.
National University of Lesotho · LS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEvaluation and treatment of high blood pressure are vital to reducing hypertension-related morbidity. There are limited data on treatment of hypertension in Lesotho. The aim of this study was to investigate hypertension treatment and control in a primary care setting in Lesotho.

methodsA cross-sectional study was conducted among hypertensive patients treated at Domiciliary Health Clinic in Maseru, Lesotho between April and May 2013. We reviewed medical records and evaluated hypertension treatment and blood pressure control in the past 12 months. Patients were interviewed to assess adherence to hypertension treatment. Logistic regression analysis was used to identify factors associated with poor blood pressure control.

results70 patients were enrolled in the study; 90.0% were female, the mean age was 57.7 years, 80.0% were overweight/obese and 27.1% had diabetes mellitus. 90.0% of the patients received combination antihypertensive therapy; the most frequently prescribed drugs were hydrochlorothiazide (90.0%), captopril (67.1%) and atenolol (51.4%). The majority of the patients had chronic uncontrolled hypertension. 67.2% of the patients had continuous access to antihypertensive drugs in the past 12 months; adherence to medication, diet and exercise was 64.3%, 37.1% and 7.1% respectively. Age ≥65 was the strongest independent predictor of poor blood pressure control (AOR = 10.3, 95% CI: 1.21-88.98, p = 0.033).

conclusionThere is a need for interventions to improve hypertension care and outcomes in this setting. Efforts should be made to improve assessment of hypertensive patients, optimise antihypertensive therapy and promote patient adherence to treatment.

Indexed as

Medication AdherenceAdultAgedAntihypertensive AgentsBlood PressureCross-Sectional StudiesFemaleHealth Services AccessibilityHumansHypertensionLesothoLogistic ModelsMaleMiddle AgedPrimary Health CareTreatment OutcomeAntihypertensive Agentsclinical outcomesHypertension treatmentprimary care

Identifiers

PMID26309457
PMCPMC4537907
OpenAlexW1974364897

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.