Evidence map›Paper›PMID 26725042›Full record

ArticleBMC research notes2016

Poor drug adherence and lack of awareness of hypertension among hypertensive stroke patients in Kampala, Uganda: a cross sectional study.

Isaac Mugwano, Mark Kaddumukasa, Levi Mugenyi, James Kayima, Edward Ddumba, Martha Sajatovic, Cathy Sila, Michael DeGeorgia, Elly Katabira

Abstract read
In one paragraph

Article in BMC research notes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Isaac MugwanoMother Kevin Post Graduate Medical School, Nsambya Hospital, Uganda Martyr's University, P. O. Box 5498, Kampala, Uganda. isaacu0012@yahoo.com.
Mark KaddumukasaDepartment of Medicine, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda. kaddumark@yahoo.co.uk.
Levi MugenyiInfectious Diseases Research Collaboration, Mulago Hill Road, MUJHU3 Building, P. O. Box 7475, Kampala, Uganda. lmugenyi005@gmail.com.
James KayimaDepartment of Medicine, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda. jkkayima@gmail.com.
Edward DdumbaMother Kevin Post Graduate Medical School, Nsambya Hospital, Uganda Martyr's University, P. O. Box 5498, Kampala, Uganda. ddumbaentamuezala@gmail.com.
Martha SajatovicNeurological and Behavioral Outcomes Center, University Hospital Case Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA. Martha.Sajatovic@UHhospitals.org.
Cathy SilaNeurological and Behavioral Outcomes Center, University Hospital Case Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA. cathy.sila@uhhospitals.org.
Michael DeGeorgiaNeurological and Behavioral Outcomes Center, University Hospital Case Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA. Michael.DeGeorgia@UHhospitals.org.
Elly KatabiraDepartment of Medicine, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda. katabira@imul.com.

Funding

Research & training:improve quality of care for neurological disorders in UgandaR25NS080968 · NINDS · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI KATABIRA, ELLY T · 2012 to 2014
$792k
NINDS NIH HHS R25 NS080968NINDS NIH HHS R25NS080968
6 · The paper itself

Abstract

backgroundRaised blood pressure (BP) remains an important risk factor for cardiovascular diseases such as stroke. Adherence to therapeutic recommendations especially antihypertensive drugs is important in BP control. The aim of the study was to assess the stroke risk factors and levels of adherence among hypertensive patients with stroke in Kampala Uganda.

methodsIn a cross-sectional study we describe 112 hypertensive subjects with stroke from two Kampala city hospitals. A standardized pre-tested questionnaire was used to collect medical history, clinical details, radiological findings and laboratory data.

resultsA total of 112 hypertensive subjects with stroke were enrolled between May 2013 and April 2014. The median ages were 63.5 years (52.5-75.0) for the cases. Seventy percent (78/112) of the study participants had ischemic strokes. Only 17% were adherent to anti-hypertensive medications. The main cause of non-adherence appears to be lack of knowledge.

conclusionsPoor adherence of anti-hypertensive medications among hypertensive patients remains a big challenge in our setting. This has been attributed to lack of adequate knowledge and cost of the prescribed drugs. There is therefore an urgent need to promptly diagnose and educate hypertensive patients with emphasis on adherence to anti hypertensive drugs.

Indexed as

AwarenessMedication AdherenceAdultAgedAged, 80 and overAntihypertensive AgentsBlood PressureCholesterolCross-Sectional StudiesDemographyFemaleHumansHypertensionLife StyleMaleMiddle AgedAntihypertensive AgentsCholesterol

Identifiers

PMID26725042
PMCPMC4698320

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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.