Evidence map›Paper›PMID 27581760›Full record

Trial reportBMC health services research2016

Effectiveness of multidisciplinary intervention on blood pressure control in primary health care: a randomized clinical trial.

Regina Kuhmmer, Rosmeri Kuhmmer Lazzaretti, Cátia Moreira Guterres, Fabiana Viegas Raimundo, Leni Everson Araújo Leite, Tássia Scholante Delabary, Suhelen Caon, Gisele Alsina Nader Bastos, Carisi Anne Polanczyk

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01696318 (Management Models for Cardiovascular Risk Reduction in Primary for Brazil), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

NCT01696318 nacompletednot on this map

Management Models for Cardiovascular Risk Reduction in Primary for Brazil: Developing a Program for Cardiovascular Prevention and Randomized Clinical Trial

TypeinterventionalSponsorFederal University of Rio Grande do SulRan2012 to 2013Enrolled256ConditionsHypertensionArmsSupport for the Family Health Team
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021
    Article
  7. Article
  8. 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

9 authors at 1 institution in 1 country.

Regina KuhmmerInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil. reginakuhmmer@gmail.com.
Rosmeri Kuhmmer LazzarettiInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Cátia Moreira GuterresInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Fabiana Viegas RaimundoInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Leni Everson Araújo LeiteInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Tássia Scholante DelabaryInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Suhelen CaonInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Gisele Alsina Nader BastosInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Carisi Anne PolanczykInstitute for Education and Research, Hospital Moinhos de Vento, Rua Ramiro Barcelos 910, Bloco D, Porto Alegre, RS, 90035-001, Brazil.
Hospital Moinhos de Vento · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is a public health problem and a major risk factor for cardiovascular disease. The purpose of this study is to compare the effectiveness of a multidisciplinary program based on group and individual care versus group-only care, to promote blood pressure control in hypertensive patients in primary health care.

methodsRandomized controlled clinical trial. The study was conducted within the primary health care, in two units of the Family Health Strategy, covering 11,000 individuals, in Porto Alegre, Brazil. Two hundred and 56 patients, older than 40 years old and with uncontrolled hypertension, systolic blood pressure (BP) ≥140 mmHg and/or diastolic BP ≥90 mmHg or ≥130 mmHg and/or diastolic BP ≥80 mmHg for individuals with diabetes. Eligible patients were randomly assigned to a health care program aiming for blood pressure control, with the multidisciplinary program group or with the multidisciplinary program plus personalized care group. Primary outcome measures were reduction in systolic BP from baseline to 6 months. Secondary measures included proportion of patients with systolic or diastolic BP controlled. Student t test, Pearson's chi-squared test, Fisher's exact test, Mann-Whitney U test, Wilcoxon signed-ranks test and generalized estimating equation (GEE) model were used in the analysis.

resultsThe baseline characteristics of participants were similar between groups. After 6 months of follow-up, systolic BP decreased markedly in both groups (Δ - 11.8 mmHg [SD, 20.2] in the multidisciplinary program group and Δ - 12.9 mmHg [SD, 19.2] in the personalized care group; p < 0.001). Similarly, we noted a significant change in diastolic BP over time in both groups (Δ - 8.1 mmHg [SD, 10.8] in the multidisciplinary program group and Δ - 7.0 mmHg [SD, 11.5] in the personalized care group; p < 0.001).

conclusionsThe study demonstrates similar effectiveness of a group intervention in comparison to a personalized education program in hypertension patients to achieve BP control. These findings indicate that the intervention can be for all hypertensive patients assisted in primary health care.

trial registrationClinicalTrials.gov Identifier NCT01696318 (May 2013).

Indexed as

Patient Education as TopicPrecision MedicineAdultAgedBlood PressureBrazilFemaleHealth PersonnelHumansHypertensionMaleMiddle AgedPatient Care TeamPrimary Health CareRisk FactorsDiabetes MellitusDiastolic blood pressureHypertensionMultidisciplinary programPublic healthSystolic blood pressure

Identifiers

PMID27581760
PMCPMC5006538
OpenAlexW2515768506

What OpenQuestion holds

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LicenceCC BY
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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.