Evidence map›Paper›PMID 27600181›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2016

Physician-Pharmacist Collaborative Management: Narrowing the Socioeconomic Blood Pressure Gap.

Maxwell D Anderegg, Tyler H Gums, Liz Uribe, Christopher S Coffey, Paul A James, Barry L Carter

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

Trial report in Hypertension (Dallas, Tex. : 1979), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00935077 (A Collaborative Model to Improve BP Control and Minimize Racial Disparities-CCC), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT00935077 phase3completednot on this map

A Collaborative Model to Improve BP Control and Minimize Racial Disparities-CCC

TypeinterventionalSponsorUniversity of IowaRan2010 to 2014Enrolled1,441ConditionsHypertension, AsthmaArmsPPCM Asthma, 24 Month PPCM BP, 9 Month PPCM BP
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pharmacist services for non-hospitalised patients.The Cochrane database of systematic reviews · 2018
    Pooled it
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  18. Collaborative care model for hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2018
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  20. 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 at 1 institution in 1 country.

Maxwell D AndereggFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.).
Tyler H GumsFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.).
Liz UribeFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.).
Christopher S CoffeyFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.).
Paul A JamesFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.).
Barry L CarterFrom the Department of Pharmacy Practice & Science, College of Pharmacy (M.D.A., B.L.C.), Department of Biostatistics, College of Public Health (L.U., C.S.C.), and Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine (P.A.J., B.L.C.), University of Iowa; and Department of Health Outcomes & Pharmacy Practice, College of Pharmacy, University of Texas at Austin (T.H.G.). barry-carter@uiowa.edu.
Austin College · US

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

Physician-pharmacist collaboration improves blood pressure, but there is little information on whether this model can reduce the gap in healthcare disparities. This trial involved 32 medical offices in 15 states. A clinical pharmacist was embedded within each office and made recommendations to physicians and patients in intervention offices. The purpose of the present analysis was to evaluate whether the pharmacist intervention could reduce healthcare disparities by improving blood pressure in high-risk racial and socioeconomic subjects compared with the control group. The analyses in minority subjects were prespecified secondary analyses, but all other comparisons were secondary, post hoc analyses. The 9-month visit was completed by 539 patients: 345 received the intervention, and 194 were in the control group. Following the intervention, mean systolic blood pressure was found to be 7.3 mm Hg (95% confidence interval 2.4, 12.3) lower in subjects from racial minority groups who received the intervention compared with the control group (P=0.0042). Subjects with ≤12 years of education in the intervention group had a systolic blood pressure 8.1 mm Hg (95% confidence interval 3.2, 13.1) lower than the control group with lower education (P=0.0001). Similar reductions in blood pressure occurred in patients with low incomes, those receiving Medicaid, or those without insurance. This study demonstrated that a pharmacist intervention reduced racial and socioeconomic disparities in the treatment of blood pressure. Although disparities in blood pressure were reduced by the intervention, there were still nonsignificant gaps in mean systolic blood pressure when compared with intervention subjects not at risk. CLINICAL

trial registrationURL: http://clinicaltrials.gov. Unique identifier: NCT00935077.

Indexed as

Antihypertensive AgentsBlood Pressure DeterminationFemaleHealthcare DisparitiesHumansHypertensionInterprofessional RelationsMaleMiddle AgedMinority GroupsOutcome Assessment, Health CarePharmacistsPhysiciansPrimary Health CareProspective StudiesSocioeconomic FactorsAntihypertensive Agentsblood pressurehealthcare disparitiesminority populationspharmacist interventionteam care

Identifiers

PMID27600181
PMCPMC5063695
OpenAlexW2513351650

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.