Evidence map›Paper›PMID 27886435›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2017

A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices.

Crystal W Cené, Jacqueline R Halladay, Ziya Gizlice, Katrina E Donahue, Doyle M Cummings, Alan Hinderliter, Cassandra Miller, Larry F Johnson, Beverly Garcia, Jim Tillman and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

17 authors at 6 institutions in 2 countries.

Crystal W CenéDepartment of Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
Jacqueline R HalladayDepartment of Family Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
Ziya GizliceCenter for Health Promotion and Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Katrina E DonahueDepartment of Family Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
Doyle M CummingsDepartment of Family Medicine, East Carolina University, Greenville, NC, USA.
Alan HinderliterDepartment of Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
Cassandra MillerCenter for Health Promotion and Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Larry F JohnsonCenter for Health Promotion and Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Beverly GarciaCenter for Health Promotion and Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Jim TillmanCommunity Care Plan of Eastern North Carolina, Kinston, NC, USA.
Edwin P LittlePink Hill Medicine Center, Pink Hill, NC, USA.
Marjorie R RachideThe Clinic at Walgreens, Atlanta, GA, USA.
Thomas C KeyserlingDepartment of Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
Alice AmmermanCenter for Health Promotion and Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Haibo ZhouDepartment of Biostatistics, UNC Chapel Hill, Chapel Hill, NC, USA.
Jia-Rong WuSchool of Nursing, UNC Chapel Hill, Chapel Hill, NC, USA.
Darren DeWaltDepartment of Medicine, UNC Chapel Hill, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USUniversity of North Carolina Health Care · USCommunity Care · USEast Carolina University · USHill Engineering (United States) · USWalgreens (United States) · US

Funding

REDUCING DISPARITIES IN HYPERTENSION WITH A PRACTICE-BASED ENHANCED CARE PROGRAMP50HL105184 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AMMERMAN, ALICE S · 2010 to 2014
$10.1M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2RR025746 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$9.0M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Family members influence quality and delivery of care for heart failure patientsK23HL107614 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CENE, CRYSTAL WILEY · 2011 to 2013
$405k
NCATS NIH HHS KL2 TR001109NCRR NIH HHS KL2 RR025746NHLBI NIH HHS K23 HL107614NHLBI NIH HHS P50 HL105184
6 · The paper itself

Abstract

The Southeastern United States has the highest prevalence of hypertension and African Americans have disproportionately worse blood pressure control. The authors sought to evaluate the effect of a multicomponent practice-based quality improvement intervention on lowering mean systolic blood pressure (SBP) at 12 and 24 months compared with baseline among 525 patients, and to assess for a differential effect of the intervention by race (African Americans vs white). At 12 months, both African Americans (-5.0 mm Hg) and whites (-7.8 mm Hg) had a significant decrease in mean SBP compared with baseline, with no significant between-group difference. Similarly, at 24 months, mean SBP decreased in both African Americans (-6.0 mm Hg) and whites (-7.2 mm Hg), with no significant difference between groups. Notably, no significant racial disparity in mean SBP at baseline was shown. The intervention was effective in lowering mean SBP in both African Americans and whites but there was no differential effect of the intervention by race.

Indexed as

Quality ImprovementRural PopulationAdultAgedAged, 80 and overBlack or African AmericanBlood PressureFemaleHumansHypertensionMaleMiddle AgedNon-Randomized Controlled Trials as TopicProspective StudiesRacismUnited Statesdisparitieshypertensionquality improvementrace/ethnicitySoutheastern United States

Identifiers

PMID27886435
PMCPMC8031107
OpenAlexW2554041373

What OpenQuestion holds

Textmetadata
LicenceTDM
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.