Evidence map›Paper›PMID 28109266›Full record

Trial reportBMC cardiovascular disorders2017

Team-based care for improving hypertension management among outpatients (TBC-HTA): study protocol for a pragmatic randomized controlled trial.

Valérie Santschi, Grégoire Wuerzner, Arnaud Chiolero, Bernard Burnand, Philippe Schaller, Lyne Cloutier, Gilles Paradis, Michel Burnier

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02511093 (A Team-Based Care for Hypertension Management), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 18% 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.

NCT02511093 naunknown statusnot on this map

A Team-Based Care for Hypertension Management (TBC-HTA): A Randomized Controlled Study

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2014 to 2018Enrolled110ConditionsHypertensionArmsTBC intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Interdisciplinary Cooperation between Pharmacists and Nurses-Experiences and Expectations.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

8 authors at 5 institutions in 2 countries.

Valérie SantschiLa Source School of Nursing Sciences, University of Applied Sciences Western Switzerland, Av. Vinet 30, 1004, Lausanne, Switzerland. v.santschi@ecolelasource.ch.ORCID 0000-0002-4452-8857
Grégoire WuerznerService of Nephrology and Hypertension, Lausanne University Hospital, Lausanne, Switzerland.
Arnaud ChioleroInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Bernard BurnandInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Philippe SchallerCité Générations, Onex, Switzerland.
Lyne CloutierDépartement des Sciences Infirmières, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
Gilles ParadisDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada.
Michel BurnierService of Nephrology and Hypertension, Lausanne University Hospital, Lausanne, Switzerland.
Institute of Social and Preventive Medicine · CHUniversity of Lausanne · CHHES-SO University of Applied Sciences and Arts Western Switzerland · CHMcGill University · CAUniversité du Québec à Trois-Rivières · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood pressure (BP) is poorly controlled among a large proportion of hypertensive outpatients. Innovative models of care are therefore needed to improve BP control. The Team-Based Care for improving Hypertension management (TBC-HTA) study aims to evaluate the effect of a team-based care (TBC) interprofessional intervention, involving nurses, community pharmacists and physicians, on BP control of hypertensive outpatients compared to usual care in routine clinical practice. METHODS/

designThe TBC-HTA study is a pragmatic randomized controlled study with a 6-month follow-up which tests a TBC interprofessionnal intervention conducted among uncontrolled treated hypertensive outpatients in two ambulatory clinics and among seven nearby community pharmacies in Lausanne and Geneva, Switzerland. A total of 110 patients are being recruited and randomized to TBC (TBC: N = 55) or usual care group (UC: N = 55). Patients allocated to the TBC group receive the TBC intervention conducted by an interprofessional team, involving an ambulatory clinic nurse, a community pharmacist and a physician. A nurse and a community pharmacist meet patients every 6 weeks to measure BP, to assess lifestyle, to estimate medication adherence, and to provide education to the patient about disease, treatment and lifestyle. After each visit, the nurse and pharmacist write a summary report with recommendations related to medication adherence, lifestyle, and changes in therapy. The physician then adjusts antihypertensive therapy accordingly. Patients in the UC group receive usual routine care without sessions with a nurse and a pharmacist. The primary outcome is the difference in daytime ambulatory BP between TBC and UC patients at 6-month of follow-up. Secondary outcomes include patients' and healthcare professionals' satisfaction with the TBC intervention and BP control at 12 months (6 months after the end of the intervention). DISCUSSION: This ongoing study aims to evaluate the effect of a newly developed team-based care intervention engaging different healthcare professionals on BP control in a primary care setting in Switzerland. The results will inform policymakers on implementable strategies for routine clinical practice.

trial registrationClinicalTrials.gov registration: NCT02511093 . Retrospectively registered on 28 July 2015.

Indexed as

Disease ManagementMedication AdherenceOutpatientsAntihypertensive AgentsBlood PressureFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedPatient Care TeamSwitzerlandTime FactorsAntihypertensive AgentsCollaborationHealthcare professionalsHealthcare servicesHypertensionInterventionTeam-based care

Identifiers

PMID28109266
PMCPMC5251291
OpenAlexW2575023125

What OpenQuestion holds

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LicenceCC BY
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.