Evidence map›Paper›PMID 28292817›Full record

ArticleCanadian family physician Medecin de famille canadien2017

How do family physicians measure blood pressure in routine clinical practice? National survey of Canadian family physicians.

Janusz Kaczorowski, Martin G Myers, Mark Gelfer, Martin Dawes, Eric J Mang, Angelique Berg, Claudio Del Grande, Dragan Kljujic

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Guideline
  2. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019).Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Guideline
  3. Pooled it
  4. Guideline
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  13. Twenty-four-hour ambulatory blood pressure monitoring.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  14. Article
  15. Article
  16. Office blood pressure measurement: A comprehensive review.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Calibration and discrimination of the Framingham Risk Score and the Pooled Cohort Equations.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Observational
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.

Janusz KaczorowskiProfessor and Research Director in the Department of Family and Emergency Medicine at the University of Montreal in Quebec and the Centre de recherche du Centre hospitalier de l'Université de Montréal. janusz.kaczorowski@umontreal.ca.
Martin G MyersConsulting cardiologist and Affiliate Scientist in the Division of Cardiology of the Schulich Heart Research Program at Sunnybrook Health Sciences Centre in Toronto, Ont.
Mark GelferClinical Assistant Professor in the Department of Family Practice at the University of British Columbia in Vancouver.
Martin DawesHead of the Department of Family Practice at the University of British Columbia.
Eric J MangExecutive Director of Member and External Relations for the College of Family Physicians of Canada in Mississauga, Ont.
Angelique BergChief Executive Officer for Hypertension Canada in Markham, Ont.
Claudio Del GrandeResearch Coordinator for the Centre de recherche du Centre hospitalier de l'Université de Montréal.
Dragan KljujicResearch Analyst for the College of Family Physicians of Canada.
Centre Hospitalier de l’Université de Montréal · CACollege of Family Physicians of Canada · CAUniversity of British Columbia · CAHypertension Institute · USSunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the techniques currently used by family physicians in Canada to measure blood pressure (BP) for screening for, diagnosing, and treating hypertension.

designA Web-based cross-sectional survey distributed by e-mail.

settingStratified random sample of family physicians in Canada.

participantsFamily physician members of the College of Family Physicians of Canada with valid e-mail addresses.

main outcome measuresPhysicians' self-reported routine methods for recording BP in their practices to screen for, diagnose, and manage hypertension.

resultsA total of 774 valid responses were received, for a response rate of 16.2%. Respondents were similar to nonrespondents except for underrepresentation of male physicians. Of 769 respondents, 417 (54.2%) indicated that they used manual office BP measurement with a mercury or aneroid device and stethoscope as the routine method to screen patients for high BP, while 42.9% (330 of 769) reported using automated office BP (AOBP) measurement. The method most frequently used to make a diagnosis of hypertension was AOBP measurement (31.1%, 240 of 771), followed by home BP measurement (22.4%, 173 of 771) and manual office BP measurement (21.4%, 165 of 771). Ambulatory BP monitoring (ABPM) was used for diagnosis by 14.4% (111 of 771) of respondents. The most frequently reported method for ongoing management was home BP monitoring (68.7%, 528 of 769), followed by manual office BP measurement (63.6%, 489 of 769) and AOBP measurement (59.2%, 455 of 769). More than three-quarters (77.8%, 598 of 769) of respondents indicated that ABPM was readily available for their patients.

conclusionCanadian family physicians exhibit overall high use of electronic devices for BP measurement, However, more efforts are needed to encourage practitioners to follow current Canadian guidelines, which advocate the use of AOBP measurement for hypertension screening, ABPM and home BP measurement for making a diagnosis, and both AOBP and home BP monitoring for ongoing management.

Indexed as

Practice Patterns, Physicians'AdultAgedBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryCanadaCross-Sectional StudiesFamily PracticeFemaleHumansHypertensionMaleMiddle AgedOffice VisitsSelf CareSphygmomanometers

Identifiers

PMID28292817
PMCPMC5349740
OpenAlexW2598713484

What OpenQuestion holds

Textmetadata
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.