Evidence map›Paper›PMID 29217952›Full record

ArticleEthiopian journal of health sciences2017

Control of Hypertension among Diabetic Patients in a Referral Hospital in Tanzania: A Cross-Sectional Study.

Semvua B Kilonzo, Daniel W Gunda, Fatma A Bakshi, Fredrick Kalokola, Henry A Mayala, Hollo Dadi

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Ethiopian journal of health sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
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, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Predictors of uncontrolled hypertension among type 2 diabetic patients in Ethiopia: Multicenter cross-sectional study.International journal of cardiology. Cardiovascular risk and prevention · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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.

Semvua B KilonzoDepartment of Internal Medicine, Catholic University of Health and Allied Sciences, Mwanza-Tanzania.
Daniel W GundaDepartment of Internal Medicine, Catholic University of Health and Allied Sciences, Mwanza-Tanzania.
Fatma A BakshiDepartment of Internal Medicine, Catholic University of Health and Allied Sciences, Mwanza-Tanzania.
Fredrick KalokolaDepartment of Internal Medicine, Catholic University of Health and Allied Sciences, Mwanza-Tanzania.
Henry A MayalaCardiovascular department, Jakaya Kikwete Cardiac Institute, Dar es Salaam-Tanzania.
Hollo DadiFaculty of Undergraduate Studies, Weill School of Medicine, Mwanza-Tanzania.
Bugando Medical Centre · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is common among diabetic patients. The co-existence of two conditions carries an excessive risk of severe complications and mortalities. Limited information exists on the determinants of poor hypertension control among these patients. We aimed at determining the prevalence and factors associated with poor hypertension control in these patients.

methodsData of diabetic patients who were also hypertensive attending an outpatient clinic from 1 August 2015 to 31 December 2015 at Bugando Medical Centre were retrospectively analyzed. Uncontrolled hypertension was defined as a blood pressure of ≥130mmHg and/or ≥80mmHg systolic and diastolic respectively. A designed questionnaire was used to collect data of patients. Continuous variables were summarized by median and interquartile ranges (IQR) and categorical variables were summarized by frequency and percentage. Logistic regression was used to find the predictors of uncontrolled hypertension.

resultsThe majority of our study population were females, 161/295 (54.6%), and the median age was 57 years (IQR 50-64). The prevalence of hypertension was 206/295 (69.8%). A total of 174/206 (84.5%) patients had uncontrolled hypertension. This poor control was significantly associated with poor adherence to anti-hypertensives (OR 1.73[1.26-2.38] p=0.002), presence of any long-term complication (OR 3.19 [1.65-6.18] p=0.03) and overweight (BMI>24.9 Vs <24.9) (OR 1.68 [0.98-2.88], p=0.04). Under-prescription and ambiguous drugs combination was also observed.

conclusionThe prevalence of poor hypertension control among diabetic patients in Tanzania is alarming. Most of the factors associated with this situation can be modified. The clinicians should advocate individualized management, continuous health education and adherence to the available guidelines.

Indexed as

Drug MonitoringAntihypertensive AgentsBlood PressureCross-Sectional StudiesDiabetes ComplicationsDiabetes MellitusFemaleHumansHypertensionMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSecondary Care CentersTanzaniaAntihypertensive AgentsUncontrolled hypertension diabetes Tanzania

Identifiers

PMID29217952
PMCPMC5615008
OpenAlexW2747399830

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.