Evidence map›Paper›PMID 29316149›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2018

Measure Accurately, Act Rapidly, and Partner With Patients (MAP) improves hypertension control in medically underserved patients: Care Coordination Institute and American Medical Association Hypertension Control Project Pilot Study results.

Robert B Hanlin, Irfan M Asif, Gregory Wozniak, Susan E Sutherland, Bijal Shah, Jianing Yang, Robert A Davis, Sean T Bryan, Michael Rakotz, Brent M Egan

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

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  19. Implementing Automated Office Blood Pressure Measurement.Hypertension (Dallas, Tex. : 1979) · 2019
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Robert B HanlinDepartment of Family Medicine, Greenville Health System, Greenville, SC, USA.ORCID 0000-0003-0127-652X
Irfan M AsifDepartment of Family Medicine, Greenville Health System, Greenville, SC, USA.
Gregory WozniakAmerican Medical Association, Chicago, IL, USA.
Susan E SutherlandUniversity of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Bijal ShahDepartment of Family Medicine, Greenville Health System, Greenville, SC, USA.
Jianing YangAmerican Medical Association, Chicago, IL, USA.
Robert A DavisCare Coordination Institute, Greenville, SC, USA.
Sean T BryanPrimary Care Sports Medicine, The Rothman Institute, Philadelphia, PA, USA.
Michael RakotzAmerican Medical Association, Chicago, IL, USA.ORCID 0000-0003-4386-4864
Brent M EganUniversity of South Carolina School of Medicine-Greenville, Greenville, SC, USA.ORCID 0000-0002-1470-5875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measure Accurately, Act Rapidly, and Partner With Patients (MAP) is an evidence-based protocol implemented to improve hypertension control in a clinic for underserved patients (49.9% Medicaid and 50.2% black). Patients with hypertension seen during the year before intervention and with at least one visit during the 6-month intervention (N = 714) were included. If initial attended blood pressure (BP; standard aneroid manometer) was ≥140/≥90 mm Hg, unattended automated office BP was measured in triplicate and averaged (Measure Accurately) using an Omron HEM-907XL. When automated office BP was ≥140/≥90 mm Hg, Act Rapidly included intensification of antihypertensive medications, assessed by therapeutic inertia. Partner With Patients included BP self-monitoring, reducing pill burden, and minimizing medication costs, which was assessed by systolic BP change per therapeutic intensification. Between baseline and the last study visit, BP control to <140/<90 mm Hg increased from 61.2% to 89.9% (P < .0001). MAP rapidly and significantly improved hypertension control in medically underserved patients, largely as a result of measuring BP accurately and partnering with patients.

Indexed as

Blood Pressure DeterminationHypertensionPatient CareAdultAgedAntihypertensive AgentsFemaleHealth EquityHealth Services AccessibilityHumansMaleMedicaidMedically Underserved AreaMiddle AgedOutcome Assessment, Health CarePilot ProjectsAntihypertensive Agentsblood pressurehealth equityhypertension

Identifiers

PMID29316149
PMCPMC5817408

What OpenQuestion holds

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Registered trials

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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.