Evidence map›Paper›PMID 29331037›Full record

Trial reportPharmacotherapy2018

Pharmacist Intervention for Blood Pressure Control in Patients with Diabetes and/or Chronic Kidney Disease.

Maxwell D Anderegg, Tyler H Gums, Liz Uribe, Eric J MacLaughlin, James Hoehns, Oralia V Bazaldua, Timothy J Ives, David L Hahn, Christopher S Coffey, Barry L Carter

Open access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pharmacotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Impact of patient care teams on blood pressure control in patients with hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Pooled it
  2. Education programmes for people with chronic kidney disease and diabetes.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Demonstrating the Benefits of Antihypertensive Nighttime Dosing and Indapamide Usage in Hypertension Management.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  16. Article
  17. Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
  18. Article
  19. Evaluation of a pharmacist-provider collaborative clinic for treatment of iron deficiency in patients with heart failure.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2023
    Article
  20. 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

10 authors at 6 institutions in 1 country.

Maxwell D AndereggDepartment of Pharmacy Practice & Science, College of Pharmacy, University of Iowa, Iowa City, Iowa.ORCID 0000-0001-8181-4177
Tyler H GumsDivision of Health Outcomes and Pharmacy Practice, College of Pharmacy, University of Texas, Austin, Texas.
Liz UribeDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa.
Eric J MacLaughlinDepartment of Pharmacy Practice, School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas.
James HoehnsDepartment of Pharmacy Practice & Science, College of Pharmacy, University of Iowa, Iowa City, Iowa.
Oralia V BazalduaDepartment of Family and Community Medicine, The University of Texas Health Sciences Center at San Antonio, San Antonio, Texas.
Timothy J IvesUNC Eshelman School of Pharmacy and the Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
David L HahnWisconsin Research and Education Network, University of Wisconsin, Madison, Wisconsin.
Christopher S CoffeyDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa.
Barry L CarterDepartment of Pharmacy Practice & Science, College of Pharmacy, University of Iowa, Iowa City, Iowa.
University of Iowa · USTexas Tech University · USThe University of Texas at Austin · USThe University of Texas Health Science Center at San Antonio · USUniversity of North Carolina at Chapel Hill · USUniversity of Wisconsin System · US

Funding

A collaborative model to improve BP control and minimize racial disparities-CCCR01HL091841 · NHLBI · UNIVERSITY OF IOWA · PI CARTER, BARRY L · 2009 to 2013
$4.7M
A collaborative model to improve BP control and minimize racial disparities--DCCR01HL091843 · NHLBI · UNIVERSITY OF IOWA · PI FOSTER, ERIC D. · 2009 to 2013
$3.6M
NHLBI NIH HHS R01 HL091841NHLBI NIH HHS R01 HL091843
6 · The paper itself

Abstract

objectivesThe objectives of this study were to determine if hypertensive patients with comorbid diabetes mellitus (DM) and/or chronic kidney disease (CKD) receiving a pharmacist intervention had a greater reduction in mean blood pressure (BP) and improved BP control at 9 months compared with those receiving usual care; and compare Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guideline and 2014 guideline (JNC 8) BP control rates in patients with DM and/or CKD.

methodsThis cluster randomized trial included 32 medical offices in 15 states. Clinical pharmacists made treatment recommendations to physicians at intervention sites. This post hoc analysis evaluated mean BP and BP control rates in the intervention and control groups. MAIN

resultsThe study included 335 patients (227 intervention, 108 control) when mean BP and control rates were evaluated by JNC 7 inclusion and control criteria. When JNC 8 inclusion and control criteria were applied, 241 patients (165 intervention, 76 control) remained and were included in the analysis. The pharmacist-intervention group had significantly greater mean systolic blood pressure reduction compared with usual care at 9 months (8.64 mm Hg; 95% confidence interval [CI] -12.8 to -4.49, p<0.001). The pharmacist-intervention group had significantly higher BP control at 9 months than usual care by either the JNC 7 or JNC 8 inclusion and control groups (adjusted odds ratio [OR] 1.97, 95% CI 1.01-3.86, p=0.0470 and OR 2.16, 95% CI 1.21-3.85, p=0.0102, respectively). PRINCIPAL

conclusionsThis study demonstrated that a physician-pharmacist collaborative intervention was effective in reducing mean systolic BP and improving BP control in patients with uncontrolled hypertension with DM and/or CKD, regardless of which BP guidelines were used.

Indexed as

AdultAgedAged, 80 and overBlood PressureCluster AnalysisCooperative BehaviorDiabetes MellitusFemaleHumansHypertensionInterdisciplinary CommunicationMaleMiddle AgedPharmaceutical ServicesPharmacistsPhysicianschronic kidney diseasediabeteshypertensionteam-based care

Identifiers

PMID29331037
PMCPMC5867244
OpenAlexW2783492123

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.