Evidence map›Paper›PMID 29546816›Full record

ReviewTherapeutic advances in cardiovascular disease2018

Polypill: an affordable strategy for cardiovascular disease prevention in low-medium-income countries.

Patricio López-Jaramillo, Silvia González-Gómez, Diego Zarate-Bernal, Andrés Serrano, Leonor Atuesta, Christian Clausen, Claudia Castro-Valencia, Paul Camacho-Lopez, Johanna Otero

Abstract readReview
In one paragraph

Review in Therapeutic advances in cardiovascular disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
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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

9 authors.

Patricio López-JaramilloFacultad de Ciencias de la Salud, Universidad de Santander (UDES), Bucaramanga, Colombia Facultad de Ciencias de la Salud Eugenio Espejo, Universidad Tecnológica Equinoccial, Quito, Ecuador.ORCID https://orcid.org/0000-0002-9122-8742
Silvia González-GómezResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Diego Zarate-BernalResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Andrés SerranoResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Leonor AtuestaResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Christian ClausenResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Claudia Castro-ValenciaResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia Medical School, Universidad Libre, Cali, Colombia.
Paul Camacho-LopezResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
Johanna OteroResearch Institute, Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The simplification of fixed dose medications by using a single 'polypill' is an attractive strategy to improve adherence to medications which has shown benefit to cardiovascular risk factor control and cardiovascular disease prevention or delay in the progression of these diseases. We review the evidence obtained from a series of clinical trials demonstrating an improvement in adherence to the polypill compared to the use of each compound separately, and found similar or better control of the classical cardiovascular risk factors and a similar safety profile. These results suggest that the use of the polypill could have a beneficial impact in cardiovascular morbidity and mortality. Furthermore, the polypill has the potential to improve cost effectiveness and is simple to use. However, before recommending the implementation of the polypill in programs aimed at primary and secondary cardiovascular prevention, we are awaiting the results of several current clinical trials aimed at measuring the impact on the frequency of major cardiovascular outcomes, particularly in low-medium-income countries.

Indexed as

Drug CostsIncomeAntihypertensive AgentsCardiovascular DiseasesDeveloping CountriesDrug CombinationsHealth Services AccessibilityHumansHypolipidemic AgentsMedication AdherencePlatelet Aggregation InhibitorsPolypharmacyPrimary PreventionRisk FactorsSecondary PreventionTreatment OutcomeAntihypertensive AgentsDrug CombinationsHypolipidemic AgentsPlatelet Aggregation Inhibitorscardiovascular diseasecompliancefixed dose combination therapyhypertensionpolycappolypill

Identifiers

PMID29546816
PMCPMC5956949

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.