Evidence map›Paper›PMID 29683249›Full record

Observational studyJournal of clinical hypertension (Greenwich, Conn.)2018

Hypertension control after an initial cardiac event among Medicare patients with diabetes mellitus: A multidisciplinary group practice observational study.

Ashish Chaddha, Maureen A Smith, Mari Palta, Heather M Johnson

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

Ashish ChaddhaDivision of Cardiology, Department of Medicine, William Beaumont Hospital, Royal Oak, MI, USA.
Maureen A SmithHealth Innovation Program, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Mari PaltaDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Heather M JohnsonHealth Innovation Program, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.ORCID 0000-0002-4916-3519
University of Wisconsin–Madison · USBeaumont Hospital, Royal Oak · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Guideline Adherence and Short/Long-term Health Outcomes in Patients with DiabetesR01HS018368 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI SMITH, MAUREEN A · 2009 to 2013
$2.3M
Identifying and Addressing Barriers to Hypertension Control in Young AdultsK23HL112907 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI JOHNSON, HEATHER M · 2012 to 2016
$845k
Guideline Adherence and Health Outcomes in Medicare FFS Patients with DiabetesR21HS017646 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI SMITH, MAUREEN A · 2008 to 2009
$312k
AHRQ HHS R01 HS018368AHRQ HHS R21 HS017646NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NHLBI NIH HHS K23 HL112907
6 · The paper itself

Abstract

Patients with diabetes mellitus and cardiovascular disease have a high risk of mortality and/or recurrent cardiovascular events. Hypertension control is critical for secondary prevention of cardiovascular events. The objective was to determine rates and predictors of achieving hypertension control among Medicare patients with diabetes and uncontrolled hypertension after hospital discharge for an initial cardiac event. A retrospective analysis of linked electronic health record and Medicare data was performed. The primary outcome was hypertension control within 1 year after hospital discharge for an initial cardiac event. Cox proportional hazard models assessed sociodemographics, medications, utilization, and comorbidities as predictors of control. Medicare patients with diabetes were more likely to achieve hypertension control when prescribed beta-blockers at discharge or with a history of more specialty visits. Adults ≥ 80 were more likely to achieve control with diuretics. These findings demonstrate the importance of implementing guideline-directed multidisciplinary care in this complex and high-risk population.

Indexed as

Adrenergic beta-AntagonistsAgedAged, 80 and overAntihypertensive AgentsCardiovascular DiseasesDiabetes MellitusDiureticsFemaleHospitals, Group PracticeHumansHypertensionMaleMedicarePatient DischargeRetrospective StudiesUnited StatesAdrenergic beta-AntagonistsAntihypertensive AgentsDiureticsclinical management of high blood pressure (HBP)coronary diseasediabeteshypertension in the elderly

Identifiers

PMID29683249
PMCPMC6109367
OpenAlexW2799624075

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.