Evidence map›Paper›PMID 30154897›Full record

ReviewArchives of medical science : AMS2018

Effectiveness of fixed-dose combination therapy in hypertension: systematic review and meta-analysis.

Paweł Kawalec, Przemysław Holko, Małgorzata Gawin, Andrzej Pilc

Open access · goldAbstract readReview
In one paragraph

Review in Archives of medical science : AMS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
3.9field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Medication adherence with fixed-doseFrontiers in pharmacology · 2023
    Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Fixed-dose combinationFrontiers in pharmacology · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Effect of Combination Antihypertensive Pills on Blood Pressure Control.Journal of the American Heart Association · 2024
    Article
  15. The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  16. Article
  17. Association of theArchives of medical science : AMS · 2024
    Review
  18. Article
  19. 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

4 authors at 3 institutions in 1 country.

Paweł KawalecInstitute of Public Health, Faculty of Health Sciences, Jagiellonian University, Krakow, Poland.
Przemysław HolkoInstitute of Public Health, Faculty of Health Sciences, Jagiellonian University, Krakow, Poland.
Małgorzata GawinDepartment of Food Biotechnology, Faculty of Food Technology, University of Agriculture, Krakow, Poland.
Andrzej PilcInstitute of Pharmacology Polish Academy of Sciences, Krakow, Poland.
Jagiellonian University · PLMaj Institute of Pharmacology · PLUniversity of Agriculture in Krakow · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical studies have revealed that fixed-dose combinations (FDCs) of drugs can have a better effect on blood pressure than free-equivalent combinations (FECs). Our objectives were to perform an up-to-date assessment of the effectiveness of FDCs and FECs in antihypertensive therapy, to provide more accurate results by using a stratified meta-analysis. MATERIAL AND

methodsA systematic review was performed in PubMed, Web of Science, and Cochrane databases according to PRISMA guidelines. The outcomes were adherence (compliance), persistence to medication, reduction of blood pressure and the safety profile. We used the Newcastle Ottawa scale or the Delphi list for the assessment of the quality of cohort studies or clinical trials, respectively. Heterogeneity was assessed using the Cochrane

resultsOf 301 abstracts screened, 26 primary studies and 2 other meta-analyses were identified, of which 12 studies were included in the meta-analyses and 3 studies were included in the narrative review. The FDC treatment is associated with a significant improvement in adherence and persistence in comparison with FEC treatment, e.g., the average medicine possession ratio increased with FDC by 13.1% (

conclusionsIn comparison with FECs, the FDC treatment is associated with a significant improvement in the cooperation between a doctor and a patient and with increased patients' adherence to the treatment schedule.

Indexed as

fixed-dose combinationsfree-equivalent combinationshypertension

Identifiers

PMID30154897
PMCPMC6111352
OpenAlexW2888664794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.