Evidence map›Paper›PMID 30474518›Full record

ArticleGlobal health action2018

Low uptake of hypertension care after community hypertension screening events in Lagos, Nigeria.

Heleen Elise Nelissen, Tochi Joy Okwor, Oluyemisi Khalidson, Akin Osibogun, Anja Helena Van't Hoog

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Heleen Elise Nelissena Department of Global Health , Amsterdam UMC, University of Amsterdam , Amsterdam , The Netherlands.ORCID 0000-0001-7489-1297
Tochi Joy Okworc Centre for Epidemiology and Health Development , Lagos , Nigeria.ORCID 0000-0003-2391-7770
Oluyemisi Khalidsonc Centre for Epidemiology and Health Development , Lagos , Nigeria.
Akin Osibogunc Centre for Epidemiology and Health Development , Lagos , Nigeria.ORCID 0000-0002-0788-9143
Anja Helena Van't Hooga Department of Global Health , Amsterdam UMC, University of Amsterdam , Amsterdam , The Netherlands.ORCID 0000-0002-6358-0394
Amsterdam Institute for Global Health and Development · NLLagos University Teaching Hospital · NGUniversity of Nigeria Teaching Hospital · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Lagos, Nigeria, approximately 33% of the population suffers from hypertension, yet antihypertensive treatment coverage is low. To improve access to care, a decentralized pharmacy-based hypertension care model was piloted. This study reports on the recruitment strategies used and is part of a larger study to evaluate the feasibility of the care model.

objectiveTo describe our experience executing three different strategies to recruit hypertensive patients in the program: community hypertension screenings, hospital and pharmacy referral.

methodsIndividuals with elevated blood pressure and no history of cardiovascular disease were referred to the program's recruitment days to see a medical doctor for hypertension diagnosis and enrollment. Individuals were referred from community screenings, tertiary hospital outpatient clinics, and pharmacies participating in the program. For the community screenings, we report the number needed to screen (NNS) to find one individual with elevated blood pressure, the NNS to enroll one individual in the program, and factors associated with enrollment in the program among participants referred.

resultsWe recruited 226 individuals (69%) in the program via the pharmacies, 97 (30%) via the community screenings, and 2 (<1%) via hospital referral. At the community screenings 3,204 individuals participated, 729 (23%) had elevated blood pressure and 618 (85%) were eligible for referral of whom 142 (23%) visited the recruitment days, and 97 (16%) enrolled. The NNS to find one individual with elevated blood pressure was 5, and the NNS to enroll one individual was 34. Enrollment in the program was associated with advancing age, blood pressure ≥160/100 and currently using antihypertensive medication.

conclusionsDespite the potential attractiveness of community screenings to identify and refer individuals with hypertension, enrollment in the program was low. For future programs we recommend pharmacy referral as individuals seem more inclined to access care through healthcare providers they are familiar with.

Indexed as

AdolescentAdultAgedAntihypertensive AgentsBlood PressureCommunity Pharmacy ServicesFemaleHumansHypertensionMaleMass ScreeningMiddle AgedNigeriaPatient ComplianceReferral and ConsultationYoung AdultAntihypertensive Agentshealthcare-seeking behaviorlow- and middle-income countryprivate sectorRecruitmentsub-Saharan Africaurban

Identifiers

PMID30474518
PMCPMC6263098
OpenAlexW2903371573

What OpenQuestion holds

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LicenceCC BY
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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.