Evidence map›Paper›PMID 30821170›Full record

ArticleScandinavian journal of primary health care2019

Visit patterns at primary care centres and individual blood pressure level - a cross-sectional study.

H Ödesjö, S Adamsson Eryd, S Franzén, P Hjerpe, K Manhem, A Rosengren, J Thorn, S Björck

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

H Ödesjöa Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg , Gothenburg , SE 405 30 , Sweden.
S Adamsson Erydc Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg and Sahlgrenska University Hospital, Östra Hospital , Gothenburg , SE 416 50 , Sweden.
S Franzénd Centre of Registers Västra Götaland , Gothenburg , SE 413 45 , Sweden.
P Hjerpea Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg , Gothenburg , SE 405 30 , Sweden.
K Manhemc Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg and Sahlgrenska University Hospital, Östra Hospital , Gothenburg , SE 416 50 , Sweden.
A Rosengrenc Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg and Sahlgrenska University Hospital, Östra Hospital , Gothenburg , SE 416 50 , Sweden.
J Thorna Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg , Gothenburg , SE 405 30 , Sweden.
S Björckd Centre of Registers Västra Götaland , Gothenburg , SE 413 45 , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND

settingCross-sectional register-based study on all patients with hypertension who visited 188 PHCCs in a Swedish region. PATIENTS: A total of 88,945 patients with uncomplicated hypertension age 40-79.

main outcome measuresOdds ratio (OR) for the individual patient to achieve the BP target of ≤140/90 mmHg.

resultsOverall, 63% of patients had BP ≤ 140/90 mmHg (48% BP < 140/90). The PHCC that the patient was enrolled at and, as part of that, more nurse visits at PHCC level was associated with BP control, adjusted OR 1,10 (95% CI 1.01 to 1.21). Patients visiting PHCCs with the highest proportion of visits with nurses had an even higher chance of achieving the BP target, OR 1.19 (95% CI 1.07 to 1.32).

conclusionsIn a Swedish population of patients with hypertension, about half do not achieve recommended treatment goals. Organisation of PHCC and team care are known as factors influencing BP control. Our results suggests that a larger focus on PHCC organisation including nurse based care could improve hypertension care.

Indexed as

Blood PressureDelivery of Health CareHealth FacilitiesNursesPrimary Health CareAgedCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedSwedenBlood pressurehypertensionnurseprimary health careSweden

Identifiers

PMID30821170
PMCPMC6452911

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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.