Evidence map›Paper›PMID 31405832›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Patient preferences for management of high blood pressure in the UK: a discrete choice experiment.

Benjamin Fletcher, Lisa Hinton, Richard McManus, Oliver Rivero-Arias

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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines 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

4 authors.

Benjamin FletcherNuffield Department of Primary Care Health Sciences, University of Oxford, and National Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population Health, University of Oxford, Oxford.
Lisa HintonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Richard McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Oliver Rivero-AriasNational Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population Health, University of Oxford, Oxford.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith a variety of potentially effective hypertension management options, it is important to determine how patients value different models of care, and the relative importance of factors in their decision-making process.

aimTo explore patient preferences for the management of hypertension in the UK. DESIGN AND

settingOnline survey of patients who have hypertension in the UK including an unlabelled discrete choice experiment (DCE).

methodA DCE was developed to assess patient preferences for the management of hypertension based on four attributes: model of care, frequency of blood pressure (BP) measurement, reduction in 5-year cardiovascular risk, and costs to the NHS. A mixed logit model was used to estimate preferences, willingness-to-pay was modelled, and a scenario analysis was conducted to evaluate the impact of changes in attribute levels on the uptake of different models of care.

resultsOne hundred and sixty-seven participants completed the DCE (aged 61.4 years, 45.0% female, 82.0% >5 years since diagnosis). All four attributes were significant in choice (

conclusionParticipants had similar preferences for GP management, pharmacist management, and telehealth, but a negative preference for self-management. When introducing new models of care for hypertension to patients, discussion of the potential benefits in terms of risk reduction should be prioritised to maximise uptake.

Indexed as

Blood Pressure DeterminationDelivery of Health CareHealth Care CostsPatient PreferenceRisk Reduction BehaviorAgedCardiovascular DiseasesChoice BehaviorDecision MakingDisease ManagementFemaleHumansHypertensionLogistic ModelsMaleMiddle Agedgeneral practicehypertensionpatient preference

Identifiers

PMID31405832
PMCPMC6692085

What OpenQuestion holds

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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.