Evidence map›Paper›PMID 31701259›Full record

ReviewCurrent hypertension reports2019

Cost-Effectiveness and Challenges of Implementing Intensive Blood Pressure Goals and Team-Based Care.

Catherine G Derington, Jordan B King, Kelsey B Bryant, Blake T McGee, Andrew E Moran, William S Weintraub, Brandon K Bellows, Adam P Bress

Abstract readReview
In one paragraph

Review in Current hypertension reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Medical Measures in Hypertensives Considered Resistant.American journal of hypertension · 2024
    Article
  7. Article
  8. Review
  9. Review
  10. Cost-effectiveness analysis of intensive blood pressure control in Korea.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  11. Article
  12. 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

8 authors.

Catherine G DeringtonDepartment of Pharmacy, Kaiser Permanente Colorado, Aurora, CO, USA.
Jordan B KingDepartment of Population Health Sciences, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84112, USA.
Kelsey B BryantDivision of General Medicine, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Blake T McGeeByrdine F. Lewis College of Nursing & Health Professions, Georgia State University, Atlanta, GA, USA.
Andrew E MoranDivision of General Medicine, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
William S WeintraubMedStar Washington Hospital Center, Washington, DC, USA.
Brandon K BellowsDivision of General Medicine, Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Adam P BressDepartment of Population Health Sciences, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84112, USA. adam.bress@hsc.utah.edu.

Funding

Patient Level Prediction of Clinical Outcomes and Cost-Effectiveness in SPRINT (Optimize-SPRINT)R01HL139837 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRESS, ADAM P, MORAN, ANDREW EDWARD · 2018 to 2021
$3.2M
Model Based Approach to Improving Hypertension Control in PopulationsR01HL130500 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MORAN, ANDREW EDWARD · 2016 to 2019
$2.4M
Genetic ancestry and antihypertensive medication responses in African AmericansK01HL133468 · NHLBI · UNIVERSITY OF UTAH · PI BRESS, ADAM P · 2016 to 2020
$787k
Comparing the value of intensive systolic blood pressure treatment implementation strategiesK01HL140170 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BELLOWS, BRANDON K · 2018 to 2022
$709k
The University of Utah Translational Hypertension SymposiumR13HL144012 · NHLBI · UNIVERSITY OF UTAH · PI BRESS, ADAM P · 2018 to 2019
$68k
NHLBI NIH HHS K01 HL133468NHLBI NIH HHS K01 HL140170NHLBI NIH HHS R01 HL130500NHLBI NIH HHS R01 HL139837NHLBI NIH HHS R13 HL144012
6 · The paper itself

Abstract

purpose of reviewReview the effectiveness, cost-effectiveness, and implementation challenges of intensive blood pressure (BP) control and team-based care initiatives. RECENT

findingsIntensive BP control is an effective and cost-effective intervention; yet, implementation in routine clinical practice is challenging. Several models of team-based care for hypertension management have been shown to be more effective than usual care to control BP. Additional research is needed to determine the cost-effectiveness of team-based care models relative to one another and as they relate to implementing intensive BP goals. As a focus of healthcare shifts to value (i.e., cost, effectiveness, and patient preferences), formal cost-effectiveness analyses will inform which team-based initiatives hold the highest value in different healthcare settings with different populations and needs. Several challenges, including clinical inertia, financial investment, and billing restrictions for pharmacist-delivered services, will need to be addressed in order to improve public health through intensive BP control and team-based care.

Indexed as

Antihypertensive AgentsBlood PressureCardiovascular DiseasesCost-Benefit AnalysisGoalsHumansHypertensionPatient Care TeamRandomized Controlled Trials as TopicRisk FactorsAntihypertensive AgentsBlood pressureCost-effectivenessHypertensionNursesPatient care teamPharmacists

Identifiers

PMID31701259
PMCPMC6874096

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.