Evidence map›Paper›PMID 32352627›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2020

Longitudinal control of blood pressure among a cohort of Ghanaians with hypertension: A multicenter, hospital-based study.

Fred S Sarfo, Linda Mobula, Jacob Plange-Rhule, Mulugeta Gebregziabher, Daniel Ansong, Osei Sarfo-Kantanka, Lynda Arthur, Jasper Sablah, Edith Gavor, Gilbert Burnham and 1 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Apparent Treatment Resistant Hypertension Among Stroke Survivors in Ghana.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Fred S SarfoDepartment of Medicine, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.ORCID 0000-0001-7274-5093
Linda MobulaJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Jacob Plange-RhuleGhana College of Physicians and Surgeons, Accra, Ghana.
Mulugeta GebregziabherDepartment of Biostatistics, Medical University of South Carolina, Charleston, SC, USA.
Daniel AnsongDepartment of Medicine, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.
Osei Sarfo-KantankaDepartment of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Lynda ArthurGhana Access and Affordability Program, Accra, Ghana.
Jasper SablahGhana Access and Affordability Program, Accra, Ghana.
Edith GavorGhana National Drugs Programme, Ministry of Health, Accra, Ghana.
Gilbert BurnhamJohns Hopkins University School of Medicine, Baltimore, MD, USA.
David Ofori-AdjeiDepartment of Medicine & Therapeutics, University of Ghana School of Medicine and Dentistry, Accra, Ghana.
Komfo Anokye Teaching Hospital · GHUniversity of Ghana · GHJohns Hopkins University · USGhana College of Physicians and Surgeons · GHMedical University of South Carolina · USMinistry of Health · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are limited data on factors associated with longitudinal control of blood pressure (BP) among Ghanaians on antihypertensive treatment. We sought to evaluate associations between prospective BP control and 24 putative factors within socio-demographic, biological, and organizational domains. This is a cohort study involving 1867 (65%) adults with hypertension and 1006 (35%) with both hypertension and diabetes mellitus at five public hospitals. Clinic BP was measured every 2 months for 18 months of follow-up. A multivariate logistic regression analysis was fitted via generalized linear mixed models to identify factors associated with clinic BP ≥ 140/90 mm Hg at each clinic visit during follow-up. Mean age of study participants was 58.9 ± 16.6 years and 76.8% were females. Proportions with controlled BP increased from 46.3% at baseline to 59.8% at month 18, P < .0001. Eight factors with adjusted OR (95% CI) associated prospectively with uncontrolled BP were male gender: 1.37 (1.09-1.72), secondary education: 1.32 (1.00-1.74), non-adherence to antihypertensive treatment: 1.03 (1.00-1.06), fruit intake: 0.94 (0.89-1.00), duration of hypertension diagnosis: 1.01 (1.00-1.02), hypertension with diabetes mellitus: 2.05 (1.72-2.46), number of antihypertensive medications: 1.63 (1.49-1.79), and estimated glomerular filtration rate (mL/min rise): 0.82 (0.76-0.89). Interventions aimed at addressing modifiable factors associated with poorly controlled BP would be critical in prevention of cardiovascular diseases among Ghanaians.

Indexed as

HypertensionAntihypertensive AgentsBlood PressureCohort StudiesFemaleGhanaHospitalsHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesRisk FactorsAntihypertensive AgentsadherenceBP controlGhanaprospectiverisk factorssub-Saharan Africatherapeutic inertia

Identifiers

PMID32352627
PMCPMC8029794
OpenAlexW3020981758

What OpenQuestion holds

Textmetadata
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.