Evidence map›Paper›PMID 33052522›Full record

ReviewCurrent hypertension reports2020

Fixed-Dose Combination Medications for Treating Hypertension: A Review of Effectiveness, Safety, and Challenges.

Jaejin An, Catherine G Derington, Tiffany Luong, Kari L Olson, Jordan B King, Adam P Bress, Cynthia A Jackevicius

Open access · hybridAbstract readReview
PubMed Publisher
In one paragraph

Review in Current hypertension reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  13. [Preparation andBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022
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  14. [Control of arterial hypertension: a pending issueControle da hipertensão arterial: um assunto inacabado].Revista panamericana de salud publica = Pan American journal of public health · 2022
    Article
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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

7 authors at 3 institutions in 2 countries.

Jaejin AnDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave #2, Pasadena, CA, 91101, USA. jaejin.x.an@kp.org.
Catherine G DeringtonDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Tiffany LuongDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles Ave #2, Pasadena, CA, 91101, USA.
Kari L OlsonNational Pharmacy Department, Kaiser Permanente Colorado, Aurora, CO, USA.
Jordan B KingDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Adam P BressDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Cynthia A JackeviciusDepartment of Pharmacy Practice and Administration, Western University of Health Sciences, Pomona, CA, USA.
Kaiser Permanente · USUniversity of Utah · USVA Greater Los Angeles Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo summarize the recent evidence on the effectiveness and safety of antihypertensive fixed-dose combination (FDC) medications, and to describe the facilitators and barriers to implementing FDCs in US clinical practice. RECENT

findingsRecent clinical practice guidelines include FDC use for treating high BP. Clinical trials in recent years support the use of antihypertensive FDCs including low-dose triple- and quadruple-therapy FDCs. Initiating a low-to-standard dose dual-therapy FDCs showed better BP control than initiating treatment with a standard-dose monotherapy, and triple-therapy FDCs produced better BP control rates than dual-therapy FDCs. Retrospective cohort studies showed that FDCs are associated with increased medication adherence, reduced clinical inertia, decreased time to BP control, and improved cardiovascular outcomes. We further discussed barriers and facilitators of wider implementation of antihypertensive FDCs in clinical practice. FDC treatment for hypertension is not commonly used despite historical and recent data which support the effectiveness, safety, and benefits of FDCs. Simplified and protocolized treatment algorithms, team-based care, shared decision-making principles are crucial to successful utilization and implementation of FDC in clinical practice.

Indexed as

HypertensionAntihypertensive AgentsDrug CombinationsHumansMedication AdherenceRetrospective StudiesAntihypertensive AgentsDrug CombinationsAntihypertensiveCombination treatmentFixed-dose combination

Identifiers

PMID33052522
OpenAlexW3092303704

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.