Evidence map›Paper›PMID 33087065›Full record

ArticleBMC cardiovascular disorders2020

Association between attendance at outpatient follow-up appointments and blood pressure control among patients with hypertension.

Sajid Mahmood, Zahraa Jalal, Muhammad Abdul Hadi, Kifayat Ullah Shah

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

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  14. Factors Influencing Follow-up Attendance and Its Effect on Functional Outcomes in Middle-Aged and Geriatric Hip Fracture Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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  20. Implementation of pharmacotherapy monitoring: Experiences and views of medicine users.Exploratory research in clinical and social pharmacy · 2023
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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.

Sajid MahmoodDepartment of Pharmacy, Quaid-E-Azam University, Islamabad, 45320, Pakistan.
Zahraa JalalSchool of Pharmacy, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Muhammad Abdul HadiSchool of Pharmacy, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Kifayat Ullah ShahDepartment of Pharmacy, Quaid-E-Azam University, Islamabad, 45320, Pakistan. kushah@qau.edu.pk.ORCID 0000-0003-4061-8174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the impact of regularity in treatment follow-up appointments on treatment outcomes among hypertensive patients attending different healthcare settings in Islamabad, Pakistan. Additionally, factors associated with regularity in treatment follow-up were also identified.

methodsA cross-sectional study was undertaken in selected primary, secondary and tertiary healthcare settings between September, 2017 and December, 2018 in Islamabad, Pakistan. A structured data collection form was used to gather sociodemographic and clinical data of recruited patients. Binary logistic regression analyses were undertaken to determine association between regularity in treatment follow-up appointments and blood pressure control and to determine covariates significantly associated with regularity in treatment follow-up appointments.

resultsA total of 662 patients with hypertension participated in the study. More than half 346 (52%) of the patients were females. The mean age of participants was 54 ± 12 years. Only 274 (41%) patients regularly attended treatment follow-up appointments. Regression analysis found that regular treatment follow-up was an independent predictor of controlled blood pressure (OR 1.561 [95% CI 1.102-2.211; P = 0.024]). Gender (OR 1.720 [95% CI 1.259-2.350; P = 0.001]), age (OR 1.462 [CI 95%:1.059-2.020; P = 0.021]), higher education (OR 1.7 [95% CI 1.041-2.778; P = 0.034]), entitlement to free medical care (OR 3.166 [95% CI 2.284-4.388; P = 0.0001]), treatment duration (OR 1.788 [95% CI 1.288-2.483; P = 0.001]), number of medications (OR 1.585 [95% CI 1.259-1.996; P = 0.0001]), presence of co-morbidity (OR 3.214 [95% CI 2.248-4.593; P = 0.0001]) and medication adherence (OR 6.231 [95% CI 4.264-9.106; P = 0.0001]) were significantly associated with regularity in treatment follow-up appointments.

conclusionAttendance at follow-up visits was alarmingly low among patients with hypertension in Pakistan which may explain poor treatment outcomes in patients. Evidence-based targeted interventions should be developed and implemented, considering local needs, to improve attendance at treatment follow-up appointments.

Indexed as

AftercareAmbulatory CareAppointments and SchedulesMedication AdherenceNo-Show PatientsAdultAgedAntihypertensive AgentsBlood PressureCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleMiddle AgedAntihypertensive AgentsBlood pressureCross sectional studyMedication adherencePakistanPrimary careTreatment follow-up

Identifiers

PMID33087065
PMCPMC7579965

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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.