Evidence map›Paper›PMID 33203931›Full record

ArticleScientific reports2020

Impact of continuity of care on cardiovascular disease risk among newly-diagnosed hypertension patients.

Daein Choi, Seulggie Choi, Hyunho Kim, Kyuwoong Kim, Nakhyun Kim, Ahryoung Ko, Kyae Hyung Kim, Joung Sik Son, Jae Moon Yun, Yoon Kim and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  7. Rural-urban disparities in primary care and geographic continuity of care for children with medical complexity.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  13. Team-based continuity of care for patients with hypertension: a retrospective primary care cohort study in Hong Kong.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  17. The Impact of COVID-19 Protocols on the Continuity of Care for Patients with Hypertension.International journal of environmental research and public health · 2022
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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

11 authors.

Daein ChoiDepartment of Biomedical Sciences, College of Medicine, Seoul National University Graduate School, Seoul, South Korea.
Seulggie ChoiDepartment of Biomedical Sciences, College of Medicine, Seoul National University Graduate School, Seoul, South Korea.
Hyunho KimDepartment of Family Medicine, Seoul National University Hospital, Seoul, South Korea.
Kyuwoong KimNational Cancer Control Institute, National Cancer Center, Goyang, South Korea.
Nakhyun KimDepartment of Family Medicine, Seoul National University Hospital, Seoul, South Korea.
Ahryoung KoDepartment of Public Health & Medical Service, Seoul National University Hospital, Seoul, South Korea.
Kyae Hyung KimDepartment of Family Medicine, Seoul National University Hospital, Seoul, South Korea.
Joung Sik SonDepartment of Family Medicine, Seoul National University Hospital, Seoul, South Korea.
Jae Moon YunDepartment of Family Medicine, Seoul National University Hospital, Seoul, South Korea.
Yoon KimDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea.
Sang Min ParkDepartment of Biomedical Sciences, College of Medicine, Seoul National University Graduate School, Seoul, South Korea. smpark.snuh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several previous studies have noted benefits of maintaining continuity of care (COC), including improved patient compliance, decreased health care cost, and decreased incidence of hospitalization. However, the association of COC in hypertension patients with subsequent cardiovascular disease (CVD) risk is yet unclear. Therefore, we aimed to investigate the impact of COC on CVD risk among newly-diagnosed hypertension patients. We conducted a cohort with a study population consisted of 244,187 newly-diagnosed hypertension patients in 2004 from the Korean National Health Insurance Service database. The participants were then divided into approximate quartiles of COC index, and followed from 1 January 2007 until 31 December 2017. Cox proportional hazards models were used to evaluate the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for CVD risk according to quartiles. Compared to patients within the lowest quartile of COC index, those within the highest quartile of COC index had reduced risk for CVD (aHR 0.76, 95% confidence interval; CI 0.73-0.79), CHD (aHR 0.66, 95% CI 0.62-0.69) and stroke (aHR 0.84, 95% CI 0.80-0.88). COC among hypertension patients was associated with improved medication compliance and reduced risk of stroke and CVD. The importance of maintaining COC should be emphasized to reduce the risk of CVD among hypertension patients.

Indexed as

Cardiovascular DiseasesCohort StudiesContinuity of Patient CareFemaleHospitalizationHumansHypertensionMaleMedication AdherenceMiddle AgedNational Health ProgramsProportional Hazards ModelsRisk AssessmentRisk Factors

Identifiers

PMID33203931
PMCPMC7672066

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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.