Evidence map›Paper›PMID 33293392›Full record

ArticleBMJ open2020

Prevalence and correlates of depression among black and Latino stroke survivors with uncontrolled hypertension: a cross-sectional study.

Adebayo O Ogunlade, Stephen K Williams, Jennifer Joseph, Deborah O Onakomaiya, Joseph P Eimicke, Jeanne A Teresi, Olajide Williams, Gbenga Ogedegbe, Tanya M Spruill

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01070056 (Practice-based Trial of Blood Pressure Control in African Americans), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT01070056 phase3completednot on this map

Practice-based Trial of Blood Pressure Control in African Americans

TypeinterventionalSponsorNYU Langone HealthRan2010 to 2012Enrolled194ConditionsHypertension, Physical Activity, Diet, Medication AdherenceArmsTherapeutic Lifestyle Changes (MINT-TLC), Usual Care
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

9 authors.

Adebayo O OgunladeCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA adebayo.ogunlade@nyulangone.org.
Stephen K WilliamsCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Jennifer JosephCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Deborah O OnakomaiyaCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0003-1535-367X
Joseph P EimickeResearch Division, Hebrew Home at Riverdale, Bronx, New York, USA.
Jeanne A TeresiResearch Division, Hebrew Home at Riverdale, Bronx, New York, USA.
Olajide WilliamsColumbia University Medical Center, New York, New York, USA.
Gbenga OgedegbeCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Tanya M SpruillCenter for Healthful Behavior Change, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.

Funding

Tailored Approaches to Stroke Health EducationU54NS081765 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G., WILLIAMS, OLAJIDE · 2012 to 2016
$12.5M
Promoting Academic Workforce Development in Behavioral Medicine and Sleep Disorders ResearchR25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Tatjana Rundek · 2010 to 2026
$5.8M
NHLBI NIH HHS R25 HL105444NINDS NIH HHS U54 NS081765
6 · The paper itself

Abstract

objectiveTo examine the prevalence and correlates of depression in a cohort of black and Hispanic stroke survivors with uncontrolled hypertension.

settingBaseline survey data from 10 stroke centres across New York City.

participantsBlack and Hispanic stroke survivors with uncontrolled hypertension (n=450). OUTCOME MEASURES: Depressive symptoms were assessed with the 8-item Patient Reported Outcomes Measurement Information System (PROMIS) measure. Depression was defined as a PROMIS score ≥55. Other data collected included clinical factors, health-related quality of life (EuroQoL five dimensions (EQ-5D)), functional independence (Barthel Index, BI), stroke-related disability (Modified Rankin Score), physical function (PROMIS Physical Function) and executive functioning (Frontal Assessment Battery).

resultsThe mean age was 61.7±11.1 years, 44% of participants were women and 51% were black. Poststroke depression was noted in 32% of the cohort. Examining bivariate relationships, patients with depression were observed to have poorer function and quality of life as evidenced by significantly lower PROMIS physical function scores (36.9±8.32 vs 43.4±10.19, p<0.001); BI scores (79.9±19.2 vs 88.1±15.1, p<0.001); EQ-5D scores (0.66±0.24 vs 0.83±0.17, p<0.001) and higher Rankin scores (2.10±1.00 vs 1.46±1.01, p<0.001) compared with those without depression. Multivariate (model adjusted) significant correlates of depression included lower self-reported quality of life (OR=0.02 (CI 0.004 to 0.12) being younger (OR=0.94; 95% CI 0.91 to 0.97); not married (OR=0.46; CI 0.24 to 0.89)); and foreign-born (OR=3.34, 95% CI 1.4 to 7.97). There was a trend for higher comorbidity to be uniquely associated with depression (≥3 comorbid conditions, OR=1.49, 95% CI 1.00 to 2.23).

conclusionsPoststroke depression is common among black and Hispanic stroke survivors with higher rates noted among foreign-born patients and those with high comorbidity. These findings highlight the importance of screening for depression in minority stroke survivors. TRIAL REGISTRATION NUMBER: http://www.clinicaltrials.gov. Unique identifier: NCT01070056.

Indexed as

HypertensionStrokeAgedBlack or African AmericanCross-Sectional StudiesDepressionFemaleHispanic or LatinoHumansMaleMiddle AgedNew York CityPrevalenceQuality of LifeSurvivorsdepression & mood disordershypertensionstroke

Identifiers

PMID33293392
PMCPMC7725089

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Registered trials

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.