Evidence map›Paper›PMID 34092048›Full record

ArticleThe Korean journal of internal medicine2021

Apparent treatment-resistant hypertension among ambulatory hypertensive patients: a cross-sectional study from 13 general hospitals.

Sehun Kim, Jin Joo Park, Mi-Seung Shin, Choong Hwan Kwak, Bong-Ryeol Lee, Sung-Ji Park, Hae-Young Lee, Sang-Hyun Kim, Seok-Min Kang, Byung-Su Yoo and 5 more

Open access · goldAbstract read
In one paragraph

Article in The Korean journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

15 authors at 13 institutions in 1 country.

Sehun KimDivision of Cardiology, Department of Internal Medicine, Hallym University Hangang Sacred Heart Hospital, Seoul, Korea.
Jin Joo ParkCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Mi-Seung ShinDepartment of Cardiology, Gachon University Gil Medical Center, Incheon, Korea.
Choong Hwan KwakDivision of Cardiology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea.
Bong-Ryeol LeeDivision of Cardiology, Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea.
Sung-Ji ParkDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hae-Young LeeDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Sang-Hyun KimDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
Seok-Min KangDivision of Cardiology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Byung-Su YooDivision of Cardiology, Department of Internal Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Joong-Wha ChungDivision of Cardiology, Department of Internal Medicine, Chosun University Hospital, Gwangju, Korea.
Si Wan ChoiDivision of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea.
Sang-Ho JoDivision of Cardiology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Jinho ShinDivision of Cardiology, Department of Internal Medicine, Hanyang University Hospital, Seoul, Korea.
Dong-Ju ChoiCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Seoul National University · KRSeoul National University Bundang Hospital · KRChosun University Hospital · KRChungnam National University Hospital · KRDaegu Fatima Hospital · KRGachon University Gil Medical Center · KRGyeongsang National University · KRHallym University Sacred Heart Hospital · KRHanyang University Seoul Hospital · KRSeoul National University Hospital · KRSeverance Hospital · KRSungkyunkwan University · KRWonju Severance Christian Hospital · KR

Funding

Handok
6 · The paper itself

Abstract

BACKGROUND/

aimsTo examine the prevalence and clinical characteristics of apparent treatment-resistant hypertension among ambulatory hypertensive patients.

methodsWe enrolled adult ambulatory hypertensive patients at 13 well-qualified general hospitals in Korea from January to June 2012. Apparent resistant hypertension was defined as an elevated blood pressure > 140/90 mmHg with the use of three antihypertensive agents, including diuretics, or ≥ 4 antihypertensives, regardless of the blood pressure. Controlled hypertension was defined as a blood pressure within the target using three antihypertensives, including diuretics.

resultsAmong 16,915 hypertensive patients, 1,172 (6.9%) had controlled hypertension, and 1,514 (8.9%) had apparent treatment-resistant hypertension. Patients with apparent treatment-resistant hypertension had an earlier onset of hypertension (56.8 years vs. 58.8 years, p = 0.007) and higher body mass index (26.3 kg/m2 vs. 24.9 kg/m2, p < 0.001) than those with controlled hypertension. Drug compliance did not differ between groups. In the multivariable analysis, earlier onset of hypertension (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.97 to 0.99; p < 0.001) and the presence of comorbidities (OR, 2.06; 95% CI, 1.27 to 3.35; p < 0.001), such as diabetes mellitus, ischemic heart disease, heart failure, and chronic kidney disease, were independent predictors. Among the patients with apparent treatment-resistant hypertension, only 5.2% were receiving ≥ 2 antihypertensives at maximally tolerated doses.

conclusionApparent treatment-resistant hypertension prevalence is 8.9% among ambulatory hypertensive patients in Korea. An earlier onset of hypertension and the presence of comorbidities are independent predictors. Optimization of medical treatment may reduce the rate of apparent treatment-resistant hypertension.

Indexed as

Hospitals, GeneralHypertensionAdultAntihypertensive AgentsBlood PressureCross-Sectional StudiesDrug ResistanceHumansPrevalenceRepublic of KoreaAntihypertensive AgentsApparent treatment resistant hypertensionCharacteristicsIndependent predictorKoreaPrevalence

Identifiers

PMID34092048
PMCPMC8273811
OpenAlexW3172801560

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.