Evidence map›Paper›PMID 34382307›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2021

Clinical impact of medication adherence on 10-year cardio-cerebrovascular mortality in newly diagnosed hypertensive patients.

Cho-Long Kim, Yoon-Sung Do, Byung-Jun Kim, Kyeong-Soo Lee, Min-Ah Nah, Ung Kim, Jung-Hee Lee, Tae-Yoon Hwang

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Cho-Long KimYeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0002-4525-1722
Yoon-Sung DoYeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0002-1189-2169
Byung-Jun KimDivision of Cardiology, Department of Internal Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0001-7251-4690
Kyeong-Soo LeeDepartment of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0001-8183-9462
Min-Ah NahDepartment of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0003-2485-9699
Ung KimDivision of Cardiology, Department of Internal Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0002-6009-1843
Jung-Hee LeeDivision of Cardiology, Department of Internal Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0002-0342-6360
Tae-Yoon HwangDepartment of Preventive Medicine and Public Health, Yeungnam University College of Medicine, Daegu, Republic of Korea.ORCID 0000-0001-9397-5314

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to evaluate the impact of medication adherence on cardio-cerebrovascular (CCV) mortality in newly diagnosed hypertensive patients. The authors retrospectively reviewed data from 20,836 patients who newly diagnosed hypertension from January 1, 2003 to December 31, 2005. Medication adherence was calculated from the compliance ratio (CR) during the first year after the diagnosis of hypertension. CCV mortality for 10 years was assessed according to the presence or absence of complications of hypertension. The risk of CCV death was significantly reduced in the CR ≥ 70% group than in the CR < 70% group (hazard ratio, 0.70; p = .004) for 10 years. In the patients without complications, the risk of CCV death was significantly lower in the CR ≥ 70% group than in the CR < 70% group (hazard ratio, 0.56; p = .014). However, in patients with complications, there was no significant difference in risk of CCV death between the CR ≥ 70% group and the CR < 70% group (hazard ratio, 0.79; p = .100). Only the CR ≥ 90% group had a significantly lower risk of CCV death (hazard ratio, 0.56; p < .001) for those with complications. Medication adherence is significantly associated with CCV mortality during 10 years in newly diagnosed hypertensives patients. Patients with complications of hypertension have to continue a high adherence rate (CR ≥ 90) for better long-term clinical outcomes.

Indexed as

HypertensionHumansMedication AdherenceProportional Hazards ModelsRetrospective Studiescardio-cerebrovascular diseasehypertensionmedication adherence

Identifiers

PMID34382307
PMCPMC8678795

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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.