Evidence map›Paper›PMID 34779795›Full record

ArticleMedical care2021

How Hypertension Guidelines Address Social Determinants of Health: A Systematic Scoping Review.

Na'amah Razon, Danielle Hessler, Kirsten Bibbins-Domingo, Laura Gottlieb

Abstract readScoping Review
In one paragraph

Article in Medical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Implementing a screening protocol for food insecure patients within a long-term acute care hospital (LTACH): A community health needs assessment (CHNA).Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Food Insecurity and Blood Pressure in a Multiethnic Population.International journal of environmental research and public health · 2023
    Article
  14. Partner-developed electronic health record tools to facilitate social risk-informed care planning.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  15. Trends in Social Spending by Private Health Insurers.Journal of general internal medicine · 2023
    Article
  16. Review
  17. Article
  18. 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

4 authors.

Na'amah RazonPhilip R. Lee Institute for Health Policy Studies & Family and Community Medicine.
Danielle HesslerDepartments of Family and Community Medicine.
Kirsten Bibbins-DomingoEpidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.
Laura GottliebDepartments of Family and Community Medicine.

Funding

UC Berkeley-UCSF Health Services Research Training ProgramT32HS022241 · AHRQ · UNIVERSITY OF CALIFORNIA BERKELEY · PI RODRIGUEZ, HECTOR P. · 2013 to 2024
$3.2M
AHRQ HHS T32 HS022241
6 · The paper itself

Abstract

backgroundPatient-level and community-level social and economic conditions impact hypertension risk and control. We examined adult hypertension management guidelines to explore whether and how existing guidelines refer to social care activities.

objectiveThe objective of this study was to explore how hypertension guidelines reference social care activities. RESEARCH

designA systematic scoping review of clinical guidelines for adult hypertension management. We employed a PubMed search strategy to identify all hypertension guidelines published in the United States between 1977 and 2019. We reviewed all titles to identify the most updated versions focused on nonpregnant adults with hypertension. We extracted instances where guidelines referred to social determinants of health (SDH) or social care activities. The primary outcome was how guidelines covered social care activities, defined using a framework adapted from the National Academies of Sciences, Engineering, and Medicine (NASEM).

resultsSearch terms yielded 126 guidelines. Thirty-six guidelines met the inclusion criteria. Of those, 72% (26/36) recommended social care activities as part of hypertension management; 58% recommended clinicians change clinical practice based on social risk information. These recommendations often lacked specific guidance around how to directly address social risk factors or reduce the impact of these risks on hypertension management. When guidelines referred to specific social factors, patient financial security was the most common. Over time, hypertension guidelines have included more references to SDH.

conclusionInformation about SDH is included in many hypertension guidelines, but few guidelines provide clear guidance for clinicians or health systems on how to identify and address social risk factors in the context of care delivery.

Indexed as

Social Determinants of HealthGuidelines as TopicHumansHypertension

Identifiers

PMID34779795
PMCPMC8597925

What OpenQuestion holds

Textmetadata
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.