Evidence map›Paper›PMID 34861979›Full record

ReviewIndian heart journal

Therapeutic adherence in hypertension: Current evidence and expert opinion from India.

Jamshed J Dalal, Prafulla Kerkar, Santanu Guha, Arup Dasbiswas, J P S Sawhney, Sivakadaksham Natarajan, Srinivasa Rao Maddury, A Sreenivas Kumar, Nishith Chandra, Gulla Suryaprakash and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  6. Adherence to hypertension management at a rural hospital in Limpopo: A cross-sectional study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
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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

17 authors at 15 institutions in 2 countries.

Jamshed J DalalCentre for Cardiac Sciences, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India. Electronic address: jjdalal@hotmail.com.
Prafulla KerkarDepartment of Cardiology, KEM Hospital, Mumbai, Maharashtra, India. Electronic address: prafullakerkar@rediffmail.com.
Santanu GuhaCalcutta Medical College, Kolkata, India. Electronic address: guha55@gmail.com.
Arup DasbiswasDepartment of Cardiology, NRS Medical College, Kolkata, West Bengal, India. Electronic address: arup.dasbiswas@gmail.com.
J P S SawhneyDept. of Cardiology, Sir Ganga Ram Hospital, New Delhi, India. Electronic address: jpssawhney@yahoo.com.
Sivakadaksham NatarajanSiva Cardio Care, Royapettah, Chennai, India. Electronic address: drnsiva@gmail.com.
Srinivasa Rao MadduryDepartment of Cardiology, Care Hospitals, Hyderabad, India. Electronic address: maddurysrinivas@hotmail.com.
A Sreenivas KumarApollo Hospital, Hyderabad, India. Electronic address: drsreenivas@citizenshospitals.com.
Nishith ChandraFortis Escorts Hospital, New Delhi, India. Electronic address: drchandra@hotmail.com.
Gulla SuryaprakashCare Hospital, Hyderabad, India. Electronic address: suryaprakashgulla@gmail.com.
Joy M ThomasDr. Joy Thomas Heart Care, Bharathi Salai, Mugappair West, Chennai, India. Electronic address: joycardio@gmail.com.
N I JuvaleDepartment of Cardiology, Saifee Hospital, Mumbai, India. Electronic address: drjuvalenazir@gmail.com.
Sunil SatheRuby Hall Clinic, Sangamvadi, Pune, India. Electronic address: svscardcare@gmail.com.
Aziz KhanCrescent Hospital & Heart Centre, Dhantoli, Nagpur, Maharashtra, India. Electronic address: khandraziz@gmail.com.
Sandeep BansalDepartment of Cardiology, Safdarjung Medical College, Delhi, India. Electronic address: drsbansal2000@yahoo.com.
Viveka KumarMax Hospital, Saket, New Delhi, India. Electronic address: viveka.kumar@maxhelthcare.com.
Rajshekhar ReddiDepartment of Neurology, Max Superspecialty Hospital, Saket, New Delhi, India. Electronic address: reddi.shekhar@yahoo.com.
CARE Hospitals · INMax Super Speciality Hospital · INACPM Dental College and Hospital · INApollo Hospitals · INBharathidasan University · INBombay Hospital · INCalcutta National Medical College and Hospital · INFortis Escorts Hospital · INGovernment Royapettah Hospital · INKokilaben Dhirubhai Ambani Hospital · INMedical College and Hospital, Kolkata · INRuby Hall Clinic · INSafdarjang Hospital · INSaifee Hospital · INSir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension (HTN) is a globally prevalent non-communicable disease contributing significantly to cardiovascular (CV) morbidity and mortality. In achieving control of HTN, therapeutic adherence plays a crucial role. Studies from India identify varying rates of adherence to antihypertensive medications. Multiple factors determine treatment adherence in HTN. In India, factors such as lower socioeconomic status, health literacy, asymptomatic nature of disease, forgetfulness, cost of medications, and duration of HTN determine the adherence. An excellent physician-patient relationship incorporating adequate counseling along with the use of other methods can identify poor adherence. Improving adherence necessitates incorporating a multipronged approach with strategies directed at physicians, patients, and health systems. With innovation in therapeutics, the pharmaceutical sector can contribute significantly to improve adherence. Furthermore, increasing adherence to lifestyle interventions can help achieve better HTN control and improve CV outcomes. In the Indian context, more emphasis is necessary on patient education, enhanced physician-patient relationship and communication, increased access to health care, and affordability in improving therapeutic adherence in HTN.

Indexed as

HypertensionAntihypertensive AgentsHumansIndiaMedication AdherenceTreatment Adherence and ComplianceAntihypertensive AgentsAdherenceAntihypertensives medicationsBlood pressureCardiovascular diseaseHypertension

Identifiers

PMID34861979
PMCPMC8642659
OpenAlexW3198264190

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.