Evidence map›Paper›PMID 35174047›Full record

ArticleGlobal heart2022

Implementing Single-Pill Combination Therapy for Hypertension: A Scoping Review of Key Health System Requirements in 30 Low- and Middle-Income Countries.

Eleanor Bruyn, Long Nguyen, Aletta E Schutte, Adrianna Murphy, Pablo Perel, Ruth Webster

Open access · goldAbstract readScoping Review
In one paragraph

Article in Global heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
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  14. The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
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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

6 authors at 3 institutions in 3 countries.

Eleanor BruynSchool of Population Health, University of New South Wales, Sydney, AU.
Long NguyenSchool of Population Health, University of New South Wales, Sydney, AU.
Aletta E SchutteSchool of Population Health, University of New South Wales, Sydney, AU.ORCID 0000-0001-9217-4937
Adrianna MurphyCentre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-4065-6744
Pablo PerelCentre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-2342-301X
Ruth WebsterSchool of Population Health, University of New South Wales, Sydney, AU.ORCID 0000-0002-7444-3037
UNSW Sydney · AULondon School of Hygiene & Tropical Medicine · GBUniversity of Technology Sydney · AU

Funding

Medical Research Council MR/T042508/1
6 · The paper itself

Abstract

Objective: The World Health Organization (WHO) included single-pill combination (SPC) antihypertensive medications on their 2019 essential medicines list (EML) to encourage uptake and improved hypertension control. We documented key national-level facilitators (SPCs on national EMLs, recommendation for SPCs in national hypertension guidelines and availability of SPCs on the market) supporting uptake of SPCs in the 30 most populous low- and middle-income countries (LMICs). Methods: A hierarchical information gathering strategy was used including literature and web searches, the use of organisational databases and personal communications with colleagues to obtain information on (1) whether SPC antihypertensives are on national EMLs, (2) whether SPC antihypertensives are recommended in national hypertension guidelines and (3) whether SPCs are available on the market. Results: Eleven of 30 LMICs had all facilitators in place being Egypt, Kenya, Nigeria, Sudan, China, the Philippines, Thailand, Iran, Argentina, Colombia and Mexico. Twenty-six countries had national hypertension guidelines (or similar) in place with SPCs being recommended in 18 of these. Apart from Afghanistan, SPCs were available on the market in all countries. The facilitator least present was the inclusion of SPC antihypertensives on national EMLs at 12 of 29 (Turkey does not have an EML). Conclusion: This study demonstrated that many LMICs have made significant progress in their uptake of SPC antihypertensives and several had included SPCs on their EMLs and guidelines prior to their inclusion on the WHO EML. Despite this progress, the uptake of SPC antihypertensives in LMICs could be improved including through their further inclusion on EMLs.

Indexed as

Drugs, EssentialHypertensionAntihypertensive AgentsDeveloping CountriesDrug CombinationsHumansAntihypertensive AgentsDrug CombinationsDrugs, Essentialantihypertensivesessential medicines listhigh blood-pressurehypertensionhypertension treatment guidelineslow- and middle-income countriesSingle-pill combination

Identifiers

PMID35174047
PMCPMC8796691
OpenAlexW4210276437

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.