Evidence map›Paper›PMID 35256386›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022

Lifestyle advice for hypertension or diabetes: trend analysis from 2002 to 2017 in England.

John A Henry, Susan A Jebb, Paul Aveyard, Cesar Garriga, Julia Hippisley-Cox, Carmen Piernas

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

John A HenryNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-7650-0963
Susan A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0001-9190-2920
Paul AveyardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-1802-4217
Cesar GarrigaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0001-7073-3611
Julia Hippisley-CoxNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-2479-7283
Carmen PiernasNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-7536-922X
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines recommend that GPs give patients lifestyle advice to manage hypertension and diabetes. Increasing evidence shows that this is an effective and practical treatment for these conditions, but it is unclear whether GPs offer this support.

aimTo investigate trends in the percentage of patients with hypertension/diabetes receiving lifestyle advice versus medication. DESIGN AND

settingThis was a trend analysis of self-reported data from the annual Health Survey for England (HSE) (2003-2017) and GP-recorded data from the QResearch database (2002-2016).

methodThe percentage of patients with hypertension or diabetes who received lifestyle advice or medication was calculated in each year. Associations between likelihood of receiving lifestyle advice and characteristics were assessed using multivariable logistic regression.

resultsThe percentage of patients receiving lifestyle advice was consistently lower than those receiving medication in both self-reported and medical records. There was consistent evidence of increasing trends in the percentage of patients with hypertension receiving lifestyle advice (HSE 13.8% to 20.1%;

conclusionOnly a minority of patients with diabetes or hypertension report receiving lifestyle advice or have this recorded in their medical records. Interventions beyond guidelines are needed to increase the delivery of behavioural interventions to treat these conditions.

Indexed as

Diabetes MellitusHypertensionHumansLife StyleObesityOverweightdiabetes mellitushypertensionlifestyle adviceprimary health careweight loss

Identifiers

PMID35256386
PMCPMC8936182
OpenAlexW4213016770

What OpenQuestion holds

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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.