Evidence map›Paper›PMID 35734002›Full record

ArticlePublic health action2022

Case identification, retention and blood pressure control in Kenya.

L Mbau, R Harrison, W Kizito, C Timire, T Namusonge, S Muhula, L Nyanjau, P Owiti

Abstract read
In one paragraph

Article in Public health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

L MbauKenya Cardiac Society, Nairobi, Kenya.
R HarrisonMedecins Sans Frontieres, Brussels, Belgium.
W KizitoMedecins Sans Frontieres, Brussels, Belgium.
C TimireInternational Union Against Tuberculosis and Lung Disease, Paris, France.
T NamusongeCanadian Red Cross, Ottawa, ON, Canada.
S MuhulaAmref Health Africa in Kenya, Nairobi, Kenya.
L NyanjauMinistry of Health, Nairobi, Kenya.
P OwitiInternational Union Against Tuberculosis and Lung Disease, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevalence of hypertension in Africa is rising but it remains underdiagnosed and poorly controlled. In Kenya, only 22% of individuals known to have hypertension were on treatment, and only 51.7% were controlled. This study will assess screening outcomes, retention and blood pressure (BP) control of a hypertension programme in Kenya.

designThis was a retrospective cohort study using data routinely collected between 2015 and 2018. All patients aged >18 years screened and treated in the programme were included.

resultsOf 663,028 screening encounters, 70.4% were female; the median age was 34 years. Overall, 19% of the study population, mainly males and older persons, had high BP higher rates. Of 66,981 patients started on treatment, the majority were females (71.2%); the median age was 55 years. Only 12% of patients were reported as having been retained after 12 months, and 48.6% of patients on treatment 10.5-13.5 months after enrolment had controlled BP. Older age and treatment at primary care level were associated with better retention and females had better BP control.

conclusionsThe programme screened primarily females and younger individuals at lower risk. Retention was poor and close to half of patients retained had controlled BP. Hypertension programmes should target high-risk individuals, decentralise treatment, incorporate retention strategies and improve longitudinal data management.

Indexed as

hypertensionKenyaoutcomesscreeningtreatment

Identifiers

PMID35734002
PMCPMC9176190

What OpenQuestion holds

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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.