Evidence map›Paper›PMID 37316940›Full record

ReviewClinical hypertension2023

Challenges of managing hypertension in Pakistan - a review.

Adil Elahi, Arzina Aziz Ali, Aamir Hameed Khan, Zainab Samad, Hunaina Shahab, Namra Aziz, Aysha Almas

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Clinical hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06981247 (m-Lifestyle Intervention for Employees), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.6field-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.

NCT06981247 narecruitingnot on this mapstarted 2026, after this paper: background citation

m-Lifestyle Intervention for Employees (m-LIfE): Protocol for a Pilot Cluster Randomized Controlled Trial on Cardiovascular Disease Prevention Strategies

TypeinterventionalSponsorAga Khan UniversityRan2026 to 2026Enrolled84ConditionsPhysical Activity, Life Style, Dietary Habits, Cardiovascular DiseasesArmsm-LIfE: mobile based lifestyle intervention for employees to increase their physical activity and promote healthy diet., Routine care arm
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  17. Updates in the management of hypertension.Annals of medicine and surgery (2012) · 2024
    Review
  18. Article
  19. Article
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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

7 authors at 1 institution in 2 countries.

Adil ElahiAga Khan University, Karachi, Pakistan.
Arzina Aziz AliAga Khan University, Karachi, Pakistan.
Aamir Hameed KhanSection of Cardiology, Department of Medicine, Ziauddin University, Karachi, Pakistan.
Zainab SamadSection of Cardiology, Department of Medicine, Aga Khan University, Karachi, Pakistan.
Hunaina ShahabIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Namra AzizDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Aysha AlmasSection of Internal Medicine, Department of Medicine, Aga Khan University, Karachi, Pakistan. aysha.almas@aku.edu.ORCID http://orcid.org/0000-0001-7146-7183
Aga Khan University · PK

Funding

The Aga Khan University Pakistan Initiative for Non-Communicable Diseases (AKUPI-NCDs) Research Training ProgramD43TW011625 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI Gerald Samuel Bloomfield, Zainab Samad · 2021 to 2026
$1.4M
FIC NIH HHS 1D43TW011625-01A1
6 · The paper itself

Abstract

backgroundThis review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension.

methodsA comprehensive literature search was conducted electronically using PubMed and Google Scholar. Using specific screening methodology, 55 articles were selected to be included.

resultsWe found from this extensive review that several small studies report high prevalence of hypertension but there is a lack of population based prevalence of hypertension in Pakistan. Lifestyle risk factors such as obesity, unhealthy diet, decreased physical activity, low socioeconomic status, and lack of access to care were the main associated factors with hypertension. Lack of blood pressure monitoring practices and medication non-adherence were also linked to uncontrolled hypertension in Pakistan and were more evident in primary care setups. The evidence presented is essential for delineating the burden of the disease, hence allowing for better management of this underserved population.

conclusionThere is a need for updated surveys to depict the true prevalence and management of hypertension in Pakistan. Cost-effective implementation strategies and policies at the national level are needed for both prevention and control of hypertension.

Indexed as

Blood pressureHypertensionPakistanPrevalenceReviewRisk factors

Identifiers

PMID37316940
PMCPMC10268336
OpenAlexW4380686619

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.