Evidence map›Paper›PMID 37561134›Full record

ArticleScandinavian journal of primary health care2023

Hypertension management in primary health care: a survey in eight regions of Sweden.

Mikko Hellgren, Patrik Wennberg, Katarina Hedin, Stefan Jansson, Staffan Nilsson, Gunnar Nilsson, Per Wändell, Kristina Bengtsson Boström

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

8 authors at 6 institutions in 1 country.

Mikko HellgrenUniversity Health Care Research Centre, Örebro University Hospital, Örebro, Sweden.ORCID 0000-0001-5257-6261
Patrik WennbergDepartment of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.ORCID 0000-0002-1617-6102
Katarina HedinFuturum, Jönköping, Region Jönköping County, Sweden.ORCID 0000-0003-1931-2752
Stefan JanssonUniversity Health Care Research Centre, Örebro University Hospital, Örebro, Sweden.ORCID 0000-0001-6864-4679
Staffan NilssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-8628-8230
Gunnar NilssonDepartment of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.ORCID 0000-0002-1640-0813
Per WändellDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0001-5169-2965
Kristina Bengtsson BoströmSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID 0000-0003-0757-5774
Linköping University · SEUmeå University · SEKarolinska Institutet · SEÖrebro University · SEUniversity of Gothenburg · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore hypertension management in primary healthcare (PHC).

designStructured interviews of randomly selected PHC centres (PHCCs) from December 2019 to January 2021.

settingSeventy-six PHCCs in eight regions of Sweden.

main outcome measuresStaffing and organization of hypertension care. Methods of measuring blood pressure (BP), laboratory tests, registration of co-morbidities and lifestyle advice at diagnosis and follow-up.

resultsThe management of hypertension varied among PHCCs. At diagnosis, most PHCCs (75%) used the sitting position at measurements, and only 13% routinely measured standing BP. One in three (33%) PHCCs never used home BP measurements and 25% only used manual measurements. The frequencies of laboratory analyses at diagnosis were similar in the PHCCs. At follow-up, fewer analyses were performed and the tests of lipids and microalbuminuria decreased from 95% to 45% (

conclusionsThe management of hypertension varies in many respects between PHCCs in Sweden. This might lead to inequity in the care of patients with hypertension.

Indexed as

HypertensionPrimary Health CareBlood PressureHumansSurveys and QuestionnairesSwedenBlood pressuregeneral practicehypertensionlifestyle factorsprimary health care

Identifiers

PMID37561134
PMCPMC10478603
OpenAlexW4385716299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.