Evidence map›Paper›PMID 37688515›Full record

Trial reportAmerican journal of hypertension2024

Is Hypertension Diagnostic Testing and Diagnosis Associated With Psychological Distress?

B B Green, M L Anderson, J B McClure, K Ehrlich, Y N Hall, L Hansell, C Hsu, K L Margolis, S A Munson, M J Thompson

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in American journal of hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03130257 (Blood Pressure Checks for Diagnosing Hypertension), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

NCT03130257 nacompletednot on this map

Blood Pressure Checks for Diagnosing Hypertension (BP-CHECK)

TypeinterventionalSponsorKaiser PermanenteRan2017 to 2019Enrolled510ConditionsBlood PressureArmsClinic Blood Pressure Measurement, Home Blood Pressure Measurement, Kiosk Blood Pressure Measurement, 24-hour Ambulatory Blood Pressure Monitoring (Reference Standard)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

B B GreenKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.ORCID 0000-0003-3040-3436
M L AndersonKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
J B McClureKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
K EhrlichKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Y N HallVA Puget Sound Health Care System, Seattle, Washington, USA.
L HansellKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
C HsuKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.ORCID 0000-0002-4847-5596
K L MargolisHealthPartners Institute, Minneapolis, Minnesota, USA.
S A MunsonDepartment of Human Centered Design and Engineering, University of Washington, Seattle, Washington, USA.
M J ThompsonDepartment of Family Medicine, University of Washington, Seattle, Washington, USA.
Kaiser Permanente Washington Health Research Institute · USKaiser Permanente · USUniversity of Washington · USHealthPartners · USVA Puget Sound Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychological impacts of hypertension diagnostic testing and new hypertension diagnoses are unclear.

methodsBP-CHECK was a randomized diagnostic study conducted in 2017-2019 in an integrated healthcare system. Participants with no hypertension diagnosis or medications and elevated blood pressure (BP) were randomized to one of three diagnostic regimens: (i) Clinic, (ii) Home, or (iii) Kiosk. Participants completed questionnaires at baseline, after completion of the diagnostic regimens, and at 6 months. Outcomes included changes from baseline in health-related quality of life (HRQOL), BP-related worry, and thoughts about having a stroke or heart attack.

resultsParticipants (n = 482) were mostly over age 50 (77.0%), and White race (80.3%). HRQOL did not significantly change from baseline to 3 weeks or 6 months. Among all participants, BP-related worry and concerns about having a heart attack or stroke increased significantly from baseline to 3 weeks, with heart attack and stroke concerns significantly higher in the Kiosk compared Clinic and Home groups. At 6 months, thoughts about having a heart attack or stroke returned to baseline overall and in the Kiosk group, however BP-related worry was significantly higher among those with, compared to those without, a new hypertension diagnosis.

conclusionsThe hypertension diagnostic process did not lead to short-term or intermediate-term changes in self-reported HRQOL. However, BP-related worry increased short-term and persisted at 6 months among individuals with a new hypertension diagnosis. Results warrant validation in more representative populations and additional exploration of the impacts of this worry on psychological well-being and hypertension control. CLINICALTRIALS.GOV IDENTIFIER: NCT03130257.

Indexed as

HypertensionMyocardial InfarctionPsychological DistressStrokeBlood PressureDiagnostic Techniques and ProceduresHumansMiddle AgedQuality of Lifeblood pressurehypertension

Identifiers

PMID37688515
OpenAlexW4386577886

What OpenQuestion holds

Textmetadata
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.