Evidence map›Paper›PMID 38456742›Full record

ArticleScandinavian journal of primary health care2024

Improving cardiovascular control in a hypertensive population in primary care. Results from a staff training intervention.

Rebecka Quester, Staffan Björck, Karin Manhem, Jonatan Nåtman, Susanne Andersson, Per Hjerpe

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Rebecka QuesterNärhälsan Bollebygd Health Care Centre, Bollebygd, Sweden.
Staffan BjörckCentre of Registers Västra Götaland, Gothenburg, Sweden.
Karin ManhemDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
Jonatan NåtmanCentre of Registers Västra Götaland, Gothenburg, Sweden.
Susanne AnderssonRegionhälsan R&D Centre, Skaraborg Primary Care, Skövde, Sweden.ORCID 0000-0002-2188-4306
Per HjerpePrimary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA pilot study to evaluate a staff training intervention implementing a nurse-led hypertension care model. DESIGN AND

settingClinical and laboratory data from all primary care centres (PCCs) in the Swedish region Västra Götaland (VGR), retrieved from regional registers. Intervention started 2018 in 11 PCCs. A total of 190 PCCs served as controls. Change from baseline was assessed 2 years after start of intervention.

interventionTraining of selected personnel, primarily in drug choice, team-based care, measurement techniques, and use of standardized medical treatment protocols. PATIENTS: Hypertensive patients without diabetes or ischemic heart disease were included. The intervention and control groups contained approximately 10,000 and 145,000 individuals, respectively.

main outcome measuresBlood pressure (BP) <140/90 mmHg, LDL-cholesterol (LDL-C) <3.0 mmol/L, BP ending on -0 mmHg (digit preference, an indirect sign of manual measuring technique), choice of antihypertensive drugs, cholesterol lowering therapy and attendance patterns were measured.

resultsIn the intervention group, the percentage of patients reaching the BP target did not change significantly, 56%-61% (control 50%-52%), non-significant. However, the percentage of patients with LDL-

conclusionAlthough this primary care intervention based on staff training failed to improve BP control, it resulted in improved cardiovascular control by improved cholesterol lowering treatment.

Indexed as

Antihypertensive AgentsHypertensionBlood PressureCholesterolCholesterol, LDLHumansPilot ProjectsPrimary Health CareAntihypertensive AgentsCholesterolCholesterol, LDLblood pressurehypertensioninterventionnurseprimary healthcare

Identifiers

PMID38456742
PMCPMC11003316

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.