Evidence map›Paper›PMID 38563710›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2024

Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey.

Modou Jobe, Islay Mactaggart, Abba Hydara, Min J Kim, Suzannah Bell, Gaetan Brezesky Kotanmi, Omar Badjie, Andrew M Prentice, Matthew J Burton

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 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
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  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

9 authors at 5 institutions in 2 countries.

Modou JobeMedical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, Fajara, The Gambia.ORCID 0000-0001-5309-5611
Islay MactaggartInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
Abba HydaraSheikh Zayed Regional Eye Care Centre, Banjul, The Gambia.
Min J KimInternational Statistics and Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Suzannah BellMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Gaetan Brezesky KotanmiMedical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Omar BadjieHealth Promotion & Education, Ministry of Health, Banjul, The Gambia.
Andrew M PrenticeMedical Research Council Unit The Gambia, London School of Hygiene and Tropical Medicine, Fajara, The Gambia.
Matthew J BurtonInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK.
MRC Unit the Gambia · GMLondon School of Hygiene & Tropical Medicine · GBMoorfields Eye Hospital NHS Foundation Trust · GBEdward Francis Small Teaching Hospital · GMMinistry of Health and Social Welfare · GM

Funding

Wellcome Trust 207472/Z/17/ZWellcome Trust 216451Wellcome Trust 216451/Z/19/Z
6 · The paper itself

Abstract

Community treatment of hypertension in sub-Saharan Africa is hampered by gaps at several stages of the care cascade. We compared blood pressure (BP) levels (systolic, diastolic and pulse pressures) in four groups of participants by hypertension and treatment status. We conducted a nationally representative survey of adults 35 years and older using a multistage sampling strategy based on the 2013 Gambia Population and Housing Census. The BP measurements were taken in triplicate 5 min apart, and the average of the last two measurements was used for analysis. Systolic and diastolic BP levels and pulse pressure were compared by hypertension status using mean and 95% confidence intervals (CI). 53.1% of the sample were normotensive with mean systolic BP (SBP) of 119.2 mmHg (95% CI, 118.7-119.6) and diastolic BP (DBP) of 78.1 mmHg (77.8-78.3). Among individuals with hypertension, mean SBP was 148.7 mmHg (147.7-149.7) among those unaware of their hypertension, 152.2 mmHg (151.0-153.5) among treated individuals and was highest in untreated individuals at 159.3 mmHg (157.3-161.2). The findings were similar for DBP levels, being 93.9 mmHg (93.4-94.4) among the unaware, 95.1 mmHg (94.4-95.8) among the treated and highest at 99.1 mmHg (98.1-100.2) in untreated participants. SBP and DBP were higher in men, and SBP was as expected higher in those aged ≥55 years. BP level was similar in urban and rural areas. Our data shows high BP levels among participants with hypertension including those receiving treatment. Efforts to reduce the health burden of hypertension will require inputs at all levels of the care cascade.

Indexed as

Antihypertensive AgentsBlood PressureHypertensionAdultAgedBlood Pressure DeterminationCross-Sectional StudiesFemaleGambiaHumansMaleMiddle AgedPrevalenceRural PopulationAntihypertensive Agentsblood pressurehypertensionhypertension care cascadepulse pressuresub‐Saharan Africa

Identifiers

PMID38563710
PMCPMC11088434
OpenAlexW4393546380

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.