Evidence map›Paper›PMID 40473431›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025

Practitioners' views on the measurement and management of postural hypotension in general practice: a qualitative inquiry.

Rosina Cross, Sinéad Tj McDonagh, Bethan Treadgold, Jane Masoli, Judit Konya, Gary Abel, James P Sheppard, Bethany Jakubowski, Cini Bhanu, Jayne Fordham and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Autonomic debate: symptoms are an optimal target for orthostatic hypotension screening and management. An argument in opposition.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  2. Testing patients for orthostatic hypotension in less than a minute is better than not testing at all.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    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

16 authors.

Rosina CrossExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK r.cross2@exeter.ac.uk.ORCID 0000-0002-2548-2398
Sinéad Tj McDonaghExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-0283-3095
Bethan TreadgoldExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-0255-7422
Jane MasoliExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0003-3794-7065
Judit KonyaExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-8592-9702
Gary AbelExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0003-2231-5161
James P SheppardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-4461-8756
Bethany JakubowskiKing's Health Partners, King's College London, London, UK.ORCID 0000-0003-1033-2730
Cini BhanuPrimary Care and Population Health, University College London, London, UK.ORCID 0000-0002-3168-4172
Jayne FordhamMid Devon Medical Practice, Tiverton, UK.
Sarah LambExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0003-4349-7195
Katrina TurnerPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-6375-2918
Rupert A PayneExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-5842-4645
Richard McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3638-028X
John CampbellExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Christopher E ClarkExeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-7526-3038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostural hypotension is associated with cognitive decline, falls, and all-cause mortality, representing a substantial burden on the NHS. Postural hypotension is often asymptomatic, making detection and treatment difficult. Currently, there is no systematic approach to measuring and managing postural hypotension in UK general practice.

aimTo explore barriers to and facilitators of improving postural hypotension measurement and management. DESIGN AND

settingThis was a qualitative interview study with healthcare practitioners (HCPs) in general practices in England.

methodIndividual, remote, semi-structured interviews were conducted with a range of HCPs who measure blood pressure in general practice to explore their views and experiences of measuring and managing postural hypotension. Participants were identified from expressions of interest during a national survey. Interviews were video- and audio-recorded, transcribed verbatim, and analysed thematically.

resultsIn total, 26 HCPs in 24 practices across nine clinical research networks in England were interviewed between March and July 2023. HCPs checked for postural hypotension when patients were older, reported dizziness, fatigue, or had chronic conditions. Despite awareness of clinical guidelines, various diagnostic definitions were provided and measurement protocols varied between participants. Sit-to-stand rather than supine-to-stand measurements were considered more feasible owing to time constraints and patient mobility. Education and training, as well as incentives and specialist clinics, were suggested as methods to improve postural hypotension measurement and management.

conclusionThis is the first study, to our knowledge, to explore barriers to and facilitators of postural hypotension measurement in English general practice. Findings suggest a more systematic approach to measurement is needed to improve detection and management of postural hypotension in general practice.

Indexed as

Attitude of Health PersonnelBlood Pressure DeterminationGeneral PracticeGeneral PractitionersHypotension, OrthostaticEnglandFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Researchblood pressuredelivery of health carehypotension, posturalprimary health carequalitative researchtime pressure

Identifiers

PMID40473431
PMCPMC12745634

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.