Evidence map›Paper›PMID 40578923›Full record

Trial reportJournal of the American Board of Family Medicine : JABFM

Blood Pressure Medication Side Effect Symptoms and Patient Treatment Satisfaction and Adherence.

Karen L Margolis, A Lauren Crain, Pamala A Pawloski, Jeanette Y Ziegenfuss, Nicole K Trower, Anna R Bergdall, MarySue Beran, Christine K Norton, Patricia K Haugen, Daniel J Rehrauer and 3 more

Registry-linked trialAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02996565 (Pragmatic Trial Comparing Telehealth Care and Optimized Clinic-Based Care for Uncontrolled High Blood Pressure), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT02996565 nacompletednot on this map

Pragmatic Trial Comparing Telehealth Care and Optimized Clinic-Based Care for Uncontrolled High Blood Pressure

TypeinterventionalSponsorHealthPartners InstituteRan2017 to 2021Enrolled3,071ConditionsHypertensionArmsBest Practice Clinic-Based Care, Telehealth Care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Women's Health Care, Prevention in Practice, and Common Medical Illnesses.Journal of the American Board of Family Medicine : JABFM
    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

13 authors.

Karen L MargolisFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG). Karen.L.Margolis@healthpartners.com.
A Lauren CrainFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Pamala A PawloskiFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Jeanette Y ZiegenfussFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Nicole K TrowerFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Anna R BergdallFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
MarySue BeranFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Christine K NortonFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Patricia K HaugenFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Daniel J RehrauerFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Beverly B GreenFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
Leif I SolbergFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).
JoAnn M Sperl-HillenFrom the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSide effect symptoms to blood pressure (BP) medications may be associated with medication nonadherence, treatment dissatisfaction, and worse BP control. This article describes the frequency and characteristics of BP medication side effect symptoms in a primary care population with poorly controlled hypertension and their relationships to treatment satisfaction and adherence.

methodsPatients in a pragmatic trial were surveyed at baseline to identify and characterize 6 potential BP medication side effect symptoms (tiredness, dizziness, foot swelling, cough, frequent urination, sexual symptoms). Reported symptoms were rated on severity (not a problem, somewhat/moderate problem, big/very big problem) and perceived relatedness to medications (yes/no). Logistic regression models used symptom severity and perceived relatedness to medications to predict BP treatment satisfaction (very satisfied to very dissatisfied) and medication adherence (changing/stopping medications).

resultsAmong survey responders (n = 1,719/3,071, 56%), 90% of respondents taking BP medications reported a symptom that was at least somewhat of a problem. Overall, 39% had at least one symptom that was a big or very big problem and 34% had at least one symptom that they perceived as related to their medication. For most symptoms, both higher problem severity and perceived relatedness to medication were significantly associated with lower BP treatment satisfaction and decreased adherence.

conclusionsBP medication side effect symptoms were very common and often big problems for patients. Identifying and managing them could potentially improve BP outcomes. The brief symptom assessment developed for this study could help identify opportunities to address side effect symptoms and improve patient satisfaction and adherence. CLINICALTRIALS: gov NCT02996565.

Indexed as

Antihypertensive AgentsHypertensionMedication AdherencePatient SatisfactionAdultAgedFemaleHumansMaleMiddle AgedPrimary Health CareSeverity of Illness IndexAntihypertensive AgentsBlood PressureDrug Side EffectsHypertensionPatient AdherencePatient SatisfactionPharmacologySurveys and QuestionnairesSymptom Assessment

Identifiers

PMID40578923
PMCPMC12616829

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.