Why the study?
Does receiving care in lower-income sites worsen blood pressure control and cardiovascular outcomes in patients treated under a standardized antihypertensive protocol?
Population
27,862 participants from the ALLHAT
Comparison
Care received in lowest-income sites vs Care received in highest-income sites
Design
Cohort
Authors
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Care at lower-income sites was associated with worse BP control and mortality despite protocols; leaves open whether targeted interventions can mitigate site-level disparities.
Does receiving care in lower-income sites worsen blood pressure control and cardiovascular outcomes in patients treated under a standardized antihypertensive protocol?
Despite standardized treatment protocols, patients treated at lower-income sites had worse blood pressure control and higher mortality, highlighting the impact of socioeconomic context on cardiovascular outcomes.
Shahu et al. (2019) studied this question.