What is the clinical evidence from this study?

Study design: Meta-Analysis. Population: Hypertension (n=31895). Intervention: Team-based care (task-sharing) vs. Usual care. Primary outcome: Change in systolic blood pressure (MD -4.6 mm Hg, 95% CI -5.8, -3.4, p=<0.001).

April 15, 2022EClinicalMedicineOpen Access

Team-based hypertension care lowers systolic blood pressure by ~5 mm Hg vs usual care.

Q: What are the key findings of this study?

Team-based care interventions for hypertension significantly reduced systolic blood pressure by a pooled mean of 4.6 mm Hg compared to usual care.

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Why the study?

LMICs bear a disproportionate burden of CVD and team-based care improves BP control, but the efficacy across different levels of team-based care complexity needed to be tested.

Does team-based care and task-sharing improve blood pressure control in patients with hypertension in LMICs?

Population

Patients with hypertension in LMICs

Comparison

Team-based care at different levels of task complexity vs usual care

Design

Systematic review and meta-analysis

Key result

Team-based care interventions for hypertension significantly reduced systolic blood pressure by a pooled mean of 4.6 mm Hg compared to usual care.

Authors

OOOluwabunmi Ogungbe DCDanielle Cazabon AAAdefunke Ajenikoko

Discussion

Member takes

Overview

Supports team-based hypertension care in LMICs; extends evidence to resource-limited settings.

Study Design

Type

Meta-Analysis (n=31,895)

Multicenter

Yes

Structured PICO

Does team-based care and task-sharing improve blood pressure control in patients with hypertension in LMICs?

Population

Patients with hypertension in low- and middle-income countries (LMICs)

Intervention

Team-based care and task-sharing interventions (categorized by complexity: administrative, basic clinical, and/or advanced clinical tasks)

Comparator

Usual care

Outcome

Blood pressure (BP) control / systolic BP reductionsurrogate

Main Result

Effect estimate: MD -4.6 mm Hg (95% CI -5.8, -3.4)

p-value: p=<0.001

Team-based care and task-sharing interventions effectively lower systolic blood pressure for hypertension management in low- and middle-income countries.

Limitations

Moderate to high heterogeneity in patient population, location, healthcare worker training, and intervention type.
Conceptual framework may be limited in its utility for evaluating team-based care interventions due to overlapping intervention levels.
Original RCTs were not designed to compare effect sizes based on the categories of team-based care intervention levels, requiring indirect comparisons.
Pooled mean difference may not have taken into account unmeasured confounders from the individual studies.
The protocol for this updated review was not registered in a systematic review protocol registry.

Cite This Study

Ogungbe et al. (2022) conducted a meta-analysis in Hypertension (n=31,895). Team-based care (task-sharing) vs. Usual care was evaluated on Change in systolic blood pressure (MD -4.6 mm Hg, 95% CI -5.8, -3.4, p=<0.001). Team-based care interventions for hypertension significantly reduced systolic blood pressure by a pooled mean of 4.6 mm Hg compared to usual care.

synapsesocial.com/papers/6a0ed2cd950456576347c9c0 https://doi.org/10.1016/j.eclinm.2022.101388

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April 15, 2022EClinicalMedicineOpen Access

Team-based hypertension care lowers systolic blood pressure by ~5 mm Hg vs usual care.

View Full Paper

Ask AI

Bookmark

Why the study?

LMICs bear a disproportionate burden of CVD and team-based care improves BP control, but the efficacy across different levels of team-based care complexity needed to be tested.

Does team-based care and task-sharing improve blood pressure control in patients with hypertension in LMICs?

Population

Patients with hypertension in LMICs

Comparison

Team-based care at different levels of task complexity vs usual care

Design

Systematic review and meta-analysis

Key result

Team-based care interventions for hypertension significantly reduced systolic blood pressure by a pooled mean of 4.6 mm Hg compared to usual care.

Authors

OOOluwabunmi Ogungbe DCDanielle Cazabon AAAdefunke Ajenikoko

Discussion

Member takes

Overview

Supports team-based hypertension care in LMICs; extends evidence to resource-limited settings.

Study Design

Type

Meta-Analysis (n=31,895)

Multicenter

Yes

Structured PICO

Does team-based care and task-sharing improve blood pressure control in patients with hypertension in LMICs?

Population

Patients with hypertension in low- and middle-income countries (LMICs)

Intervention

Team-based care and task-sharing interventions (categorized by complexity: administrative, basic clinical, and/or advanced clinical tasks)

Comparator

Usual care

Outcome

Blood pressure (BP) control / systolic BP reductionsurrogate

Main Result

Effect estimate: MD -4.6 mm Hg (95% CI -5.8, -3.4)

p-value: p=<0.001

Team-based care and task-sharing interventions effectively lower systolic blood pressure for hypertension management in low- and middle-income countries.

Limitations

Moderate to high heterogeneity in patient population, location, healthcare worker training, and intervention type.
Conceptual framework may be limited in its utility for evaluating team-based care interventions due to overlapping intervention levels.
Original RCTs were not designed to compare effect sizes based on the categories of team-based care intervention levels, requiring indirect comparisons.
Pooled mean difference may not have taken into account unmeasured confounders from the individual studies.
The protocol for this updated review was not registered in a systematic review protocol registry.

Cite This Study

synapsesocial.com/papers/6a0ed2cd950456576347c9c0 https://doi.org/10.1016/j.eclinm.2022.101388

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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