Key result
Pharmacist-physician collaborative management significantly reduced 24-hour ambulatory systolic blood pressure compared to usual care (mean reduction 14.1 vs 5.5 mm Hg; P<0.001).
Why the study?
Does pharmacist-physician collaborative management reduce 24-hour ambulatory blood pressures in patients with uncontrolled hypertension?
Population
179 patients with uncontrolled hypertension from 5 primary care clinics in Iowa City, Iowa.
Comparison
Pharmacist-physician collaborative management of… vs Usual care.
Design
RCT, cluster-randomized by clinic
Follow-up
9 months
Authors
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Supports pharmacist-physician teams in hypertension care; extends prior office BP evidence to ambulatory outcomes.
RCT (n=179)
Cluster-randomized
Yes
Does pharmacist-physician collaborative management reduce 24-hour ambulatory blood pressures in patients with uncontrolled hypertension?
Absolute Event Rate: 14.1% vs 5.5%
p-value: p=<.001
Pharmacist-physician collaborative management significantly improves 24-hour ambulatory blood pressure reduction and control rates in patients with uncontrolled hypertension.
Cynthia Weber (2010) conducted an RCT in Uncontrolled hypertension (n=179). Pharmacist-physician collaborative management vs. Usual care was evaluated on 24-hour change in ambulatory systolic blood pressure (ΔSBP) (p=<.001). Pharmacist-physician collaborative management significantly reduced 24-hour ambulatory systolic blood pressure compared to usual care (mean reduction 14.1 vs 5.5 mm Hg; P<0.001).
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