What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=5110). Intervention: New Rural Cooperative Medical Scheme (NRCMS) vs. Not joining NRCMS. Primary outcome: Prevalence of hypertensive complications (brain, heart, kidney damage, or other) (Coefficient -0.0098, p=0.925).

What does this research mean for the field?

The New Rural Cooperative Medical Scheme (NRCMS) does not significantly reduce the risk of hypertensive complications or improve blood pressure control among rural Chinese adults. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 11, 2011BMC Public HealthOpen Access

Major inducing factors of hypertensive complications and the interventions required to reduce their prevalence: an epidemiological study of hypertension in a rural population in China

View Full Paper

Ask AI

Bookmark

Key result

The New Rural Cooperative Medical Scheme (NRCMS) did not significantly reduce the risk of hypertensive complications (p=0.925) or improve blood pressure control among rural Chinese adults.

Population

5,110 rural residents aged ≥25 years in four mountain villages in Binchuan County, Yunnan, China. 1,340…

Design

Cross-sectional

Authors

MZMin ZhangUniversity of Electronic Science and Technology of China YMYong MengXinxiang Medical University YYYongli YangZhengzhou University

Discussion

Member takes

Implication

NRCMS shows no hypertension benefit in rural cross-sectional data; leaves open effective early interventions and therapies.

Study Design

Type

Cross-Sectional (n=5,110)

Multicenter

Yes

Structured PICO

Population

5,110 rural residents aged ≥25 years in four mountain villages in Binchuan County, Yunnan, China. 1,340 subjects had hypertension.

Outcome

Factors inducing hypertensive complications (brain damage, heart damage, kidney damage, other) and factors influencing hypertension control.

Main Result

Effect estimate: Coefficient -0.0098

p-value: p=0.925

In rural China, hypertension management is poor, especially among women, and the current medical insurance scheme (NRCMS) does not significantly reduce complications or improve control, highlighting the need for early intervention and affordable compound drugs.

Limitations

Did not exclude white-coat hypertension and secondary hypertension from hypertensive subjects.
Adverse outcomes were probably missed due to incomplete tests (e.g., lack of ambulatory blood pressure monitoring, echocardiography, or CT/MRI).
Organ damage could have resulted from other comorbid illnesses such as diabetes.
Did not exclude white-coat hypertension and secondary hypertension
Adverse outcomes probably missed due to incomplete tests (e.g., lack of ambulatory blood pressure monitoring, echocardiography, CT/MRI, microalbumin urine test)
Organ damage could have resulted from other illnesses such as diabetes

Cite This Study

Zhang et al. (2011) conducted a cross-sectional in Hypertension (n=5,110). New Rural Cooperative Medical Scheme (NRCMS) vs. Not joining NRCMS was evaluated on Prevalence of hypertensive complications (brain, heart, kidney damage, or other) (Coefficient -0.0098, p=0.925). The New Rural Cooperative Medical Scheme (NRCMS) did not significantly reduce the risk of hypertensive complications (p=0.925) or improve blood pressure control among rural Chinese adults.

synapsesocial.com/papers/6a1c2a5801af05bf0da91da1 https://doi.org/10.1186/1471-2458-11-301

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark