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January 1, 1973CirculationOpen Access

Hypertension in the Inner City

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Why the study?

Does stepped-up care improve blood pressure normalization and retention in care compared to usual medical care in inner-city patients with hypertension?

Population

284 inner-city subjects with verified hypertension after initial screening and two verification visits

Comparison

Stepped-up care (group A) vs Usual medical care (groups B and C)

Design

RCT, Randomized into three groups

Authors

FFFrank A. FinnertyTulane UniversityLSLawrence ShawBournemouth UniversityCHC. K. HimmelsbachGeorgetown University

Discussion

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Implication

Supports stepped-up care in inner-city hypertension to improve control and retention; extends RCT evidence to underserved populations.

Structured PICO

Does stepped-up care improve blood pressure normalization and retention in care compared to usual medical care in inner-city patients with hypertension?

P
Population
284 inner-city subjects with verified hypertension (diastolic blood pressure ≥ 90 mm Hg) after initial screening and two verification visits
I
Intervention
Stepped-up care (group A)
C
Comparator
Usual medical care (groups B and C)
O
Outcome
Normalization of diastolic blood pressure and retention in medical caresurrogate

Stepped-up care significantly improves both retention in medical care and blood pressure control among inner-city patients with hypertension compared to usual care.

Cite This Study

Finnerty et al. (1973) studied this question.

synapsesocial.com/papers/6a20a28ac23ee018386d8a82https://doi.org/10.1161/01.cir.47.1.76

Topics

Hypertension management
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Also Consider

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

  1. 1A clinical trial to improve high blood pressure care in young urban black men Recruitment, follow-up, and outcomes1999 · 67 citations
  2. 2Patient Participation in a Hypertension Control Program1978 · 26 citations
  3. 3Long-term effects of a blood pressure survey on patient treatment in a community.1982 · 9 citations
  4. 4DETECTION AND TREATMENT OF HYPERTENSION IN OLDER INDIVIDUALS11985 · 59 citations
  5. 5Hypertension control and access to medical care in the inner city.1998 · 64 citations