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January 9, 2020International HealthOpen Access

The effect of community hypertension management on blood pressure control and its determinants in southwest China

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Key result

Community hypertension management over 5 years increased the rate of blood pressure control from 28.33% at baseline to 64.05%.

Why the study?

Hypertension is a leading cause of CVD, and the study aimed to evaluate the effectiveness of community healthcare in controlling BP and mitigating related risk factors over 5 years of follow-up.

Does community management of hypertension by general practitioners improve blood pressure control in patients with hypertension?

Population

4235 patients with hypertension from 10 rural and 10 urban community populations

Comparison

Community healthcare management assessed between 2009 and 2014

Design

Prospective cohort study using hierarchical clustering sampling

Follow-up

5 y

Authors

XLXiaohua LiangGuangdong Pharmaceutical UniversityHZHaiying ZhongInstitute of Plant ProtectionLXLun XiaoChongqing Jiulongpo People's Hospital

Discussion

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Overview

Community hypertension management was associated with improved BP control over 5 years; supports expanded programs but leaves causal efficacy open pending RCTs.

Study Design

Type

Cohort (n=4,235)

Multicenter

Yes

Structured PICO

Does community management of hypertension by general practitioners improve blood pressure control in patients with hypertension?

P
Population
4,235 patients with hypertension from 10 rural and 10 urban communities in southwest China, followed for 5 years.
E
Exposure
Community management of hypertension by general practitioners over 5 years
O
Outcome
Blood pressure control rate and reduction in systolic and diastolic blood pressure at 5 yearssurrogate

Main Result

Absolute Event Rate: 64.05% vs 28.33%

Community-based management of hypertension by general practitioners significantly improves blood pressure control rates over a 5-year period.

Cite This Study

Liang et al. (2020) conducted a cohort in Hypertension (n=4,235). Community hypertension management vs. Baseline (2009) was evaluated on Blood pressure control rate. Community hypertension management over 5 years increased the rate of blood pressure control from 28.33% at baseline to 64.05%.

synapsesocial.com/papers/6a955c828ce716a7e9fa71aahttps://doi.org/10.1093/inthealth/ihaa002

Topics

Hypertension managementWomen and heart diseaseCardiovascular prevention
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