What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Cardiovascular-related chronic diseases (diabetes, coronary heart disease, stroke, hypertension, chronic kidney disease) (n=16613). Intervention: Black ethnicity vs. White British ethnicity. Primary outcome: Achievement of Quality and Outcomes Framework (QOF) targets for blood pressure control (OR 0.73, 95% CI 0.64 to 0.82, p=<0.001).

What question did this study set out to answer?

To investigate ethnic inequalities in blood pressure monitoring and the achievement of blood pressure targets across primary care patients with chronic conditions.

March 28, 2011British Journal of General PracticeOpen Access

Ethnic differences in blood pressure monitoring and control in south east London

Q: What are the key findings of this study?

Black patients with chronic cardiovascular conditions were significantly less likely to achieve blood pressure control targets compared to white patients (OR 0.73).

Q: What question did this study set out to answer?

To investigate ethnic inequalities in blood pressure monitoring and the achievement of blood pressure targets across primary care patients with chronic conditions.

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Key result

Black patients with chronic cardiovascular conditions were significantly less likely to achieve blood pressure control targets compared to white patients (OR 0.73).

Why the study?

Are there ethnic differences in blood pressure monitoring and control among patients with chronic conditions?

Population

16,613 patients with diabetes, coronary heart disease, stroke, hypertension, and chronic kidney disease from…

Design

Cross-sectional

Authors

PSPeter SchofieldKing's College London ÖSÖmer R. SakaRoche (Turkey)MAMark AshworthDepartment of Health and Social Care

Discussion

Member takes

Implication

Ethnic disparities in BP control warrant attention in primary care; leaves open mechanisms and effective interventions.

Key Points

To investigate ethnic inequalities in blood pressure monitoring and the achievement of blood pressure targets across primary care patients with chronic conditions.
Analyzed electronic primary care health records from Lambeth DataNet for N=16,613 patients, including 5,962 Black or Black British individuals, across one London borough.
Evaluated blood pressure monitoring and control against Quality and Outcomes Framework (QOF) targets in patients with diabetes, coronary heart disease, stroke, hypertension, or chronic kidney disease, adjusting for age, sex, social deprivation, and practice clustering.
Blood pressure monitoring rates were similar across ethnic groups and were as high or higher for Black patients relative to White patients.
Black patients were significantly less likely to achieve QOF blood pressure targets than White patients (OR 0.73; 95% CI = 0.64 to 0.82).
Blood pressure control was notably poor among African patients with diabetes (OR 0.63; 95% CI = 0.50 to 0.79) and Caribbean patients with coronary heart disease (OR 0.53; 95% CI = 0.37 to 0.77) compared to White patients.

Study Design

Type

Cross-Sectional (n=16,613)

Multicenter

Yes

Structured PICO

Are there ethnic differences in blood pressure monitoring and control among patients with chronic conditions?

Population

16,613 primary care patients with cardiovascular-related chronic diseases in south east London, evaluated for ethnic differences in blood pressure monitoring and control.

Comparator

White patients

Outcome

Blood pressure monitoring and control using Quality and Outcomes Framework (QOF) targetssurrogate

Main Result

Odds Ratio: 0.73 (95% CI 0.64–0.82)

Absolute Event Rate: 73.6% vs 79.2%

p-value: p=<0.001

Despite similar monitoring rates, black patients with chronic conditions have significantly poorer blood pressure control than white patients, highlighting a disparity in cardiovascular risk management.

Limitations

Cross-sectional design in a highly mobile population
Reliance on routine administrative QOF data without independent verification of diagnoses
Inability to account for lifestyle factors such as exercise, diet, or obesity
Underpowered for detailed ethnic subgroup analyses

Cite This Study

Schofield et al. (2011) conducted a cross-sectional in Cardiovascular-related chronic diseases (diabetes, coronary heart disease, stroke, hypertension, chronic kidney disease) (n=16,613). Black ethnicity vs. White British ethnicity was evaluated on Achievement of Quality and Outcomes Framework (QOF) targets for blood pressure control (OR 0.73, 95% CI 0.64 to 0.82, p=<0.001). Black patients with chronic cardiovascular conditions were significantly less likely to achieve blood pressure control targets compared to white patients (OR 0.73).

synapsesocial.com/papers/6a96454e934adeec1901f277 https://doi.org/10.3399/bjgp11x567126

Topics

Hypertension management

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Ethnic differences in blood pressure monitoring and control in south east London

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Topics

Ethnic differences in blood pressure monitoring and control in south east London

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Topics

Also Consider