Evidence map›Paper›PMID 22143452›Full record

Trial reportJournal of general internal medicine2012

Nurse-led disease management for hypertension control in a diverse urban community: a randomized trial.

Paul L Hebert, Jane E Sisk, Leah Tuzzio, Jodi M Casabianca, Velvie A Pogue, Jason J Wang, Yingchun Chen, Christine Cowles, Mary Ann McLaughlin

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05524987 (Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru), which is not on this map. Cited by 33 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 14 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05524987 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru (ANDES Study)

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2023 to 2026Enrolled1,068ConditionsHypertension, DiabetesArmsANDES INTERVENTION
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 14 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Impact of patient care teams on blood pressure control in patients with hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  7. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Paul L HebertDepartment of Health Services, University of Washington School of Public Health, Washington, DC, USA. heberp@u.washington.edu
Jane E Sisk
Leah Tuzzio
Jodi M Casabianca
Velvie A Pogue
Jason J Wang
Yingchun Chen
Christine Cowles
Mary Ann McLaughlin
Icahn School of Medicine at Mount Sinai · USDepartment of Health Services · USFordham University · USHarlem Hospital Center · USKaiser Permanente Washington Health Research Institute · USSchulman, Ronca & Bucuvalas · US

Funding

Pilot--Reducing Cardiovascular Risk Among Minority WomenP60MD000270 · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · 2002 to 2005
$4.8M
REDUCING UNDERUSE OF EARLY STAGE BREAST CANCER TREATMENTP01HS010859 · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · 2000 to 2004
–
AHRQ HHS 5P01HS010859-050001NIMHD NIH HHS 1P60MD000270-01NIMHD NIH HHS P60 MD000270
6 · The paper itself

Abstract

backgroundTreated but uncontrolled hypertension is highly prevalent in African American and Hispanic communities.

objectiveTo test the effectiveness on blood pressure of home blood pressure monitors alone or in combination with follow-up by a nurse manager.

designRandomized controlled effectiveness trial. PATIENTS: Four hundred and sixteen African American or Hispanic patients with a history of uncontrolled hypertension. Patients with blood pressure ≥150/95, or ≥140/85 for patients with diabetes or renal disease, at enrollment were recruited from one community clinic and four hospital outpatient clinics in East and Central Harlem, New York City.

interventionPatients were randomized to receive usual care or a home blood pressure monitor plus one in-person counseling session and 9 months of telephone follow-up with a registered nurse. During the trial, the home monitor alone arm was added. MAIN MEASURES: Change in systolic and diastolic blood pressure at 9 and 18 months. KEY

resultsChanges from baseline to 9 months in systolic blood pressure relative to usual care was -7.0 mm Hg (Confidence Interval [CI], -13.4 to -0.6) in the nurse management plus home blood pressure monitor arm, and +1.1 mm Hg (95% CI, -5.5 to 7.8) in the home blood pressure monitor only arm. No statistically significant differences in systolic blood pressure were observed among treatment arms at 18 months. No statistically significant improvements in diastolic blood pressure were found across treatment arms at 9 or 18 months. Changes in prescribing practices did not explain the decrease in blood pressure in the nurse management arm.

conclusionsA nurse management intervention combining an in-person visit, periodic phone calls, and home blood pressure monitoring over 9 months was associated with a statistically significant reduction in systolic, but not diastolic, blood pressure compared to usual care in a high risk population. Home blood pressure monitoring alone was no more effective than usual care.

Indexed as

Disease ManagementAgedAntihypertensive AgentsBlack or African AmericanBlood PressureBlood Pressure Monitoring, AmbulatoryCounselingFemaleHispanic or LatinoHumansHypertensionMaleMiddle AgedNew York CityNursing CareTelephoneAntihypertensive Agents

Identifiers

PMID22143452
PMCPMC3358388
OpenAlexW2087347886

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.