SynthesisBMC public health2020
The cascade of care in managing hypertension in the Arab world: a systematic assessment of the evidence on awareness, treatment and control.
Synthesis in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Prevalence, Awareness, Treatment, and Control of Hypertension in the United Arab Emirates: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Influence of "Hospital-Community-Family" Integrated Management on Blood Pressure, Quality of Life, Anxiety and Depression in Hypertensive Patients.Computational and mathematical methods in medicine · 2022Trial
- Etiology, Management, and Outcomes of Hospitalized Heart Failure Patients:Saudi medical journal · 2026Article
- Equity in the continuum of hypertension care: evidence from a nationally representative survey in Nepal.BMC public health · 2026Article
- Prevalence of undiagnosed hypertension and risk assessment using a validated survey in community-based screening in Amman, Jordan.PloS one · 2026Article
- Assessment of Blood Pressure Control Among Hypertensive Patients Attending Primary Healthcare Settings in Qatar: A Retrospective Chart Review.Vascular health and risk management · 2026Article
- Investigating the enablers and barriers for hypertension control in Dakar: a qualitative system effectiveness study.BMJ open · 2025Article
- Upfront fixed-duration treatment strategies for chronic lymphocytic leukemia in Arab populations: a position statement from the Gulf region.Frontiers in medicine · 2025Article
- Psychological stress among hypertensive male patients in Jordan: prevalence and associated factors.BMC public health · 2024Article
- Hypertension care cascade and their determinants among older adolescents in India: evidence from a nationally representative cross-sectional survey.Journal of human hypertension · 2024Article
- Hypertension treatment cascade among men and women of reproductive age group in India: analysis of National Family Health Survey-5 (2019-2021).The Lancet regional health. Southeast Asia · 2024Article
- Generalisability of and lessons learned from a mixed-methods study conducted in three low- and middle-income countries to identify care pathways for atrial fibrillation.Global health action · 2023Article
- Association of socio-demographic characteristics with hypertension awareness, treatment, and control in Bangladesh.Journal of human hypertension · 2023Article
- The hypertension cascade of care in the midst of conflict: the case of the Gaza Strip.Journal of human hypertension · 2023Article
- The Pandemic of Coronary Heart Disease in the Middle East and North Africa: What Clinicians Need to Know.Current atherosclerosis reports · 2023Review
- Patient journey for hypertension and dyslipidemia in Saudi Arabia: highlighting the evidence gaps.Archives of public health = Archives belges de sante publique · 2023Article
- An analytical model of population level uncontrolled hypertension management: a care cascade approach.Journal of human hypertension · 2022Article
- Evidence for an expanded hypertension care cascade in low- and middle-income countries: a scoping review.BMC health services research · 2022Article
- Hypertension continuum of care: Blood pressure screening, diagnosis, treatment, and control in a population-based cohort in Haiti.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Prevalence of Undiagnosed Hypertension and Its Predictors in Jordan: A Cross-Sectional Study.International journal of general medicine · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHypertension is a leading risk factor for mortality and morbidity globally and in the Arab world. We summarize the evidence on awareness, treatment, and control of hypertension, to assess the extent of gaps in the hypertension continuum of care. We also assess the influence of gender and other social determinants at each level of the cascade of care.
methodsWe searched MEDLINE and SSCI databases for studies published between 2000 and 2017, reporting the rates of awareness, treatment or control of hypertension and/or their determinants in the Arab region. We included sources on both general populations and on clinical populations. The review process was based on the PRISMA guidelines. We present rates on the three stages of the care cascade corresponding to (1) awareness (2) treatment and (3) control of blood pressure, and estimated the losses that occur when moving from one stage to another. We also take stock of the evidence on social determinants and assess the statistical significance of gender differences in awareness, treatment and control.
resultsData from 73 articles were included. Substantial proportions of hypertensives were lost at each step of the hypertension care continuum, with more missed opportunities for care resulting from lack of awareness of hypertension and from uncontrolled blood pressure. More than 40% and 19% of all hypertensive individuals were found to be unaware and to have uncontrolled blood pressure, respectively, but among individuals diagnosed with hypertension, less than 21% were untreated. Awareness rates were higher among women than men but this advantage was not consistently translated into better blood pressure control rates among women.
conclusionsThis analysis of the cascade of care indicates that barriers to proper diagnosis and adequate control are greater than barriers to delivery of treatment, and discusses potential factors that may contribute to the gaps in delivery.
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What Socratic holds
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.