Evidence map›Paper›PMID 35379718›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Blood Pressure Checks for Diagnosing Hypertension: Health Professionals' Knowledge, Beliefs, and Practices.

Beverly B Green, Melissa L Anderson, Kelly Ehrlich, Yoshio N Hall, Laurel D Hansell, Clarissa Hsu, Dwayne Joseph, Karen L Margolis, Jennifer B McClure, Sean A Munson and 1 more

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In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Beverly B GreenFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT). Bev.B.Green@kp.org.
Melissa L AndersonFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Kelly EhrlichFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Yoshio N HallFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Laurel D HansellFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Clarissa HsuFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Dwayne JosephFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Karen L MargolisFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Jennifer B McClureFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Sean A MunsonFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).
Mathew J ThompsonFrom Kaiser Permanente Washington Health Research Institute (BBG, MLA, KE, LDH, CH, DJ, and JBM); Washington Permanente Medical Group (BBG); Kidney Research Institute, University of Washington Department of Medicine (YNH); Health Partners Institute (KLM); Kaiser Permanente Bernard J Tyson School of Medicine (JBM); University of Washington, Department of Human Centered Design and Engineering (SAM); University of Washington, Department of Family Medicine (MJT).

Funding

Patient-Centered Outcomes Research Institute CER-1511-32979
6 · The paper itself

Abstract

introductionThe US Preventive Services Task Force recommends out-of-office blood pressure (BP) measurement before making a new hypertension diagnosis and initiating treatment, using 24-hour ambulatory (ABPM) or home BP monitoring. However, this approach is not common.

methodse-mail-linked surveys were sent to primary care team members (n = 421) from 10 clinics. The sample included medical assistants, licensed practical nurses, registered nurses, and advanced practice registered nurses (LPN/RN/APRNs), physician assistants (PAs), and physicians. Those licensed to diagnosis hypertension (physician/PA/APRNs) received additional questions. Data were collected from November 2017 to July 2019.

results2-thirds of invitees responded (163 MA/LPN/RNs, 86 physicians, and 33 PA/APRNs). When making a new hypertension diagnosis, most respondents believed that BP measured manually with a stethoscope (78.6%) or ABPM (84.2%) were very or highly accurate. In contrast, most did not believe that automated clinic BPs, home BP, or kiosk BP measurements were very or highly accurate. Almost all reported always or almost always relying on clinic BP measurements in making a diagnosis (95.7%), but most physician/PA/APRNs (60.5%) would prefer ABPM if it was readily available. Very few physician/PA/APRNs used the guideline-concordant diagnostic threshold (135/85 mmHg) with home monitoring (14.0%) or ABPM (8.4%), with 140/90 mmHg the most commonly reported threshold for home (59.4%) and ABPM (49.6%). DISCUSSION: Our study found health care professional knowledge, beliefs, and practices gaps in diagnosing hypertension. These gaps could lead to clinical care that is not aligned with guidelines.

conclusionSystem changes and interventions to increase use of evidence-based practices could improve hypertension diagnosis and outcomes.

Indexed as

HypertensionBlood PressureBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryHealth PersonnelHumansAdvanced Practice NursingBlood PressureClinical CompetenceEvidence-Based PracticeHypertensionLicensed Practical NursesPhysician AssistantsPhysiciansPrimary Health CareSurveys and Questionnaires

Identifiers

PMID35379718
PMCPMC9621313

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.