Evidence map›Paper›PMID 35473501›Full record

ArticleBMC cardiovascular disorders2022

High rates of undiagnosed and uncontrolled hypertension upon a screening campaign in rural Rwanda: a cross-sectional study.

Evariste Ntaganda, Regine Mugeni, Emmanuel Harerimana, Gedeon Ngoga, Symaque Dusabeyezu, Francois Uwinkindi, Jean N Utumatwishima, Eugene Mutimura, Victor G Davila-Roman, Kenneth Schechtman and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 8% 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.

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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

18 authors at 6 institutions in 3 countries.

Evariste NtagandaRwanda Biomedical Center (RBC), Rwanda Ministry of Health, Kigali, Rwanda.
Regine MugeniRwamagana Provincial Hospital, Rwamagana, Eastern Province, Rwanda. pacisreg@gmail.com.
Emmanuel HarerimanaPartners in Health (PIH)/Inshuti Mu Buzima, Rwinkwavu, Rwanda.
Gedeon NgogaPartners in Health (PIH)/Inshuti Mu Buzima, Rwinkwavu, Rwanda.
Symaque DusabeyezuPartners in Health (PIH)/Inshuti Mu Buzima, Rwinkwavu, Rwanda.
Francois UwinkindiRwanda Biomedical Center (RBC), Rwanda Ministry of Health, Kigali, Rwanda.
Jean N UtumatwishimaRwamagana Provincial Hospital, Rwamagana, Eastern Province, Rwanda.
Eugene MutimuraNational Council for Science and Technology (NCST), Kigali, Rwanda.
Victor G Davila-RomanCardiovascular Division, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Kenneth SchechtmanDivision of Biostatistics, Washington University in St. Louis, St. Louis, MO, USA.
Aurore NishimweRegional Alliance for Sustainable Development (RASD Rwanda), Kigali, Rwanda.
Laurence TwizeyimanaRegional Alliance for Sustainable Development (RASD Rwanda), Kigali, Rwanda.
Angela L BrownCardiovascular Division, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
W Todd CadeDuke University School of Medicine, Durham, NC, 27710, USA.
Marcus BushakuRegional Alliance for Sustainable Development (RASD Rwanda), Kigali, Rwanda.
Lisa de las FuentesCardiovascular Division, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Dominic ReedsCardiovascular Division, Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Marc TwagirumukizaSchool of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Washington University in St. Louis · USPartners In Health · USRegional Alliance for Sustainable Development · RWMinistry of Health · RWDuke University · USUniversity of Rwanda · RW

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundHypertension remains the major risk factor for cardiovascular diseases (CVDs) worldwide with a prevalence and mortality in low- and middle-income countries (LMICs) among the highest. The early detection of hypertension risk factors is a crucial pillar for CVD prevention. DESIGN AND

methodThis cross-sectional study included 4284 subjects, mean age 46 ± 16SD, 56.4% females and mean BMI 26.6 ± 3.7 SD. Data were collected through a screening campaign in rural area of Kirehe District, Eastern of Rwanda, with the objective to characterize and examine the prevalence of elevated blood pressure (BP) and other CVD risk factors. An adapted tool from the World Health Organization STEPwise Approach was used for data collection. Elevated BP was defined as ≥ 140/90 mm/Hg and elevated blood glucose as blood glucose ≥ 100 mg/dL after a 6-h fast.

resultsOf the sampled population, 21.2% (n = 910) had an elevated BP at screening; BP was elevated among individuals not previously known to have HTN in 18.7% (n = 752). Among individuals with a prior diagnosis of HTN, 62.2% (n = 158 of 254) BP was uncontrolled. Age, weight, smoking, alcohol history and waist circumference were associated with BP in both univariate analyses and multivariate analysis.

conclusionHigh rates of elevated BP identified through a health screening campaign in this Rwandan district were surprising given the rural characteristics of the district and relatively low population age. These data highlight the need to implement an adequate strategy for the prevention, diagnosis, and control of HTN that includes rural areas of Rwanda as part of a multicomponent strategy for CVD prevention.

Indexed as

Autonomic Nervous System DiseasesCardiovascular DiseasesHypertensionAdultBlood GlucoseCross-Sectional StudiesFemaleHumansMaleMiddle AgedRwandaBlood GlucoseHigh blood pressureHypertensionRwandaScreening

Identifiers

PMID35473501
PMCPMC9044706
OpenAlexW4225252331

What Socratic holds

Textmetadata
LicenceCC BY
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.