Evidence map›Paper›PMID 38836068›Full record

ArticleFrontiers in cardiovascular medicine2024

Effectiveness of medication self-management, self-monitoring and a lifestyle intervention on hypertension in poorly controlled patients: The MEDICHY randomized trial.

Fabián Unda Villafuerte, Joan Llobera Cànaves, Andreu Estela Mantolan, Patricia Bassante Flores, Fernando Rigo Carratalà, Ana Requena Hernández, Bartolomé Oliver Oliver, Joan Pou Bordoy, María Lucía Moreno Sancho, Alfonso Leiva and 2 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
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

12 authors.

Fabián Unda VillafuerteSóller-Serra Nord Healthcare Center, Sóller, Spain.
Joan Llobera CànavesRed de Investigación Cooperativa de Atención Primaria y Promoción de La Salud (RICAPPS)-Carlos III Health Institute (ISCIII), Madrid, Spain.
Andreu Estela MantolanBalearic Islands Health Research Institute (IdISBa), Palma, Spain.
Patricia Bassante FloresPalliative Care Health Center, Palma, Spain.
Fernando Rigo CarratalàRed de Investigación Cooperativa de Atención Primaria y Promoción de La Salud (RICAPPS)-Carlos III Health Institute (ISCIII), Madrid, Spain.
Ana Requena HernándezHealthcare Basic-Unit Alqueria (Santanyí Healthcare Center), Santanyí, Spain.
Bartolomé Oliver OliverSpanish Society of Family and Community Pharmacy, Madrid, Spain.
Joan Pou BordoyCamp Redo Healthcare Center, Palma, Spain.
María Lucía Moreno SanchoEnfermería Familiar y Comunitaria, Programa Pacient Actiu de les Illes Balears, Gerencia de Atención Primaria de Mallorca, Escola Graduada n3, Palma, Spain.
Alfonso LeivaRed de Investigación Cooperativa de Atención Primaria y Promoción de La Salud (RICAPPS)-Carlos III Health Institute (ISCIII), Madrid, Spain.
Patricia Lorente MontalvoRed de Investigación Cooperativa de Atención Primaria y Promoción de La Salud (RICAPPS)-Carlos III Health Institute (ISCIII), Madrid, Spain.
MEDICHY Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uncontrolled hypertension is a common problem worldwide, despite the availability of many effective antihypertensive drugs and lifestyle interventions. We assessed the efficacy of a multi-component intervention in individuals with uncontrolled hypertension in a primary care setting. Methods: This study was a randomized, multicenter, parallel, two-arm, single-blind controlled trial performed in primary healthcare centers in Mallorca (Spain). All participants were 35 to 75-years-old and had poorly controlled hypertension. Patients were randomly assigned in a 1:1 ratio to a control group (usual care) or an intervention group (self-monitoring of blood pressure, self-titration of hypertensive medications, dietary interventions, and physical activity interventions). The primary outcome was decrease in the mean SBP at 6 months relative to baseline. Results: A total of 153 participants were randomized to an intervention group (77) or a control group (76). After 6 months, the intervention group had a significantly lower systolic blood pressure (135.1 mmHg [±14.8] Discussion: Self-monitoring of blood pressure in combination with self-management of hypertensive medications, diet, and physical activity in a primary care setting leads to significantly lower blood pressure in patients with poorly controlled hypertension.

Indexed as

blood pressurehypertensionprimary carerandomized trialself-monitoring

Identifiers

PMID38836068
PMCPMC11148777

What Socratic holds

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Registered trials

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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.