Evidence mapPaperPMID 40529684Full record

SynthesisFrontiers in public health2025

Effectiveness of community health management for hypertensive patients under the medical alliance in China: a systematic review and meta-analysis.

Yi-Chun Gu, An-Qi Wang, Da He, Chang-Hai Tang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Article
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

4 authors.

Yi-Chun Gu *Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China.
An-Qi Wang *School of Public Health, Dalian Medical University, Dalian, Liaoning, China.
Da HeShanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China.
Chang-Hai TangSchool of Nursing, Dalian University, Dalian, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The prevalence of hypertension in China has been increasing, imposing a heavy burden on premature mortality and catastrophic healthcare expenditure. This study aims to evaluate the effectiveness of community health management on blood pressure control for hypertensive patients under the medical alliance, a model of integrated care in China. Methods: Following PRISMA guidelines, three English databases and three Chinese databases were searched from January 2010 to March 2024, with two reviewers involved in the screening, data extraction, quality assessment, and narrative synthesis with characteristics and interventions. Meta-analysis was performed with the value of Hedge's g and 95% confidence interval (CI), using the random-effects model. Subgroup and meta-regression analysis were used to analyze the sources of heterogeneity. Egger's test was applied to detect publication bias. Results: Twenty-five studies covering 7,727 hypertensive patients were included, with one of them assessed as low risk of bias. The pooled result showed that compared to conventional community health management, community health management of hypertension under the medical alliance had a more significant effect on reducing systolic blood pressure (Hedge's g: -0.721, 95% CI: -0.890 to -0.552, Conclusion: This study supports the effectiveness of community health management under the medical alliance in reducing blood pressure for hypertension. The guidance from general hospitals to community health centers, remote monitoring systems to expand the spatial scope of healthcare access and achieve information sharing, and two-way referral are efficient measures in the medical alliance.

Indexed as

Community Health ServicesHypertensionChinaHumanscommunity health managementhypertensionintegrated healthcaremedical allianceprimary healthcare

Identifiers

PMID40529684
PMCPMC12171210

What Socratic holds

Textmetadata
LicenceCC BY
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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.