Journal article
Physician-pharmacist collaboration versus usual care for treatment-resistant hypertension
Journal of the American Society of Hypertension, Vol.10(4), pp.307-317
04/2016
DOI: 10.1016/j.jash.2016.01.010
PMCID: PMC4829453
PMID: 26852290
Abstract
Team-based care has been recommended for patients with treatment-resistant hypertension (TRH), but its efficacy in this setting is unknown. We compared a physician-pharmacist collaborative model (PPCM) to usual care in patients with TRH participating in the Collaboration Among Pharmacists and Physicians To Improve Outcomes Now study. At baseline, 169 patients (27% of Collaboration Among Pharmacists and Physicians To Improve Outcomes Now patients) had TRH: 111 received the PPCM intervention and 58 received usual care. Baseline characteristics were similar between treatment arms. After 9 months, adjusted mean systolic blood pressure was reduced by 7 mm Hg more with PPCM intervention than usual care (P = .036). Blood pressure control was 34.2% with PPCM versus 25.9% with usual care (adjusted odds ratio, 1.92; 95% confidence interval, 0.33-11.2). These findings suggest that team-based care in the primary care setting may be effective for TRH. Additional research is needed regarding the long-term impact of these models and to identify patients most likely to benefit from team-based interventions.
Details
- Title: Subtitle
- Physician-pharmacist collaboration versus usual care for treatment-resistant hypertension
- Creators
- Steven M Smith - Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA; Department of Community Health & Family Medicine, College of Medicine, University of Florida, Gainesville, FL, USA. Electronic address: ssmith@cop.ufl.eduNicholas W Carris - Department of Pharmacotherapeutics and Clinical Research, College of Pharmacy, University of South Florida, Tampa, FL, USA; Department of Family Medicine, College of Medicine, University of South Florida, Tampa, FL, USAEric Dietrich - Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA; Department of Community Health & Family Medicine, College of Medicine, University of Florida, Gainesville, FL, USAJohn G Gums - Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA; Department of Community Health & Family Medicine, College of Medicine, University of Florida, Gainesville, FL, USALiz Uribe - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USAChristopher S Coffey - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USATyler H Gums - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USABarry L Carter - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Society of Hypertension, Vol.10(4), pp.307-317
- DOI
- 10.1016/j.jash.2016.01.010
- PMID
- 26852290
- PMCID
- PMC4829453
- NLM abbreviation
- J Am Soc Hypertens
- ISSN
- 1933-1711
- eISSN
- 1878-7436
- Publisher
- United States
- Grant note
- R01HL091841 / NHLBI NIH HHS R01HL091843 / NHLBI NIH HHS R01 HL091843 / NHLBI NIH HHS R01 HL091841 / NHLBI NIH HHS
- Language
- English
- Date published
- 04/2016
- Academic Unit
- Biostatistics; Pharmacy Practice and Science
- Record Identifier
- 9983997323902771
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