Journal article
Similar blood pressure values across racial and economic groups: baseline data from a group randomized clinical trial
The journal of clinical hypertension (Greenwich, Conn.), Vol.15(6), pp.404-412
06/2013
DOI: 10.1111/jch.12091
PMCID: PMC3683891
PMID: 23730989
Abstract
This paper examines baseline characteristics from a prospective, cluster-randomized trial in 32 primary care offices. Offices were first stratified by percentage of minorities and level of clinical pharmacy services and then randomized into 1 of 3 study groups. The only differences between randomized arms were for marital status (P=.03) and type of insurance coverage (P<.001). Blood pressures (BPs) were similar in Caucasians and minority patients, primarily blacks, who were hypertensive at baseline. On multivariate analyses, patients who were 65 years and older had higher systolic BP (152.4 ± 14.3 mm Hg), but lower diastolic BP (77.3 ± 11.8 mm Hg) compared with those younger than 65 years (147.4 ± 15.0/88.6 ± 10.6 mm Hg, P<.001 for both systolic and diastolic BP). Other factors significantly associated with higher systolic BP were a longer duration of hypertension (P=.04) and lower basal metabolic index (P=.011). Patients with diabetes or chronic kidney disease had a lower systolic BP than those without these conditions (P<.0001). BP was similar across racial and socioeconomic groups for patients with uncontrolled hypertension in primary care, suggesting that patients with uncontrolled hypertension and an established primary care relationship likely have different reasons for poor BP control than other patient populations.
Details
- Title: Subtitle
- Similar blood pressure values across racial and economic groups: baseline data from a group randomized clinical trial
- Creators
- Barry L Carter - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA 52242, USA. barry-carter@uiowa.eduChristopher S CoffeyLiz UribePaul A JamesBrent M EganGail ArderyElizabeth A ChrischillesDixie EcklundMark Vander WegThomas VaughnCollaboration Among Pharmacists and Physicians to Improve Outcomes Now (CAPTION) trial investigators
- Resource Type
- Journal article
- Publication Details
- The journal of clinical hypertension (Greenwich, Conn.), Vol.15(6), pp.404-412
- DOI
- 10.1111/jch.12091
- PMID
- 23730989
- PMCID
- PMC3683891
- NLM abbreviation
- J Clin Hypertens (Greenwich)
- ISSN
- 1751-7176
- eISSN
- 1751-7176
- Publisher
- United States
- Grant note
- R01 HL091843 / NHLBI NIH HHS HL091843 / NHLBI NIH HHS U18 HS016094 / AHRQ HHS 5U18HSO16094 / PHS HHS R01 HL091841 / NHLBI NIH HHS
- Language
- English
- Date published
- 06/2013
- Academic Unit
- Pharmacy; Public Health Administration; Health Management and Policy; Epidemiology; Psychological and Brain Sciences; Biostatistics; Family and Community Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9983995164302771
Metrics
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