The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.
A Community-Based Intervention for Managing Hypertension in Rural South Asia
Open accessAbstract
BACKGROUND: The burden of hypertension is escalating, and control rates are poor in low- and middle-income countries. Cardiovascular mortality is high in rural areas. METHODS: We conducted a cluster-randomized, controlled trial in rural districts in Bangladesh, Pakistan, and Sri Lanka. A total of 30 communities were randomly assigned to either a multicomponent intervention (intervention group) or usual care (control group). The intervention involved home visits by trained government community health workers for blood-pressure monitoring and counseling, training of physicians, and care coordination in the public sector. A total of 2645 adults with hypertension were enrolled. The primary outcome was reduction in systolic blood pressure at 24 months. Follow-up at 24 months was completed for more than 90% of the participants. RESULTS: At baseline, the mean systolic blood pressure was 146.7 mm Hg in the intervention group and 144.7 mm Hg in the control group. At 24 months, the mean systolic blood pressure fell by 9.0 mm Hg in the intervention group and by 3.9 mm Hg in the control group; the mean reduction was 5.2 mm Hg greater with the intervention (95% confidence interval [CI], 3.2 to 7.1; P<0.001). The mean reduction in diastolic blood pressure was 2.8 mm Hg greater in the intervention group than in the control group (95% CI, 1.7 to 3.9). Blood-pressure control (<140/90 mm Hg) was achieved in 53.2% of the participants in the intervention group, as compared with 43.7% of those in the control group (relative risk, 1.22; 95% CI, 1.10 to 1.35). All-cause mortality was 2.9% in the intervention group and 4.3% in the control group. CONCLUSIONS: In rural communities in Bangladesh, Pakistan, and Sri Lanka, a multicomponent intervention that was centered on proactive home visits by trained government community health workers who were linked with existing public health care infrastructure led to a greater reduction in blood pressure than usual care among adults with hypertension. (Funded by the Joint Global Health Trials scheme; COBRA-BPS ClinicalTrials.gov number, NCT02657746.).
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1 retracted
Retracted: Predictive Validity of a Medication Adherence Measure in an Outpatient Setting
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Self-citationRetractedJames, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., Lackland, D. T., LeFevre, M. L., MacKenzie, T. D., Ogedegbe, O., et al. (2014) · JAMA · doi:10.1001/jama.2013.284427 · Cited by 7,950
General Cardiovascular Risk Profile for Use in Primary Care: The Framingham Heart Study
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Explaining the decrease in U.S. deaths from coronary disease, 1980–2000
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Cited by
Yan, L. L., Gong, E., Gu, W., Turner, E. L., Gallis, J. A., Zhou, Y., Li, Z., McCormack, K. E., Xu, L.-Q., Bettger, J. P., et al. (2021) · PLOS Medicine · doi:10.1371/journal.pmed.1003582 · Cited by 98
Self-citationMargolis, K. L., Dehmer, S. P., Sperl-Hillen, J., O’Connor, P. J., Asche, S. E., Bergdall, A. R., Green, B. B., Nyboer, R. A., Pawloski, P. A., Trower, N. K., et al. (2020) · Hypertension · doi:10.1161/hypertensionaha.120.15492 · Cited by 48
Rossi, L. P., Granger, B. B., Bruckel, J. T., Crabbe, D. L., Graven, L. J., Newlin, K. S., Streur, M. M., Vadiveloo, M. K., Walton-Moss, B. J., Warden, B. A., et al. (2023) · Circulation · doi:10.1161/cir.0000000000001141 · Cited by 42
Challenges of managing hypertension in Pakistan - a review
Elahi, A., Ali, A. A., Khan, A. H., Samad, Z., Shahab, H., Aziz, N., & Almas, A. (2023) · Clinical Hypertension · doi:10.1186/s40885-023-00245-6 · Cited by 34
Self-citationZhou, H., Wang, X., Yang, Y., Chen, Z., Zhang, L., Zheng, C., Shao, L., Tian, Y., Cao, X., Hu, Z., et al. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.45439 · Cited by 30
Metadata
- Authors
- Jafar, T. H., Gandhi, M., de Silva, H. A., Jehan, I., Naheed, A., Finkelstein, E. A., Turner, E. L., Morisky, D., Kasturiratne, A., Khan, A. H., Clemens, J. D., Ebrahim, S., Assam, P. N., & Feng, L.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2020-02-20
- Volume
- 382
- Issue
- 8
- Pages
- 717-726
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W3006880319
- Cited by
- 303
- References
- 38
- FWCI
- 18.99
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Jafar, T. H., Gandhi, M., de Silva, H. A., Jehan, I., Naheed, A., Finkelstein, E. A., Turner, E. L., Morisky, D., Kasturiratne, A., Khan, A. H., Clemens, J. D., Ebrahim, S., Assam, P. N., & Feng, L. (2020). A Community-Based Intervention for Managing Hypertension in Rural South Asia. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1911965
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