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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Improving hypertension outcome measurement in low- and middle-income countries
Hypertension, Volume 73, No. 5, Year 2019
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Description
High blood pressure is the leading modifiable risk factor for mortality, accounting for nearly 1 in 5 deaths worldwide and 1 in 11 in low-income countries. Hypertension control remains a challenge, especially in low-resource settings. One approach to improvement is the prioritization of patient-centered care. However, consensus on the outcomes that matter most to patients is lacking. We aimed to define a standard set of patient-centered outcomes for evaluating hypertension management in low- and middle-income countries. The International Consortium for Health Outcomes Measurement convened a Working Group of 18 experts and patients representing 15 countries. We used a modified Delphi process to reach consensus on a set of outcomes, case-mix variables, and a timeline to guide data collection. Literature reviews, patient interviews, a patient validation survey, and an open review by hypertension experts informed the set. The set contains 18 clinical and patient-reported outcomes that reflect patient priorities and evidence-based hypertension management and case-mix variables to allow comparisons between providers. The domains included are hypertension control, cardiovascular complications, health-related quality of life, financial burden of care, medication burden, satisfaction with care, health literacy, and health behaviors. We present a core list of outcomes for evaluating hypertension care. They account for the unique challenges healthcare providers and patients face in low- and middle-income countries, yet are relevant to all settings. We believe that it is a vital step toward international benchmarking in hypertension care and, ultimately, value-based hypertension management. © 2019 American Heart Association, Inc.
Authors & Co-Authors
Zack, Rachel Margaret
Unknown Affiliation
Okunade, Oluwakemi
Unknown Affiliation
Olson, Elizabeth
Unknown Affiliation
Salt, Matthew J.
Unknown Affiliation
Amodeo, Celso
Unknown Affiliation
Anchala, Raghupathy
India, New Delhi
Public Health Foundation of India
Berwanger, Otávio
Unknown Affiliation
Campbell, Norm R.C.
Canada, Calgary
University of Calgary
Yook Chin, Chia
Malaysia, Kuala Lumpur
Universiti Malaya
Damasceno, A. Antonio Moura
Mozambique, Maputo
Universidade Eduardo Mondlane
Phuong do, Thi Nam
Viet Nam, Ho Chi Minh City
Nutrition Centre of ho Chi Minh City
Dzudie, Anastase Innocent
Cameroon, Yaounde
Université de Yaoundé I
Fiuza, Manuela M.
Portugal, Lisbon
Universidade de Lisboa
Mirza, Fareed
Unknown Affiliation
Nitsch, Dorothea D.M.
United Kingdom, London
London School of Hygiene & Tropical Medicine
Ogedegbe, Gbenga G.
United States, New York
Nyu Langone Health
Podpalov, Vladislav P.
Belarus, Vitebsk
Vitebsk State Medical University
Schiffrin, Ernesto L.
Canada, Montreal
Université Mcgill
Vaz-Carneiro, António
Portugal, Lisbon
Universidade de Lisboa
Lamptey, Peter R.
United Kingdom, London
London School of Hygiene & Tropical Medicine
Statistics
Citations: 17
Authors: 20
Affiliations: 11
Identifiers
Doi:
10.1161/HYPERTENSIONAHA.118.11916
ISSN:
0194911X
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Grounded Theory
Study Approach
Quantitative