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The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual care | No Intervention | Patients not invited to the nurse-led clinic will continue with usual GP care | |
| Nurse-led blood pressure clinic | Experimental | Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse-led blood pressure clinic | Other | Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in systolic blood pressure | This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target | 6 months after recruitment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sally Dean, SRN | St George's, University of London | Principal Investigator |
| Pippa Oakeshott, MD | St George's, University of London | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St George's, University of London | London | SW17 ORE | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24356073 | Derived | Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: randomized controlled trial. Fam Pract. 2014 Apr;31(2):172-9. doi: 10.1093/fampra/cmt074. Epub 2013 Dec 19. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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