Community-based cardiovascular risk factors intervention strategies (CORFIS) in managing hypertension: A pragmatic non-randomised controlled trial

W. H H Low, Wymen Seet, A. S. Ramli, K. K. Ng, H. Jamaiyah, S. P. Dan, C. L. Teng, V. K M Lee, S. S. Chua, M. Y. Faridah Aryani, Tilakavati Karupaiah, W. S S Chee, P. P. Goh, M. Zaki, To Lim

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Hypertension is the number one cardiovascular risk factor in Malaysia. This study aimed to evaluate the effectiveness of a Community-Based Cardiovascular Risk Factors Intervention Strategies (CORFIS) in the management of hypertension in primary care. Methods: This is a pragmatic, non-randomized controlled trial. Seventy general practitioners (GPs) were selected to provide either CORFIS (44 GPs) or conventional care (26 GPs) for 6 months. A total of 486 hypertensive patients were recruited; 309 were in the intervention and 177 in the control groups. Primary outcome was the proportion of hypertensive patients who achieved target blood pressure (BP) of <140/90mmHg (for those without diabetes mellitus) and <130/80mmHg (with diabetes mellitus). Secondary outcomes include change in the mean/median BP at 6-month as compared to baseline. Results: The proportion of hypertensive patients who achieved target BP at 6-month was significantly higher in the CORFIS arm (69.6%) as compared to the control arm (57.6%), P=0.008. Amongst those who had uncontrolled BP at baseline, the proportion who achieved target BP at 6-month was also significantly higher in the CORFIS arm (56.6%) as compared to the control arm (34.1%), p<0.001. There was no difference in the patients who had already achieved BP control at baseline. There were significant reductions in SBP in the CORFIS arm (median -9.0mmHg; -60 to 50) versus control (median -2mmHg; -50 to 48), p=0.003; as well as in DBP (CORFIS arm: median -6.0mmHg; ranged from -53 to 30 versus control arm: median 0.0mmHg; ranged from -42 to 30), p<0.001. Conclusions: Patients who received CORFIS care demonstrated significant improvements in achieving target BP.

Original languageEnglish
Pages (from-to)129-135
Number of pages7
JournalMedical Journal of Malaysia
Volume68
Issue number2
Publication statusPublished - Apr 2013

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Hypertension
Blood Pressure
General Practitioners
Diabetes Mellitus
Non-Randomized Controlled Trials
Malaysia
Primary Health Care
Control Groups

Keywords

  • Chronic care model
  • Chronic disease management
  • Evidence-based practice
  • Hypertension
  • Information technology
  • Multidisciplinary care
  • Patient empowerment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Low, W. H. H., Seet, W., Ramli, A. S., Ng, K. K., Jamaiyah, H., Dan, S. P., ... Lim, T. (2013). Community-based cardiovascular risk factors intervention strategies (CORFIS) in managing hypertension: A pragmatic non-randomised controlled trial. Medical Journal of Malaysia, 68(2), 129-135.

Community-based cardiovascular risk factors intervention strategies (CORFIS) in managing hypertension : A pragmatic non-randomised controlled trial. / Low, W. H H; Seet, Wymen; Ramli, A. S.; Ng, K. K.; Jamaiyah, H.; Dan, S. P.; Teng, C. L.; Lee, V. K M; Chua, S. S.; Faridah Aryani, M. Y.; Karupaiah, Tilakavati; Chee, W. S S; Goh, P. P.; Zaki, M.; Lim, To.

In: Medical Journal of Malaysia, Vol. 68, No. 2, 04.2013, p. 129-135.

Research output: Contribution to journalArticle

Low, WHH, Seet, W, Ramli, AS, Ng, KK, Jamaiyah, H, Dan, SP, Teng, CL, Lee, VKM, Chua, SS, Faridah Aryani, MY, Karupaiah, T, Chee, WSS, Goh, PP, Zaki, M & Lim, T 2013, 'Community-based cardiovascular risk factors intervention strategies (CORFIS) in managing hypertension: A pragmatic non-randomised controlled trial', Medical Journal of Malaysia, vol. 68, no. 2, pp. 129-135.
Low, W. H H ; Seet, Wymen ; Ramli, A. S. ; Ng, K. K. ; Jamaiyah, H. ; Dan, S. P. ; Teng, C. L. ; Lee, V. K M ; Chua, S. S. ; Faridah Aryani, M. Y. ; Karupaiah, Tilakavati ; Chee, W. S S ; Goh, P. P. ; Zaki, M. ; Lim, To. / Community-based cardiovascular risk factors intervention strategies (CORFIS) in managing hypertension : A pragmatic non-randomised controlled trial. In: Medical Journal of Malaysia. 2013 ; Vol. 68, No. 2. pp. 129-135.
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abstract = "Background: Hypertension is the number one cardiovascular risk factor in Malaysia. This study aimed to evaluate the effectiveness of a Community-Based Cardiovascular Risk Factors Intervention Strategies (CORFIS) in the management of hypertension in primary care. Methods: This is a pragmatic, non-randomized controlled trial. Seventy general practitioners (GPs) were selected to provide either CORFIS (44 GPs) or conventional care (26 GPs) for 6 months. A total of 486 hypertensive patients were recruited; 309 were in the intervention and 177 in the control groups. Primary outcome was the proportion of hypertensive patients who achieved target blood pressure (BP) of <140/90mmHg (for those without diabetes mellitus) and <130/80mmHg (with diabetes mellitus). Secondary outcomes include change in the mean/median BP at 6-month as compared to baseline. Results: The proportion of hypertensive patients who achieved target BP at 6-month was significantly higher in the CORFIS arm (69.6{\%}) as compared to the control arm (57.6{\%}), P=0.008. Amongst those who had uncontrolled BP at baseline, the proportion who achieved target BP at 6-month was also significantly higher in the CORFIS arm (56.6{\%}) as compared to the control arm (34.1{\%}), p<0.001. There was no difference in the patients who had already achieved BP control at baseline. There were significant reductions in SBP in the CORFIS arm (median -9.0mmHg; -60 to 50) versus control (median -2mmHg; -50 to 48), p=0.003; as well as in DBP (CORFIS arm: median -6.0mmHg; ranged from -53 to 30 versus control arm: median 0.0mmHg; ranged from -42 to 30), p<0.001. Conclusions: Patients who received CORFIS care demonstrated significant improvements in achieving target BP.",
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AU - Ng, K. K.

AU - Jamaiyah, H.

AU - Dan, S. P.

AU - Teng, C. L.

AU - Lee, V. K M

AU - Chua, S. S.

AU - Faridah Aryani, M. Y.

AU - Karupaiah, Tilakavati

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