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Table 2 Treatment Intensification Rates, Baseline Risk Factor Levels, Declines and Adjusted Differences During Follow-up - Study vs. Control Centers, Eligible Patients, by Priority Level

From: Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial

 

Study (n = 4 sites)

Control (n = 4 sites)

 

Priority

Number Eligible Patients

Intensified within 3 months

Baseline Mean Risk Factor Level †

Unadjusted

Risk Factor

Decline ‡

Number Eligible Patients

Intensified within 3 months

Baseline Mean Risk Factor Level †

Unadjusted

Risk Factor

Decline ‡

Adjusted

Study-Control Risk Factor Differences

(95% CI) ¶

1: SBP ≥ 140

3,080

34.1€

153.2

13.6

2,905

30.6€

153.0

13.4

0.73

(-1.40, 2.83)

2: LDL-c ≥ 130

2,431

28.0€

153.1

24.9

1,789

22.7€

153.9

23.8

-2.63

(-6.73, 1.48)

3: A1c ≥ 9%

1,318

29.5

10.2

1.0

1,059

28.8

10.2

1.2

-0.02

(-0.36, 0.32)

4:SBP 130-139£

3,878

22.9

138.5

6.0

3,583

22.0

138.5

5.0

-0.00

(-1.25, 1.26)

5: LDL-c 100-129

4,876

20.5

111.4

10.1

3,526

19.1

111.3

8.9

-0.83

(-4.10, 2.44)

6. A1c 7-8.9%

3,750

26.3

7.5

0

3,007

26.9

7.5

0

0.03

         

(-0.10, 0.16)

  1. † Based on the last value recorded before follow-up begins; i.e., the value that qualified patient for treatment intensification.
  2. ‡ Based on the first value recorded after 3 months follow-up; if no values recorded between 3 and 12 months follow-up, the latest value recorded during first 3 months follow-up was used. No values were available during follow-up for 3%, 10%, and 14% of blood pressure, A1c, and LDL-c tests, respectively.
  3. ¶ From repeated measures models using all available values during follow-up,with adjustment for age, gender, race-ethnicity, baseline risk factor value, number of medications for the risk factor at baseline, and days of follow-up at time of each measurement. Negative value indicates that the adjusted difference favored the study group group during follow-up.
  4. € p < 0.001 for study vs. control comparison.
  5. £ Only patients with diabetes mellitus and/or chronic kidney disease were eligible for the target of SBP <130 mmHg.