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Trial · NCT07914283

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange from baseline in the proportion of patients with blood pressure <130/<80 mmHg6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Proportion of patients with a diagnosis of hypertension and at least one blood pressure recorded in 6-month intervals whose last recorded blood pressure was below the target according to the person-centered and integrated care pathway (PSVF) for hypertension (\<130/\<80 mmHg), irrespective of measurement method (office, home, or ambulatory blood pressure monitoring). The outcome is assessed in each 6-month interval, and the primary effect measure is the average effect over the first 12 months after each center's scheduled crossover.
SecondaryChange from baseline in the proportion of patients with their blood pressure measured6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periodsProportion of patients with a diagnosis of hypertension who, in each 6-month interval had their blood pressure measured
SecondaryChange from baseline in the proportion of patients who were dispensed statin therapy6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periodsProportion of patients with a diagnosis of hypertension who were dispensed statin therapy
SecondaryChange from baseline in the proportion of patients who achieved an office blood pressure <140/<90 mmHg, a home blood pressure <135/<85 mmHg, or an ambulatory blood pressure <135/<85 mmHg6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Proportion of patients with a diagnosis of hypertension and at least one blood pressure recorded in 6-month intervals who achieved an office blood pressure \<140/\<90 mmHg, a home blood pressure \<135/\<85 mmHg, or an ambulatory blood pressure \<135/\<85 mmHg. The outcome is assessed in each 6-month interval, and the effect measure is the average effect over the first 12 months after each center's scheduled crossover.
SecondaryChange from baseline in the proportion of patients who were dispensed combination therapy with antihypertensive agents6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Proportion of patients with a diagnosis of hypertension and at least one blood pressure recorded in the 6-month interval who were dispensed combination therapy with antihypertensive agents (2, 3, or more)
SecondaryChange from baseline in the proportion of patients who achieved LDL cholesterol targets according to the ESC guidelines6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Proportion of patients with a diagnosis of hypertension and at least one blood pressure recorded in the 6-month interval who achieved LDL cholesterol targets according to the ESC guidelines (among patients with LDL cholesterol measured). Very high risk \<1.4 mmol/L; high risk \<1.8 mmol/L, moderate risk \<2.6 mmol/L).
SecondaryObserved population trajectory of the proportion of patients with hypertension below 130/80 mmHg6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Observed population trajectory describing the proportion of patients with hypertension below the PSVF target 130/80 mmHg per half-year from H1-2025 to H2-2028, using the last blood pressure in that half-year. If no measurement is recorded, the most recent value during the last 12 months is carried forward. Missing values will be regarded as not treated to target. This is a descriptive series with no model terms and no p-values. It shows the total change in the population, combining the secular trend and the rollout.
SecondaryChange from baseline in proportion of patients with uncontrolled blood pressure that received treatment intensification6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Proportion of patients with a diagnosis of hypertension and a last blood pressure \>= 130/80 mmHg in the 6-month interval who were dispensed combination therapy with antihypertensive agents (2, 3, or more)
SecondaryChange in last measured systolic BP in mmHg per patient period6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Mean systolic blood pressure in patients with a diagnosis of hypertension and at least one blood pressure recorded in 6-month intervals. The outcome is assessed in each 6-month interval, and the effect measure is the average effect over the first 12 months after each center's scheduled crossover.
SecondaryMean number of primary care contacts per patient6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Resource utilization. Mean number of primary care contacts per patient per 6-month interval, by staff category, in total and with a hypertension diagnosis registered at the visit. Reported descriptively per sequence and period.
SecondaryMean number of laboratory tests per patient6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Resource utilization. Mean number of laboratory tests (creatinine, potassium, sodium, lipids) per patient per 6-month interval. Reported separately for each test type. Reported descriptively per sequence and period.
SecondaryMean number of blood pressure measurements per patient6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Resource utilization. Mean number of blood pressure measurements per patient per 6-month interval, by measurement type. Reported by measurement type (office, home, ambulatory). Reported descriptively per sequence and period.
SecondaryMean dispensed defined daily doses (DDDs) per patient6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Resource utilization. Mean dispensed defined daily doses (DDDs) of antihypertensives and statins per patient per 6-month interval. Reported separately for antihypertensive agents and statins. Reported descriptively per sequence and period.
SecondaryMean pharmacy cost per patient6-month intervals consisting of 2 control periods, 1 baseline period and 4 intervention periods
Resource utilization. Mean pharmacy cost of dispensed antihypertensives and statins per patient per 6-month interval. Reported separately for antihypertensive agents and statins. Reported descriptively per sequence and period.
OtherAdverse drug reactions related to antihypertensive medicationFirst event per patient and 6-month interval, analyzed as event rates per person-time and reported as a rate ratio averaged over the first 12 months after crossover
Safety outcome. Adverse drug reactions related to antihypertensive medication: acute kidney injury, hypotension or syncope, orthostatic hypotension, and fall injury. Based on hospitalizations with relevant ICD-10 codes.
OtherMyocardial infarction and strokeFirst event per patient and 6-month interval, analyzed as event rates per person-time and reported as a rate ratio averaged over the first 12 months after crossoverHypertension-related complications: myocardial infarction and stroke
OtherAll-cause mortalityFirst event per patient and 6-month interval, analyzed as event rates per person-time and reported as a rate ratio averaged over the first 12 months after crossoverAll-cause mortality

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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