Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study
Nurse-led disease management for hypertension control in a diverse urban community: a randomized trial.
Treated but uncontrolled hypertension is highly prevalent in African American and Hispanic communities. ⋯ A nurse management intervention combining an in-person visit, periodic phone calls, and home blood pressure monitoring over 9 months was associated with a statistically significant reduction in systolic, but not diastolic, blood pressure compared to usual care in a high risk population. Home blood pressure monitoring alone was no more effective than usual care.
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Multicenter Study
Medical center characteristics associated with PSA screening in elderly veterans with limited life expectancy.
Although guidelines recommend against prostate-specific antigen (PSA) screening in elderly men with limited life expectancy, screening is common. ⋯ Substantial practice variation exists for PSA screening in older men with limited life expectancy across VAs. The high center-specific correlation of screening among men with limited and favorable life expectancies indicates that PSA screening is poorly targeted according to life expectancy.