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Community-based multidisciplinary screening and intervention by pharmacists and nurses reduced BP in diabetesCommentary

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QUESTION

Does a multidisciplinary screening and intervention programme by pharmacists and nurses reduce blood pressure (BP) in patients with diabetes and suboptimal BP control?

METHODS

Design:

randomised controlled trial (SCRIP-Hypertension [SCRIP-HTN]). ClinicalTrials.gov NCT00374270.

Allocation:

concealed.

Blinding:

blinded {data analysts}.*

Follow-up period:

24 weeks.

Setting:

14 community pharmacies in Alberta, Canada.

Patients:

227 patients (mean age 65 y, 60% men) with diabetes and BP >130/80 mm Hg on 2 screening visits 2 weeks apart. Exclusion criteria included current enrolment in other diabetes or hypertension trials, institutionalisation, and receipt of medication from a professional caregiver.

Intervention:

enhanced care (n = 115) or usual care (n = 112). Patients in the enhanced care group were assessed by a pharmacist–nurse team and …

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