Document Detail


Cohort monitoring of persons with hypertension: an illustrated example from a primary healthcare clinic for Palestine refugees in Jordan.
MedLine Citation:
PMID:  22845700     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective  Recording and reporting systems borrowed from the DOTS framework for tuberculosis control can be used to record, monitor and report on chronic disease. In a primary healthcare clinic run by UNRWA in Amman, Jordan, serving Palestine refugees with hypertension, we set out to illustrate the method of cohort reporting for persons with hypertension by presenting on quarterly and cumulative case finding, cumulative and 12-month analysis of cohort outcomes and to assess how these data may inform and improve the quality of hypertension care services. Method  This was a descriptive study using routine programme data collected through E-Health. Results  There were 97 newly registered patients with hypertension in quarter 1, 2012, and a total of 4130 patients with hypertension ever registered since E-Health started in October 2009. By 31 March 2012, 3119 (76%) of 4130 patients were retained in care, 878 (21%) had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow-up. Cumulative and 12-month cohort outcome analysis indicated deficiencies in several components of clinical performance related to blood pressure measurements and fasting blood glucose tests to screen simultaneously for diabetes. Between 8% and 15% of patients with HT had serious complications such as cardiovascular disease and stroke. Conclusion  Cohort analysis is a valuable tool for the monitoring and management of non-communicable chronic diseases such as HT.
Authors:
Ali Khader; Loai Farajallah; Yousef Shahin; Majed Hababeh; Ishtaiwi Abu-Zayed; Arata Kochi; Anthony D Harries; Rony Zachariah; Anil Kapur; Wendy Venter; Akihiro Seita
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-29
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  -     ISSN:  1365-3156     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
 United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan  Field Health Programme, UNRWA, Amman, Jordan  Tokyo University Medical School, Tokyo, Japan  International Union Against Tuberculosis and Lung Disease, Paris, France  London School of Hygiene and Tropical Medicine, London, UK  Medecins sans Frontieres, Medical Department, Operational Research Unit, Brussels Operational Center, Luxembourg, Luxembourg  World Diabetes Foundation, Gentofte, Denmark.
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