NEJM RCT: Team-based intervention cuts SBP extra 6.4 mmHg in low-income Black HTN patients
Key Questions
What were the main findings of the NEJM RCT on hypertension?
The trial (n=1272) in low-income Black patients at FQHCs showed team-based care reduced SBP by 15.5 mmHg vs. 9.1 mmHg in usual care, an extra 6.4 mmHg drop. It reinforces QI and team strategies for equity.
Who was the study population in the NEJM hypertension trial?
Participants were low-income Black patients with hypertension at federally qualified health centers (FQHCs). The intervention targeted disparities echoed in CARDIA and ACC.26 SDOH data.
What are the implications for health equity from this study?
The results support team-based care to address SBP control gaps in underserved groups, aligning with pilots like JAMA Cardio FOOD-HF for QoL/SDOH and gaps in Korean/Asian women. Neighborhood interventions show 55% beneficial CVD outcomes.
NEJM RCT (n=1272 FQHC low-income Black): team-based care -15.5 vs -9.1 mmHg SBP (-6.4 extra). Echoes CARDIA/ACC.26 SDOH dispar, reinforces QI/team strategies for equity; JAMA Cardio FOOD-HF food-as-medicine pilot adds QoL/SODH viability; Korean ACC Asia women gaps in HTN/chol control.