P05.04. Essential Hypertension—a Cross-sectional Audit of Naturopathic Management Strategies in a Teaching Clinic
Bibliographic record
Abstract
Focus Area: Integrative Approaches to Care A cross-sectional audit of patient charts was conducted in the Robert Schad Naturopathic Clinic (RSNC), the largest naturopathic teaching clinic in North America, to assess the management of essential hypertension (EH) compared to recommendations made by the Canadian Hypertension Education Program (CHEP). Objectives of this study included the assessment of adherence to 2012 CHEP guidelines, a survey of naturopathic modalities and treatments commonly used for EH in the RSNC, an analysis of efficacy of naturopathic interventions to reduce systolic and diastolic blood pressure (SBP and DBP), and the delivery of specific recommendations to improve EH management at the Canadian College of Naturopathic Medicine (CCNM) and the RSNC. Four hundred four patient charts were identified using the ICD-10 code assessment of I10 (Essential Hypertension). Two hundred eighteen files met inclusion criteria. Adherence to CHEP guidelines was measured using categories of (1) blood pressure measurements; (2) correct diagnosis/staging; (3) risk assessment, and (4) objective measures (including physical examination and laboratory investigation). Charts also were assessed for use of naturopathic interventions, for measures of SBP and DBP over time, and for laboratory markers of cardiovascular risk. Results demonstrate that common naturopathic modalities used were dietary interventions, lifestyle interventions, nutritional supplementation, and botanical medicine. Less frequently used modalities for the specific treatment of hypertension included traditional Chinese medicine, physical medicine, homeopathy, hydrotherapy, and counseling. Preliminary analysis indicates that supplementation of omega-3 fatty acids, coenzyme Q10, hibiscus, magnesium, hawthorne, and implementation of diet and exercise recommendations were most closely associated with significant reductions in SBP and DBP. Overall, audit data suggest that the RSNC clinical interns and naturopathic doctors fair well at utilizing and documenting a wide array of evidence-based naturopathic interventions with promising improvements in hypertension.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".