MANEJO DA HIPERTENSÃO E DIABETES NA ATENÇÃO BÁSICA: UMA REVISÃO SISTEMÁTICA DAS ESTRATÉGIAS DE CONTROLE E ACOMPANHAMENTO
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Objective: To evaluate the effectiveness of management strategies for systemic arterial hypertension and type 2 diabetes mellitus in primary health care, identifying the most effective approaches for blood pressure and glycemic control. Methods: Systematic review conducted according to PRISMA 2020 guidelines. A comprehensive search was performed in PubMed/MEDLINE, Embase, Cochrane Library, LILACS, SciELO, Scopus, and Web of Science databases from January 2009 to September 2024. We included randomized controlled trials and prospective cohort studies evaluating management strategies for adults with hypertension and/or diabetes in primary care settings. Two independent reviewers performed study selection, data extraction, and methodological quality assessment using RoB 2 for clinical trials and Newcastle-Ottawa Scale for observational studies. Primary outcomes were blood pressure control (<140/90 mmHg) and glycemic control (HbA1c <7%). Evidence certainty was assessed using the GRADE system. Results: We identified 2,847 records, of which 42 studies met inclusion criteria, involving 28,564 participants. The most effective strategies included: multiprofessional shared care (RR 1.34; 95% CI 1.18-1.52 for blood pressure control), structured health education programs (MD -0.8%; 95% CI -1.2 to -0.4 for HbA1c), and standardized clinical management protocols (RR 1.28; 95% CI 1.15-1.43 for glycemic control). Telemonitoring proved effective in contexts with adequate technological resources (MD -8.2 mmHg; 95% CI -12.1 to -4.3 for systolic blood pressure). Combined pharmacological and non-pharmacological interventions demonstrated superiority over isolated approaches. Evidence quality ranged from moderate to high for primary outcomes. Conclusions: Integrated multiprofessional strategies, standardized protocols, and structured educational programs are effective for hypertension and diabetes control in primary care. Implementation of shared care models and remote monitoring technologies can optimize clinical outcomes. The findings provide robust evidence to guide health policies and clinical protocols in primary care settings.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.005 | 0.002 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
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 it