UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025411
Receipt number R000028930
Scientific Title The effect of referral form on hypertension treatment rate in Japanese hypertensive employees: a cluster randomized controlled trial
Date of disclosure of the study information 2017/01/06
Last modified on 2020/12/20 11:50:23

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Basic information

Public title

The effect of referral form on hypertension treatment rate in Japanese hypertensive employees: a cluster randomized controlled trial

Acronym

The effect of referral form on hypertension treatment rate in Japanese hypertensive employees: a cluster randomized controlled trial

Scientific Title

The effect of referral form on hypertension treatment rate in Japanese hypertensive employees: a cluster randomized controlled trial

Scientific Title:Acronym

The effect of referral form on hypertension treatment rate in Japanese hypertensive employees: a cluster randomized controlled trial

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine whether giving a referral form at the annual health checkup improve proportion of patients with hypertension treatment among Japanese hypertensive workers.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Outpatient visit for hypertension after 6 months evaluated by the health insurance claim data.

Key secondary outcomes

Blood pressure, frequency of outpatient visit, change of antihypertensive agents after 2 years and additional exploratory analysis.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

Recommendation for the treatment of hypertension at the time of the annual health checkup using both the referral form to general practitioners and a leaflet for hypertension control.

Interventions/Control_2

Recommendation for the treatment of hypertension using a leaflet for hypertension control.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Having Grade I hypertension in 2016
2) Having Grade II hypertension in 2017
3) Untreated in 2017
4) Consent to participate in the study

Key exclusion criteria

1) Pregnant in 2016 or 2017
2) Having antihypertension agents in 2017
3) SBP >=190 or DBP >= 120 in 2017


Target sample size

320


Research contact person

Name of lead principal investigator

1st name Naomi
Middle name
Last name Miyamatsu

Organization

Shiga University of Medical Science

Division name

Department of Clinical Nursing

Zip code

5202192

Address

Seta Tsukinowa-cho, Otsu City, Shiga, JAPAN

TEL

077-548-2437

Email

shiazusa@belle.shiga-med.ac.jp


Public contact

Name of contact person

1st name Azusa
Middle name
Last name Shima

Organization

Shiga University of Medical Science

Division name

Department of Clinical Nursing

Zip code

5202192

Address

Seta Tsukinowa-cho, Otsu City, Shiga, JAPAN

TEL

077-548-2437

Homepage URL


Email

shiazusa@belle.shiga-med.ac.jp


Sponsor or person

Institute

Department of Clinical Nursing, Shiga University of Medical Science

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shiga University of Medical Science Research Ethics Committee.

Address

Setatsukinowacho, Otsu, Shiga 520-2192

Tel

077-548-3576

Email

hqrec@belle.shiga-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 01 Month 06 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000028930

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41440-020-00559-0

Number of participants that the trial has enrolled

287

Results

Early promotion using a referral letter during health checkups significantly increased the number of clinic visits within 6 months completed by participants with untreated hypertension.

Results date posted

2020 Year 12 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2020 Year 10 Month 14 Day

Baseline Characteristics

Japanese employees with hypertension (mean age 50.3 years, 55% women)

Participant flow

Eligible participants: 330
Consented participants: 287
Followed and analyzes participants: 273

Adverse events

No adverse effect reported

Outcome measures

The completion of a clinic visit within 6 months.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2016 Year 12 Month 06 Day

Date of IRB

2016 Year 12 Month 06 Day

Anticipated trial start date

2017 Year 01 Month 12 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry

2019 Year 09 Month 30 Day

Date trial data considered complete

2020 Year 12 Month 31 Day

Date analysis concluded

2021 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2016 Year 12 Month 26 Day

Last modified on

2020 Year 12 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028930


Research Plan
Registered date File name
2020/04/14 20190409__Protocol_高血圧紹介状cRCT_5版.docx

Research case data specifications
Registered date File name
2020/04/14 CRF.docx

Research case data
Registered date File name
2020/04/14 研究症例データ.docx