Article
Improvement in Surrogate Endpoints by a Multidisciplinary Team in a Mobile Clinic Serving a Low-Income, Immigrant Minority Population in South Florida
Journal of Health Care for the Poor and Underserved
ISBN or ISSN
1049-2089
Publication Date / Copyright Date
2-1-2013
Publisher
Johns Hopkins University Press
DOI Number
10.1353/hpu.2013.0028
Abstract
To determine effect on surrogate endpoints for cardiovascular disease (CVD), we performed a retrospective chart review of 114 patients seen by a multidisciplinary team that provided primary care services in a mobile clinic over 12 months. Eligible patients had outcomes available for at least six months. Mixed effect modeling examined variation in surrogate markers for CVD: blood pressure (BP), heart rate, and body mass index. Repeated measures ANOVA compared lipids, hemoglobin A1c, and medication use from baseline and throughout study. Most patients were female (75%), Haitian (76%), and low-income ($747/month) with average age 63 years. Common diagnoses were hypertension (82%) and hyperlipidemia (63%). Significant reduction in systolic BP, total- and LDL-cholesterol, and hemoglobin A1c were found (p
Disciplines
Keywords
- biological markers,
- blood pressure,
- cardiovascular diseases,
- cholesterol,
- emigrants and immigrants,
- female,
- Florida,
- Haiti,
- humans,
- hypertension,
- LDL,
- male,
- middle aged,
- minority groups,
- mobile health units,
- patient care team,
- poverty,
- retrospective studies
Citation Information
Devada Singh-Franco, Alexandra Perez Rivera and William R Wolowich. "Improvement in Surrogate Endpoints by a Multidisciplinary Team in a Mobile Clinic Serving a Low-Income, Immigrant Minority Population in South Florida" Journal of Health Care for the Poor and Underserved Vol. 24 Iss. 1 (2013) p. 67 - 77 Available at: http://works.bepress.com/william-wolowich/8/