Department of Physiology, Pharmacology, and Toxicology, Faculty of Medicine & Health Sciences, New Campus, An-Najah National University, PO Box 7, Building 19, Office 1340, Nablus, Palestine. Email:
Am J Manag Care. 2021 Nov 1;27(11):e386-e394. doi: 10.37765/ajmc.2021.88782.
Therapeutic/clinical inertia is thought to be responsible for up to 80% of cardiovascular events. This study was conducted as a comprehensive scoping and bibliometric analysis of peer-reviewed scholarly documents reporting on factors associated with therapeutic/clinical inertia in caring for patients with hypertension. Additionally, this study identified the factors associated with therapeutic/clinical inertia in hypertension.
This study was a scoping and bibliometric analysis.
The databases MEDLINE/PubMed, Embase, CINAHL/EBSCO, Cochrane, and Scopus were searched from inception to September 23, 2020, using relevant keywords. Documents reporting on factors associated with therapeutic/clinical inertia in caring for patients with hypertension were selected based on inclusion criteria. Bibliometric indicators and VOSviewer were used to analyze and map citation and keyword networks.
Data were collected from 71 documents. Of those, 43 (60.6%) were original articles, 54 (76.1%) were published after 2010, and 41 (57.7%) originated from the United States. Mapping cooccurrence of terms identified 112 hot topics that were grouped into 4 clusters. A total of 41 factors associated with therapeutic/clinical inertia were identified from the documents selected. Of those, 23 (56.1%) were related to the physician, 12 (29.3%) were related to the patient, and 6 (14.6%) were related to the health care system.
This scoping and bibliometric study provides insights into the width and depth of scholarly peer-reviewed documents on factors associated with therapeutic/clinical inertia in caring for patients with hypertension. Findings of this study could be helpful in shaping future directions of research into therapeutic/clinical inertia in hypertension.
据认为，治疗/临床惯性导致了多达 80%的心血管事件。本研究对报告与高血压患者治疗/临床惯性相关因素的同行评议学术文献进行了全面的范围界定和文献计量分析。此外，本研究还确定了与高血压治疗/临床惯性相关的因素。
本研究为范围界定和文献计量分析。
从数据库 MEDLINE/PubMed、Embase、CINAHL/EBSCO、Cochrane 和 Scopus 中检索从创建到 2020 年 9 月 23 日的相关关键字，选择符合纳入标准的报告与高血压患者治疗/临床惯性相关因素的文献。使用文献计量指标和 Vosviewer 分析和绘制引文和关键词网络。
共收集到 71 篇文献。其中，43 篇（60.6%）为原始文章，54 篇（76.1%）发表于 2010 年之后，41 篇（57.7%）来自美国。对术语共现的映射确定了 112 个热点，将其分为 4 个聚类。从选定的文献中总共确定了 41 个与治疗/临床惯性相关的因素。其中，23 个（56.1%）与医生有关，12 个（29.3%）与患者有关，6 个（14.6%）与医疗保健系统有关。
本范围界定和文献计量研究深入了解了与高血压患者治疗/临床惯性相关因素的同行评议学术文献的广度和深度。本研究的结果可能有助于确定高血压治疗/临床惯性研究的未来方向。
