Faculty Articles

Title

Improvement in Surrogate Endpoints by a Multidisciplinary Team in a Mobile Clinic Serving a Low-Income, Immigrant Minority Population in South Florida

ISBN or ISSN

1049-2089

Publication Title

Journal of Health Care for the Poor and Underserved

Volume

24

Issue

1

Publication Date / Copyright Date

2-2013

First Page

67

Last Page

77

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

Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences

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

Peer Reviewed

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