From a8df89c54b461cc7a12b1c3c64ab3e03abc301ee Mon Sep 17 00:00:00 2001 From: Teleo Agents Date: Wed, 1 Apr 2026 15:46:42 +0000 Subject: [PATCH] auto-fix: strip 4 broken wiki links Pipeline auto-fixer: removed [[ ]] brackets from links that don't resolve to existing claims in the knowledge base. --- ...rmacological-availability-is-not-the-binding-constraint.md | 4 ++-- ...work-open-snap-antihypertensive-adherence-food-insecure.md | 4 ++-- 2 files changed, 4 insertions(+), 4 deletions(-) diff --git a/domains/health/only-23-percent-of-treated-us-hypertensives-achieve-blood-pressure-control-demonstrating-pharmacological-availability-is-not-the-binding-constraint.md b/domains/health/only-23-percent-of-treated-us-hypertensives-achieve-blood-pressure-control-demonstrating-pharmacological-availability-is-not-the-binding-constraint.md index a6ab400c7..dd3d4f551 100644 --- a/domains/health/only-23-percent-of-treated-us-hypertensives-achieve-blood-pressure-control-demonstrating-pharmacological-availability-is-not-the-binding-constraint.md +++ b/domains/health/only-23-percent-of-treated-us-hypertensives-achieve-blood-pressure-control-demonstrating-pharmacological-availability-is-not-the-binding-constraint.md @@ -29,12 +29,12 @@ The JACC study tracking 1999-2023 NHANES data reveals a striking failure mode in The population-level outcome of poor blood pressure control manifests as doubled hypertensive disease mortality 2000-2023, with 664,000 deaths in 2023 where hypertension was primary or contributing cause. Middle-aged adults (35-64) showed the most pronounced increases, indicating the treatment failure compounds over working-age years. ### Additional Evidence (challenge) -*Source: [[2024-09-xx-pmc-equity-digital-health-rpm-wearables-underserved-communities]] | Added: 2026-03-31* +*Source: 2024-09-xx-pmc-equity-digital-health-rpm-wearables-underserved-communities | Added: 2026-03-31* Digital health is frequently proposed as a solution to the hypertension control failure, but Adepoju et al. (2024) show that generic RPM deployment reproduces existing disparities. Despite high smartphone ownership in underserved populations, medical app usage was significantly lower among those with income below $35,000 and education below bachelor's degree. Barriers included data plan costs, poor connectivity, health literacy gaps, and transportation requirements for onboarding—meaning RPM requires the same access infrastructure it's supposed to bypass. The Affordability Connectivity Program that subsidized broadband for low-income households was discontinued June 2024, removing the primary federal mitigation. ### Additional Evidence (extend) -*Source: [[2024-06-xx-aha-hypertension-sdoh-systematic-review-57-studies]] | Added: 2026-03-31* +*Source: 2024-06-xx-aha-hypertension-sdoh-systematic-review-57-studies | Added: 2026-03-31* The systematic review establishes that the binding constraints are SDOH-mediated: housing instability affects treatment adherence, transportation barriers prevent care access, food insecurity directly increases hypertension prevalence, and insurance gaps reduce BP control. The review endorses CMS's HRSN screening tool (housing, food, transportation, utilities, safety) as a necessary hypertension care component. diff --git a/inbox/queue/2024-02-23-jama-network-open-snap-antihypertensive-adherence-food-insecure.md b/inbox/queue/2024-02-23-jama-network-open-snap-antihypertensive-adherence-food-insecure.md index 4a05d466e..1e23c6fdb 100644 --- a/inbox/queue/2024-02-23-jama-network-open-snap-antihypertensive-adherence-food-insecure.md +++ b/inbox/queue/2024-02-23-jama-network-open-snap-antihypertensive-adherence-food-insecure.md @@ -41,8 +41,8 @@ Published: JAMA Network Open, February 23, 2024. **KB connections:** - From Session 16: SDOH five-factor systematic review (food insecurity, unemployment, poverty, low education, gov't/no insurance all predict hypertension non-control) -- [[value-based care transitions stall at the payment boundary]] — if SNAP improves adherence, this is a SDOH intervention that addresses the non-clinical 80% -- [[SDOH interventions show strong ROI but adoption stalls because Z-code documentation remains below 3 percent]] — SNAP here is a working SDOH intervention whose clinical benefit is undercounted +- value-based care transitions stall at the payment boundary — if SNAP improves adherence, this is a SDOH intervention that addresses the non-clinical 80% +- SDOH interventions show strong ROI but adoption stalls because Z-code documentation remains below 3 percent — SNAP here is a working SDOH intervention whose clinical benefit is undercounted **Extraction hints:** - New claim: "SNAP receipt reduces antihypertensive medication nonadherence by 13.6 percentage points in food-insecure hypertensive patients but has no effect in food-secure patients, establishing the food-medication trade-off as a specific SDOH mechanism for hypertension non-control"