Document Detail

Choosing a definition of hypertension: impact on epidemiological estimates.
MedLine Citation:
PMID:  8934354     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the impact of the use of different definitions on epidemiological estimates of hypertension. METHOD: The four most commonly accepted definitions of hypertension were applied to the 2353 subjects of a hypertension population prevalence survey in Québec. RESULTS: Depending on the definition used, the estimated prevalences of hypertension ranged from 9.6 to 19.9%, from 9.3 to 22.5% for men and from 9.9 to 17.4% for women. Successful control ranged from 15.5 to 68.1%. Regardless of the definition employed, lack of case detection was the main barrier to hypertension control, from 73.2 to 77.1% for men and from 34.6 to 62.0% for women. Lack of appropriate treatment or compliance, or both, was a more important barrier to blood pressure control for women than for men. CONCLUSION: This study shows that the choice of a definition has an important impact on clinically and epidemiologically relevant hypertension estimates for impending clinical and public health decisions.
R Guibert; E D Franco
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of hypertension     Volume:  14     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-02-25     Completed Date:  1997-02-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1275-80     Citation Subset:  IM    
Department of Family Medicine, McGill University, Montréal, Canada.
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MeSH Terms
Hypertension / epidemiology*
Middle Aged
Quebec / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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