| Clinical practice and recent recommendations in hypertension management--reporting a gap in a global survey of 1259 primary care physicians in 17 countries. | |
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MedLine Citation:
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PMID: 17407635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: High blood pressure (BP) is a leading risk factor for cardiovascular morbidity and mortality. Effective antihypertensive pharmacotherapy is available but recognition and proper management of hypertension and BP goal achievement is still poor. Therefore, it was hypothesized that physicians' attitude towards high BP, as well as patients' perception and knowledge, may influence actual management of hypertension. RESEARCH DESIGN AND METHODS: Telephone interviews were carried out with a random sample of 1259 primary care physicians in 17 countries worldwide from 12 December 2005 to 13 January 2006 using a central computer assisted telephone interview methodology (CATI). RESULTS: (1) Physicians believed that 62 +/- 21% of their patients had their BP controlled. (2) They were mostly in line with guideline recommended BP goals and 96% were aware of the elevated cardiovascular risk of hypertension, but 41% aimed to reduce BP to acceptable levels only. (3) Physicians indicated that in 41% of patients monotherapy controls BP and 71% would escalate to combination therapy after monotherapy failure. (4) 54% regard hypertension management as difficult. (5) Physicians estimated that between 60 and 70% of patients know their BP goal but thought that there was still room for improvement of hypertension management on the patient side. CONCLUSION: Although many effective treatment options for arterial hypertension exist, BP goal achievement worldwide is suboptimal, leaving patients at an unnecessary cardiovascular risk. An increase in patients' awareness and compliance together with an increased adherence of physicians to current guidelines should help in reducing the long term cardiovascular consequences of hypertension. |
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Authors:
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Peter Bramlage; Martin Thoenes; Wilhelm Kirch; Claude Lenfant |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Current medical research and opinion Volume: 23 ISSN: 1473-4877 ISO Abbreviation: Curr Med Res Opin Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-04 Completed Date: 2007-05-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0351014 Medline TA: Curr Med Res Opin Country: England |
Other Details:
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Languages: eng Pagination: 783-91 Citation Subset: IM |
Affiliation:
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Institute for Clinical Pharmacology, Medical Faculty, Dresden, Germany. bramlage@mailbox.tu-dresden.de <bramlage@mailbox.tu-dresden.de> |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Awareness Blood Pressure / physiology Drug Therapy / utilization Geography Guideline Adherence* Health Care Surveys Health Knowledge, Attitudes, Practice Humans Hypertension / drug therapy* Interviews as Topic Perception Physician's Practice Patterns* Physician-Patient Relations Physicians, Family / psychology* Questionnaires Random Allocation |
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