Document Detail

Continuity of care in hypertension. An important correlate of blood pressure control among aware hypertensives.
MedLine Citation:
PMID:  3341853     Owner:  NLM     Status:  MEDLINE    
Hypertensive patients frequently discontinue follow-up care. In a population-based survey of 4688 adults, we examined the impact of nonattendance on blood pressure control in aware hypertensives. Nonattendance was defined as a failure to visit a physician for hypertensive care within a six-month interval and was reported by 29% of 907 aware hypertensives. Nonattenders had a higher prevalence of diastolic blood pressure above 90 mm Hg (67% vs 30% for attenders). The nonattender profile was male, young, active in the work force, and without coexisting chronic diseases. Poor blood pressure control among nonattenders was associated with a lower treatment rate. Uncontrolled diastolic hypertension and less adherence to medications in nonattenders warrants concern by clinicians.
W M McClellan; W D Hall; D Brogan; C Miles; J A Wilber
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  148     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-03-23     Completed Date:  1988-03-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  525-8     Citation Subset:  AIM; IM    
Department of Medicine, Emory University School of Medicine, Atlanta, GA.
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MeSH Terms
Blood Pressure
Continuity of Patient Care*
Hypertension / physiopathology,  therapy*
Life Style
Middle Aged
Patient Compliance*
Primary Health Care*
Sex Factors
Grant Support

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

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