Document Detail

Diagnosis and management of hypertension: the stated practices of family physicians.
MedLine Citation:
PMID:  6704861     Owner:  NLM     Status:  MEDLINE    
Hypertension is an important and common problem in family practice, but there is no general agreement on the systolic and diastolic pressures at which it should be diagnosed and treated. Responses from 273 family physicians surveyed by mail in Metropolitan Toronto showed a wide variation in the pressures used as cut-off points. The probability that in a given patient hypertension would be diagnosed or treated at different systolic and diastolic pressures varied considerably among the physicians, the variation increasing with the age of the patient. There was also wide variation in opinion among the surveyed physicians about how often patients should be screened for hypertension; depending on the patient's age, up to 35% of the physicians stated that the blood pressure should be measured at every visit. Only one third reported using any one or more methods to ensure that patients with hypertension were not lost to follow-up. The family physicians with an academic appointment used higher cut-off points for diagnosis and treatment, and they screened and scheduled follow-up visits less frequently than those without an academic appointment.
E Dunn; J Hilditch; M Chipman; G Hardacre; M Morrison
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  130     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1984 Apr 
Date Detail:
Created Date:  1984-05-21     Completed Date:  1984-05-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  985-8     Citation Subset:  AIM; IM    
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MeSH Terms
Age Factors
Antihypertensive Agents / therapeutic use
Blood Pressure Determination / methods
Family Practice*
Follow-Up Studies
Hypertension / diagnosis*,  drug therapy
Middle Aged
Reg. No./Substance:
0/Antihypertensive Agents

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

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