Document Detail

Moving beyond guidelines: are report cards the answer to high rates of uncontrolled hypertension?
MedLine Citation:
PMID:  16884664     Owner:  NLM     Status:  MEDLINE    
Hypertension control rates remain alarmingly low worldwide despite the extensive evidence for decreased rates of cardiovascular, cerebrovascular, and renal events in response to blood pressure (BP) lowering to recommended targets. Several classes of antihypertensive drugs are available, which in combination can produce major decreases in BP, with minimal side effects. Moreover, most patients only have mild hypertension and, in general, can be controlled to < 140/90 mm Hg by proper combinations of two antihypertensive drugs. Although patient-related factors clearly contribute to poor control of hypertension, physician-related factors, particularly "passive" therapeutic inertia, are as responsible if not more so. Recent studies clearly indicate that monitoring performance of individual physicians and providing feedback on the care delivered by them can move treatment of hypertension to BP control rates in the 60% to 70% range. If health care organizations would implement this approach, enormous benefits could be expected for the prevention of cardiovascular and cerebrovascular disease.
Marcel Ruzicka; Frans H H Leenen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current hypertension reports     Volume:  8     ISSN:  1522-6417     ISO Abbreviation:  Curr. Hypertens. Rep.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-03     Completed Date:  2006-12-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  100888982     Medline TA:  Curr Hypertens Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  324-9     Citation Subset:  IM    
Hypertension Unit, University of Ottawa Heart Institute, 40 Ruskin Street, Room H360, Ottawa, Ontario, Canada K1Y 4W7.
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MeSH Terms
Antihypertensive Agents / standards,  therapeutic use*
Clinical Trials as Topic
Drug Prescriptions / standards
Health Knowledge, Attitudes, Practice
Hypertension / drug therapy,  epidemiology*,  physiopathology
Patient Compliance
Physician's Practice Patterns / standards*,  statistics & numerical data
Practice Guidelines as Topic
Risk Factors
Reg. No./Substance:
0/Antihypertensive Agents

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

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