| Patient knowledge of blood pressure target is associated with improved blood pressure control in chronic kidney disease. | |
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MedLine Citation:
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PMID: 22459637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe patient hypertension knowledge and associations with blood pressure measurements. METHODS: Patients with chronic kidney disease (CKD) were asked about the impact of high blood pressure on kidneys and their target blood pressure goal. Systolic blood pressure was measured using automated sphygmomanometers. RESULTS: In 338 adults with hypertension and pre-dialysis CKD, the median [IQR] age was 59 [47,68] years, 45% [n = 152] were women, and 18% [n = 62] were non-white. Lower systolic blood pressure (SBP) was associated with female sex (SBP mmHg median [IQR] 132 [117,149] women vs. 137 [124,152] men; p = 0.04), less advanced CKD (SBP 134 [122,147] stages 1-2 vs. 132 [118,148] stage 3 vs. 140 [125,156] stages 4-5; p = 0.01), and patient ability to correctly identify SBP goal (SBP 134 [119,150] correct vs. 141 [125,154] incorrect; p = 0.05). In adjusted analysis, knowledge of blood pressure goal remained independently associated with lower SBP (-9.96 mmHg [-19.97, -1.95] in correct respondents vs. incorrect; p<0.001). CONCLUSION: Patient knowledge of goal blood pressure is independently associated with improved blood pressure control. PRACTICE IMPLICATIONS: Interventions to improve patient knowledge of specific blood pressure targets may have an important role in optimizing blood pressure management. |
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Authors:
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Julie A Wright-Nunes; James Matthew Luther; Talat Alp Ikizler; Kerri L Cavanaugh |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2012-03-27 |
Journal Detail:
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Title: Patient education and counseling Volume: 88 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-07-31 Completed Date: 2012-10-26 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 184-8 Citation Subset: N |
Copyright Information:
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Copyright © 2012 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA. juwright@med.umich.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Pressure / physiology* Blood Pressure Determination Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice* Health Literacy Humans Hypertension / etiology, prevention & control* Kidney Failure, Chronic / complications, physiopathology* Male Middle Aged Severity of Illness Index Socioeconomic Factors |
| Grant Support | |
ID/Acronym/Agency:
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K23 DK080952-02S1/DK/NIDDK NIH HHS; K23DK080952-2S1/DK/NIDDK NIH HHS; K24 DK062849/DK/NIDDK NIH HHS; K24 DK062849-01/DK/NIDDK NIH HHS; T32 DK007569/DK/NIDDK NIH HHS |
| Comments/Corrections | |
Comment In:
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Patient Educ Couns. 2012 Aug;88(2):157-8
[PMID:
22846465
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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