Document Detail


Regional variations in not treating diagnosed hypertension in Canada.
MedLine Citation:
PMID:  20931092     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Improvements in the diagnosis and treatment of hypertension have been documented in Canada following implementation of a national program to improve hypertension management.
OBJECTIVE: To determine whether there are regional variations in not treating diagnosed hypertension with drugs in Canada.
METHODS: Using data from the Canadian Community Health Survey (CCHS) cycle 3.1 (2005), regional variation in drug treatment of diagnosed hypertension was examined. Also, national drug data from the Intercontinental Medical Statistics CompuScript database were analyzed to determine regional trends in total antihypertensive prescriptions in the period before and following the CCHS cycle 3.1.
RESULTS: The overall rate of untreated hypertension among those diagnosed with hypertension in Canada was 12.7%. The highest untreated rate among those diagnosed with hypertension was in the Northern region (29.2%) and the lowest was in the Atlantic region (8.8%). Alberta (16.5%) and British Columbia (BC) (15.4%) also had higher untreated rates, while Ontario (13.2%) was similar to Canada overall. Younger age, single⁄never married status, larger household size, lack of access to a family physician and daily smoking were all associated with a higher likelihood of not receiving antihypertensive treatment. Adjusting for demographic characteristics, diagnosed hypertensive patients in Alberta (adjusted OR 1.35 [95% CI 1.14 to 1.61]) and BC (adjusted OR 1.64 [95% CI 1.40 to 1.91]) were more likely to be untreated than those in Ontario. The largest overall percentage increase in total antihypertensive prescriptions following the CCHS (ie, 2006) occurred in BC and Ontario. In Alberta, it remained almost unchanged and declined in Manitoba.
CONCLUSIONS: Among adult Canadians diagnosed with hypertension, there were regional variations in the likelihood of not receiving antihypertensive therapy. Further research is required to understand the reasons for these variations to regionally target interventions and improve hypertension management in Canada.
Authors:
Sailesh Mohan; Guanmin Chen; Norm R C Campbell; Brenda R Hemmelgarn
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-10-28     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  409-13     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Calgary, Alberta, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antihypertensive Agents / therapeutic use*
Canada / epidemiology
Delivery of Health Care / statistics & numerical data*
Diagnosis, Differential
Female
Humans
Hypertension / diagnosis,  drug therapy,  epidemiology*
Male
Middle Aged
Physician's Practice Patterns*
Prescription Drugs / standards
Prevalence
Retrospective Studies
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
//Canadian Institutes of Health Research
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Prescription Drugs
Comments/Corrections
Comment In:
Can J Cardiol. 2010 Oct;26(8):415-6   [PMID:  20931093 ]

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


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