Document Detail


Treatment and blood pressure control in Spain during 2002-2010.
MedLine Citation:
PMID:  22990354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine the evolution of hypertension management and blood pressure (BP) control in Spain in the last decade across PRESCAP 2002, 2006 and 2010.
METHODS: The methodology of the three studies was the same. They were multicenter and cross-sectional surveys aimed to determine BP control rates in hypertensive patients in primary care in Spain during 2002, 2006 and 2010, respectively. In each study, patients at least 18 years, with an established diagnosis of hypertension were included. Adequate BP control was defined as BP less than 140/90 mmHg in the general population (<130/85 mmHg in PRESCAP 2002 and less than 130/80 mmHg in PRESCAP 2006 and PRESCAP 2010 for patients with diabetes, chronic kidney disease and cardiovascular disease).
RESULTS: A total of 12,754 patients (mean age 63.3 ± 10.8 years; 57.2% women), 10,520 patients (64.6 ± 11.3 years; 53.7% women) and 12,961 patients (66.3 ± 11.4; 52.0% women) were included in PRESCAP 2002, PRESCAP 2006 and PRESCAP 2010 studies respectively. With regard to BP control rates, 36.1% [95% confidence interval (CI) 35.2-36.9%], 41.4% (95% CI 40.5-42.4%) and 46.3% of patients (95% CI 45.4-47.1%) achieved BP goals in PRESCAP 2002, PRESCAP 2006 and PRESCAP 2010, respectively (P < 0.0001). In PRESCAP 2002, 56% of patients were on monotherapy, 35.6% were taking two drugs and 8.4% at least three drugs. In PRESCAP 2006 these numbers were 44.4, 41.1 and 14.5%, respectively, and in PRESCAP 2010 they were 36.4, 44.1 and 19.5%, respectively (P < 0.0001).
CONCLUSION: BP control rates have improved in Spain from 2002 to 2010. This may be related, at least in part, with the higher use of antihypertensive treatment, particularly combined therapy.
Authors:
Jose L Llisterri; Gustavo C Rodriguez-Roca; Carlos Escobar; F Javier Alonso-Moreno; Miguel A Prieto; Vivencio Barrios; Diego González-Alsina; Juan A Divisón; Vicente Pallarés; Pere Beato; ;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hypertension     Volume:  30     ISSN:  1473-5598     ISO Abbreviation:  J. Hypertens.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-16     Completed Date:  2013-07-01     Revised Date:  2013-08-09    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  2425-31     Citation Subset:  IM    
Affiliation:
Primary Care Center Ingeniero Joaquín Benlloch, Valencia, Spain. jllisterric@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Antihypertensive Agents / pharmacology,  therapeutic use*
Blood Pressure / drug effects
Cross-Sectional Studies
Disease Management*
Female
Humans
Hypertension / drug therapy*,  epidemiology
Male
Middle Aged
Retrospective Studies
Spain / epidemiology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Investigator
Investigator/Affiliation:
F J Alonso Moreno / ; L M Artigao / ; A Barquilla García / ; V Barrios Alonso / ; P Beato Fernández / ; A Calderón / ; J L Cañada Merino / ; E Carrasco Carrasco / ; J L Carrasco Martín / ; S Cinza Sanjurjo / ; J A Divisón / ; R Durá Belinchón / ; C Escobar Cervantes / ; J M Fernández Toro / ; M Ferreiro Madueño / ; A Galgo Nafría / ; E I García Criado / ; A García Lerín / ; L García Matarín / ; O García Vallejo / ; R Genique Martínez / ; I Gil Gil / ; A González Sánchez / ; J L Górriz Teruel / ; S Lou Arnal / ; J L Llisterri Caro / ; J C Martí Canales / ; J J Mediavilla Bravo / ; V Pallarés / ; Carratalá / ; J Polo García / ; M A Prieto Díaz / ; T Rama Martínez / ; G C Rodríguez Roca / ; T Sánchez Ruiz / ; C Santos Altozano / ; J A Santos Rodríguez / ; A Coruña / ; F Valls Roca / ; S M Velilla Zancada / ; A Vicente Molinero /
Comments/Corrections
Comment In:
J Hypertens. 2013 Mar;31(3):630-1   [PMID:  23615217 ]
J Hypertens. 2013 Mar;31(3):631-2   [PMID:  23615218 ]

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