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  • Title: Awareness of hypertension guidelines in general practice: a pilot study in Lombardy.
    Author: Cuspidi C, Michev I, Severgnini B, Fusi V, Valerio C, Meani S, Vaccarella A, Palumbo G, Muiesan ML, Magrini F, Zanchetti A, Lombardy Regional Section of the Italian Society of Hypertension.
    Journal: Ital Heart J; 2002 Jan; 3(1):60-3. PubMed ID: 11899593.
    Abstract:
    BACKGROUND: An adequate knowledge of hypertension guidelines by primary care physicians is a fundamental step for the improvement of the diagnosis and treatment of hypertension in the general population. The aim of this study was to evaluate, in a local survey in the northern area of Lombardy, the general practitioners' knowledge of the WHO/ISH guidelines. METHODS: A 10-item mail questionnaire based on the 1999 WHO/ISH hypertension guidelines was sent to a sample of 280 primary care physicians. The number of answers in agreement with the guidelines was used as a measure of guidelines knowledge, that was considered adequate if a correct answer to 6 out of 10 questions, in addition to an adequate definition of hypertension, was provided. RESULTS: The analysis was based on 83 returned questionnaires, that means a 29% response rate. Guidelines knowledge was adequate in 23.5% of the total study population and the mean score of correct answers was 5.5 points. A significant negative correlation (r = 0.27, p < 0.05) was observed between the mean score of knowledge and the physician's age. CONCLUSIONS: In a sample of primary care physicians from a northern region of Italy, the hypertension guidelines knowledge is inadequate; the reasons and the extent of this poor awareness will require further studies.
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