These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Primary care physicians behaviour on hypertensive patients with poor blood pressure control. The PRESCAP 2006 study].
    Author: Alonso-Moreno FJ, Llisterri Caro JL, Rodríguez-Roca GC, Ferreiro Madueño M, González-Segura Alsina D, Divisón Garrote JA, Banegas JR, Barrios Alonso V, Lou Arnal S, Sánchez Ruiz T, Santos Rodríguez JA, Durá Belinchón R, Grupo de Trabajo de Hipertensión Arterial de la Sociedad Española de Médicos de Atención Primaria (Grupo HTA/SEMERGEN), Estudio PRESCAP 2006.
    Journal: Rev Clin Esp; 2008 Sep; 208(8):393-9. PubMed ID: 18817698.
    Abstract:
    INTRODUCTION: There is little information available on Therapeutic Inertia in Primary Care (PC). This study aimed to know the therapeutic behavior of the physician for uncontrolled hypertensive patients. PATIENTS AND METHODS: Cross-sectional, multicenter study that included hypertensive patients of both genders, under pharmacological treatment who were recruited consecutively in the PC out-patient clinic in all of Spain. Social-demographic, clinical and treatment data were recorded, as well as the motives for eventual therapeutic modification. Adequate BP control was considered when BP values were below 140/90 mmHg in general, and below 130/80 mmHg in diabetes, renal insufficiency or cardiovascular disease. RESULTS: A total of 10,520 patients (53.7% women) were included with average age of 64.6 (11.3 years). Of these, 44.4% the patients were receiving monotherapy and 55.6% were treated with combined therapy (two drugs 41.2%, three drugs 11.7%, and more than three 2.8%). Uncontrolled hypertension was found in 58.6% (95% CI. 57.6-59.5) of the patients. Treatment was modified by physicians in 30.4% (95% CI. 29.2-31.6) of the uncontrolled patients, combination with another drug being the most frequent behavior (46.3%), followed by dose increase (26.1%), and antihypertensive drug switch (22.8%). The perception of the physician of good BP control was the factor most associated with not modifying the treatment in uncontrolled patients. CONCLUSIONS: Study results showed that the PC physician modified antihypertensive treatment in only 3 out of 10 uncontrolled patients. When treatment modification was made, association of drugs was the most frequent behavior.
    [Abstract] [Full Text] [Related] [New Search]