Treatment of 5413 hypertensive patients: a cross-sectional study

Margit Paulsen; J Sondergaard; Lene Ørskov Reuther; P S Larsen; Anders Munck; P V Larsen; Jan Damsgaard; L Poulsen; D G Hansen; I A Jacobsen; M L Larsen; H R Christensen; B Christensen; M Andersen

doi:10.1093/fampra/cmr027

Treatment of 5413 hypertensive patients: a cross-sectional study

Margit Paulsen, J Sondergaard, Lene Ørskov Reuther, P S Larsen, Anders Munck, P V Larsen, Jan Damsgaard, L Poulsen, D G Hansen, I A Jacobsen, M L Larsen, H R Christensen, B Christensen, M Andersen

Department of Clinical Medicine

18 Citations (Scopus)

Abstract

Background. Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors to consider when optimizing the individual treatment strategy in hypertensive patients. Objective. To examine treatment of BP according to Danish guidelines (BP < 140/90 mmHg generally and <130/80 mmHg for diabetics) in a population from general practice in relation to risk factors, CVD and diagnosis of diabetes.Methods. A cross-sectional study comprising 184 practices and 5413 hypertensive patients was carried out in Denmark. The general practitioners filled in information on each patient's risk factors, CVD and antihypertensive drug treatment. Patients filled in a questionnaire on risk factors. The outcome measures were optimal BP control according to Danish guidelines and antihypertensive drug treatment. Results. Mean patient age was 65.9 years [95% confidence interval (CI): 65.6-66.1]. Optimal BP control was achieved in 29.1% (95% CI: 27.9-30.3) of the study population. Among 842 diabetics with or without CVD, optimal BP control was achieved in 10.9% (95% CI: 8.8-10.3), while 38.7% (35.5-41.9) of patients with CVD achieved optimal BP control. The majority of all patients were treated with 1 (32.5%, 95% CI: 32.5 (31.3-33.8)) or two antihypertensive drugs (39.0%, 95% CI: 38.2-40.8). In hypertensive diabetics, 17.7% were not treated with an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. Conclusion. In general practice, the proportion of hypertensive patients achieving optimal BP control is inadequate. The majority of hypertensive patients are treated with only one or two antihypertensive drugs.

Original language	English
Journal	Family Practice
Volume	28
Issue number	6
Pages (from-to)	599-607
Number of pages	9
ISSN	0263-2136
DOIs	https://doi.org/10.1093/fampra/cmr027 https://doi.org/10.1093/fampra/cmr027
Publication status	Published - Dec 2011

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Paulsen, M., Sondergaard, J., Reuther, L. Ø., Larsen, P. S., Munck, A., Larsen, P. V., Damsgaard, J., Poulsen, L., Hansen, D. G., Jacobsen, I. A., Larsen, M. L., Christensen, H. R., Christensen, B., & Andersen, M. (2011). Treatment of 5413 hypertensive patients: a cross-sectional study. Family Practice, 28(6), 599-607. https://doi.org/10.1093/fampra/cmr027, https://doi.org/10.1093/fampra/cmr027

Paulsen, M, Sondergaard, J, Reuther, LØ, Larsen, PS, Munck, A, Larsen, PV, Damsgaard, J, Poulsen, L, Hansen, DG, Jacobsen, IA, Larsen, ML, Christensen, HR, Christensen, B & Andersen, M 2011, 'Treatment of 5413 hypertensive patients: a cross-sectional study', Family Practice, vol. 28, no. 6, pp. 599-607. https://doi.org/10.1093/fampra/cmr027, https://doi.org/10.1093/fampra/cmr027

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title = "Treatment of 5413 hypertensive patients: a cross-sectional study",

abstract = "Background. Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors to consider when optimizing the individual treatment strategy in hypertensive patients. Objective. To examine treatment of BP according to Danish guidelines (BP < 140/90 mmHg generally and <130/80 mmHg for diabetics) in a population from general practice in relation to risk factors, CVD and diagnosis of diabetes.Methods. A cross-sectional study comprising 184 practices and 5413 hypertensive patients was carried out in Denmark. The general practitioners filled in information on each patient's risk factors, CVD and antihypertensive drug treatment. Patients filled in a questionnaire on risk factors. The outcome measures were optimal BP control according to Danish guidelines and antihypertensive drug treatment. Results. Mean patient age was 65.9 years [95% confidence interval (CI): 65.6-66.1]. Optimal BP control was achieved in 29.1% (95% CI: 27.9-30.3) of the study population. Among 842 diabetics with or without CVD, optimal BP control was achieved in 10.9% (95% CI: 8.8-10.3), while 38.7% (35.5-41.9) of patients with CVD achieved optimal BP control. The majority of all patients were treated with 1 (32.5%, 95% CI: 32.5 (31.3-33.8)) or two antihypertensive drugs (39.0%, 95% CI: 38.2-40.8). In hypertensive diabetics, 17.7% were not treated with an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. Conclusion. In general practice, the proportion of hypertensive patients achieving optimal BP control is inadequate. The majority of hypertensive patients are treated with only one or two antihypertensive drugs.",

author = "Margit Paulsen and J Sondergaard and Reuther, {Lene {\O}rskov} and Larsen, {P S} and Anders Munck and Larsen, {P V} and Jan Damsgaard and L Poulsen and Hansen, {D G} and Jacobsen, {I A} and Larsen, {M L} and Christensen, {H R} and B Christensen and M Andersen",

year = "2011",

month = dec,

doi = "10.1093/fampra/cmr027",

language = "English",

volume = "28",

pages = "599--607",

journal = "Family Practice",

issn = "0263-2136",

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number = "6",

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TY - JOUR

T1 - Treatment of 5413 hypertensive patients: a cross-sectional study

AU - Paulsen, Margit

AU - Sondergaard, J

AU - Reuther, Lene Ørskov

AU - Larsen, P S

AU - Munck, Anders

AU - Larsen, P V

AU - Damsgaard, Jan

AU - Poulsen, L

AU - Hansen, D G

AU - Jacobsen, I A

AU - Larsen, M L

AU - Christensen, H R

AU - Christensen, B

AU - Andersen, M

PY - 2011/12

Y1 - 2011/12

N2 - Background. Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors to consider when optimizing the individual treatment strategy in hypertensive patients. Objective. To examine treatment of BP according to Danish guidelines (BP < 140/90 mmHg generally and <130/80 mmHg for diabetics) in a population from general practice in relation to risk factors, CVD and diagnosis of diabetes.Methods. A cross-sectional study comprising 184 practices and 5413 hypertensive patients was carried out in Denmark. The general practitioners filled in information on each patient's risk factors, CVD and antihypertensive drug treatment. Patients filled in a questionnaire on risk factors. The outcome measures were optimal BP control according to Danish guidelines and antihypertensive drug treatment. Results. Mean patient age was 65.9 years [95% confidence interval (CI): 65.6-66.1]. Optimal BP control was achieved in 29.1% (95% CI: 27.9-30.3) of the study population. Among 842 diabetics with or without CVD, optimal BP control was achieved in 10.9% (95% CI: 8.8-10.3), while 38.7% (35.5-41.9) of patients with CVD achieved optimal BP control. The majority of all patients were treated with 1 (32.5%, 95% CI: 32.5 (31.3-33.8)) or two antihypertensive drugs (39.0%, 95% CI: 38.2-40.8). In hypertensive diabetics, 17.7% were not treated with an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. Conclusion. In general practice, the proportion of hypertensive patients achieving optimal BP control is inadequate. The majority of hypertensive patients are treated with only one or two antihypertensive drugs.

AB - Background. Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors to consider when optimizing the individual treatment strategy in hypertensive patients. Objective. To examine treatment of BP according to Danish guidelines (BP < 140/90 mmHg generally and <130/80 mmHg for diabetics) in a population from general practice in relation to risk factors, CVD and diagnosis of diabetes.Methods. A cross-sectional study comprising 184 practices and 5413 hypertensive patients was carried out in Denmark. The general practitioners filled in information on each patient's risk factors, CVD and antihypertensive drug treatment. Patients filled in a questionnaire on risk factors. The outcome measures were optimal BP control according to Danish guidelines and antihypertensive drug treatment. Results. Mean patient age was 65.9 years [95% confidence interval (CI): 65.6-66.1]. Optimal BP control was achieved in 29.1% (95% CI: 27.9-30.3) of the study population. Among 842 diabetics with or without CVD, optimal BP control was achieved in 10.9% (95% CI: 8.8-10.3), while 38.7% (35.5-41.9) of patients with CVD achieved optimal BP control. The majority of all patients were treated with 1 (32.5%, 95% CI: 32.5 (31.3-33.8)) or two antihypertensive drugs (39.0%, 95% CI: 38.2-40.8). In hypertensive diabetics, 17.7% were not treated with an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. Conclusion. In general practice, the proportion of hypertensive patients achieving optimal BP control is inadequate. The majority of hypertensive patients are treated with only one or two antihypertensive drugs.

U2 - 10.1093/fampra/cmr027

DO - 10.1093/fampra/cmr027

M3 - Journal article

C2 - 21596691

SN - 0263-2136

VL - 28

SP - 599

EP - 607

JO - Family Practice

JF - Family Practice

IS - 6

ER -

Treatment of 5413 hypertensive patients: a cross-sectional study

Abstract

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