Uncontrolled hypertension is a common and important risk factor for heart disease and stroke. Nevertheless, the control rate among patients taking prescribed medication and/or therapeutic lifestyle modification has remained about the same for the past several decades.
We analyzed 2003 and 2004 National Ambulatory Medical Care Survey (NAMCS) data to determine hypertension control in the physician offices in the United States. All visits for hypertension with measured blood pressure levels were included in the analyses. Survey weights were applied to obtain national estimates. Characteristics associated with hypertension control status were identified.
About 176 million hypertension-related office visits occurred (9.7% of total office visits) during 2003 and 2004. Of these, 17, 44, and 62% of visits had blood pressure <130/80 mm Hg, 140/90 mm Hg, and 145/95 mm Hg, respectively. The likelihood of hypertension control (<140/90 mm Hg) was associated with a diagnosis of coronary heart disease (odds ratio (OR) 1.54, 95% confidence interval (CI) = 1.01-2.35), visits with increased serum cholesterol (OR = 1.34, 95% CI = 1.09-1.65), visits with patients' primary care physician vs. those with non-primary care physicians (OR = 1.49, 95% CI = 1.05-2.10), and visits with internists (OR = 1.32, 95% CI = 1.05-1.67) or cardiologists (OR = 1.70, 95% CI = 1.17-2.471) vs. those with family physicians. Age, gender, race/ethnicity, health insurance status, and prescription of types of antihypertensive medicine were not associated with hypertension control in office visits.
The hypertension control rate of 44% in US office visits leaves substantial room for improvement. A strong emphasis on improving hypertension management is needed to reduce hypertension-related morbidity and mortality.
"Among the 65 million Americans with hypertension, the minority have controlled blood pressure, with estimates falling between 38% and 44%  . Hypertensive crises, however, occur in less than 1% of individuals with hypertension . "
[Show abstract][Hide abstract] ABSTRACT: nicznymi w większym stopniu liczą na własne działania i współpracę w ramach zespołu praktyki. Abstract: Aim. To assess differences between Polish family doctors and primary care physi - cians in other Central and Eastern European (CEE) countries in perceptions of own practice in provi - sion of care to patients with cardiovascular problems. Material and method. A questionnaire con - taining 26 questions, including 15 closed and 11 with predefined answers in Likert scale was used in the study. The survey was conducted through the postal questionnaire, distributed to random sam - ple of members of the College of Family Physicians in Poland and primary health care physicians in 8 other CEE countries. Results. 859 out of 3000 sampled doctors (29%) returned the completed question -
Otto Mayer, Jitka Seidlerová, Václava Černá, Alena Kučerová, Jan Bruthans, Petra Vágovičová, Jiří Vaněk, Katarína Timoracká, Peter Wohlfahrt, Jan Filipovský, Renata Cífková, Martin Pešta
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