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The COMmon control of hypErtenSion and Therapeutic Attitudes in Belgium and Luxemburg study (COME STAI). | LitMetric

AI Article Synopsis

  • This study aimed to evaluate how hypertension is managed by general practitioners in Belgium and Luxembourg, just before new treatment guidelines were published in 2013.
  • A total of 516 doctors assessed over 10,000 hypertensive patients, revealing that many were not receiving the necessary adjustments to their treatments, particularly those with higher blood pressure levels.
  • The findings indicate significant opportunities for improving hypertension management, especially for older patients and those at higher cardiovascular risk, as their treatment often remains unchanged despite their conditions.

Article Abstract

Study Aim: The aim of this study was to assess hypertension management in general practice in Belgium and Luxembourg, shortly before the publication of the 2013 ESH/ESC Guidelines for arterial hypertension management.

Methods: A total of 516 general physicians evaluated 10,078 consecutive hypertensive patients. All used the same definitions to assess cardiovascular risk.

Results: Systolic (S) blood pressure (BP) was 139 ± 19 mmHg, diastolic (D) BP 80 ± 11 mmHg, patients were 64 ± 13 years old and their body mass index (BMI) was 28 ± 5 kg/m2 (mean ± SD). Treatment remained unchanged in 71% of the patients with a SBP ≥ 140 mmHg. Those on ≥ 2 antihypertensive drugs were older, had higher BMI, slower HR, higher perceived cardiovascular risk, but lower BP (all P ≤ 0.001 vs no and monotherapy groups). Patients in whom treatment was intensified were at higher cardiovascular risk, as substantiated by an increased prevalence of males, a higher BP, a faster HR and a larger BMI (all P ≤ 0.0001). High cardiovascular risk patients underwent more frequent treatment simplifications with fixed-combination therapies or the addition of another antihypertensive class (all P ≤ 0.0001 vs not at high cardiovascular risk). Among the 523 patients older than 80 years with SBP ≥ 140 mmHg, treatment intensification occurred in 32% when SBP ≥ 150 mmHg, and in 10% when SBP was between 140 and 149 mmHg (P ≤ 0.0001).

Conclusion: The COME STAI study suggests that there is still room for improvement in hypertension control in Belgium and Luxembourg.

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Source
http://dx.doi.org/10.2143/AC.71.1.3132095DOI Listing

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