Literature DB >> 17953721

Choice of first antihypertensive--are existing guidelines ignored?

Ifeanyi Okechukwu1, Azra Mahmud, Kathleen Bennett, John Feely.   

Abstract

AIMS: To determine adherence to hypertension guidelines in relation to age and diabetes.
METHODS: The Irish HSE-PCRS prescribing database identified patients initiating antihypertensive monotherapy in 2005. Logistic regression predicted the likelihood of therapy according to guidelines.
RESULTS: The odds ratio (OR) of receiving therapies according to the guideline recommendations in those <55 years vs. > or =55 years was 1.31 (95% CI 1.26, 1.37). Diabetics were more likely than nondiabetics to receive antihypertensives other than beta-adrenoceptor blockers (OR 2.97, 95% CI 2.74, 3.21).
CONCLUSIONS: Our findings show some adherence to the guidelines in relation to age but selective prescribing of antihypertensives for diabetics.

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Year:  2007        PMID: 17953721      PMCID: PMC2198782          DOI: 10.1111/j.1365-2125.2007.03005.x

Source DB:  PubMed          Journal:  Br J Clin Pharmacol        ISSN: 0306-5251            Impact factor:   4.335


  9 in total

1.  Antihypertensive drug prescribing in Grampian.

Authors:  Sarah Ross; Mary Joan Macleod
Journal:  Br J Clin Pharmacol       Date:  2005-09       Impact factor: 4.335

2.  Primary care prescribing patterns in Ireland after the publication of large hypertension trials.

Authors:  Zubair Kabir; John Feely; Kathleen Bennett
Journal:  Br J Clin Pharmacol       Date:  2007-07-04       Impact factor: 4.335

3.  Regional variation in the prescribing for diabetes and use of secondary preventative therapies in Ireland.

Authors:  Cara Usher; Kathleen Bennett; John Feely
Journal:  Pharmacoepidemiol Drug Saf       Date:  2005-08       Impact factor: 2.890

4.  Initial treatment of hypertension and adherence to therapy in general practice in Italy.

Authors:  Elisabetta Poluzzi; Petar Strahinja; Antonio Vargiu; Giacomo Chiabrando; Maria Chiara Silvani; Domenico Motola; Giulia Sangiorgi Cellini; Alberto Vaccheri; Fabrizio De Ponti; Nicola Montanaro
Journal:  Eur J Clin Pharmacol       Date:  2005-08-05       Impact factor: 2.953

5.  Does comorbidity explain trends in prescribing of newer antihypertensive agents?

Authors:  Jacoba P Greving; Petra Denig; Willem Jan van der Veen; Frank W Beltman; Miriam C J M Sturkenboom; Dick de Zeeuw; Flora M Haaijer-Ruskamp
Journal:  J Hypertens       Date:  2004-11       Impact factor: 4.844

6.  Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV.

Authors:  B Williams; N R Poulter; M J Brown; M Davis; G T McInnes; J F Potter; P S Sever; S McG Thom
Journal:  J Hum Hypertens       Date:  2004-03       Impact factor: 3.012

7.  Temporal trends in antihypertensive drug prescriptions in Canada before and after introduction of the Canadian Hypertension Education Program.

Authors:  Norman R C Campbell; Finlay A McAlister; Rollin Brant; Mitch Levine; Denis Drouin; Ross Feldman; Robert Herman; Kelly Zarnke
Journal:  J Hypertens       Date:  2003-08       Impact factor: 4.844

8.  The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.

Authors:  Aram V Chobanian; George L Bakris; Henry R Black; William C Cushman; Lee A Green; Joseph L Izzo; Daniel W Jones; Barry J Materson; Suzanne Oparil; Jackson T Wright; Edward J Roccella
Journal:  JAMA       Date:  2003-05-14       Impact factor: 56.272

9.  Treatment for newly diagnosed hypertension: patterns of prescribing and antihypertensive effectiveness in the UK.

Authors:  Tom Walley; Andy K Duggan; Alan R Haycox; Christie J Niziol
Journal:  J R Soc Med       Date:  2003-11       Impact factor: 18.000

  9 in total
  4 in total

1.  Choice of first antihypertensive - are existing guidelines ignored? Response to Vegter & de Jong-van den Berg.

Authors:  Ifeanyi Okechukwu; Azra Mahmud; Kathleen Bennett; John Feely
Journal:  Br J Clin Pharmacol       Date:  2008-10       Impact factor: 4.335

2.  Choice of first antihypertensive--comparison between the Irish and Dutch setting.

Authors:  Stefan Vegter; Lolkje T W de Jong-van den Berg
Journal:  Br J Clin Pharmacol       Date:  2008-05-27       Impact factor: 4.335

3.  Adherence to national guidelines for initiation of antiretroviral regimens in HIV patients: a Danish nationwide study.

Authors:  Tonny S Petersen; Stig E Andersen; January Gerstoft; Kristina Thorsteinsson; Carsten S Larsen; Gitte Pedersen; Court Pedersen; Niels Obel
Journal:  Br J Clin Pharmacol       Date:  2011-07       Impact factor: 4.335

4.  Hypertension guideline adherence among nursing home patients.

Authors:  Paul E Drawz; Cristina Bocirnea; Katarina B Greer; Julian Kim; Florian Rader; Patrick Murray
Journal:  J Gen Intern Med       Date:  2009-02-07       Impact factor: 5.128

  4 in total

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