Masuma Khanam1, Alex Kitsos2, Jim Stankovich3, Ronald Castelino4, Matthew Jose5, Gregory Peterson6, Barbara Wimmer7, Tabish Razi Zaidi8, Jan Radford9. 1. MBBS, MPH, PhD, Postdoctoral Research Fellow, School of Health Sciences, University of Tasmania, Hobart, Tas. masuma.khanam@utas.edu.au 2. BPhty (Hons), MMedStat, Health Analyst, College of Health and Medicine, University of Tasmania, Hobart, Tas 3. PhD, Statistician, Monash University, Melbourne, Vic; Health Services Innovation Tasmania, School of Medicine, University of Tasmania, Hobart, Tas 4. BPharm, MPharm, PhD, Lecturer in Pharmacy, University of Sydney, Sydney, NSW; Adjunct Lecturer, University of Tasmania, Hobart, Tas 5. MBBS, FRACP, PhD, FASN, AFRACMA, Professor of Medicine, University of Tasmania, Hobart, Tas; Consultant Nephrologist, Royal Hobart Hospital, Hobart, Tas 6. BPharm, PhD, MBA, FSHP, FACP, GAICD, AACPA, ARPharmS, MPS, Professor of Pharmacy and Director of Health Services Innovation Tasmania, School of Medicine, University of Tasmania, Hobart, Tas 7. BPharm, MSc, PhD, Lecturer of Pharmacy, College of Health and Medicine, University of Tasmania, Hobart, Tas 8. BPharm, MPharm, PhD, Lecturer of Pharmacy, College of Health and Medicine, University of Tasmania, Hobart, Tas 9. MBBS, FRACGP, RACGP, M Psych Med, MEd, FARGP, Associate Professor of General Practice, Launceston Clinical School, University of Tasmania, Launceston, Tas
Abstract
BACKGROUND AND OBJECTIVE: Hypertension frequently co-exists with chronic kidney disease (CKD). The objective of this study was to investigate blood pressure (BP) control among general practice patients with CKD and hypertension, and whether control was related to continuity of care. METHODS: We analysed data from NPS MedicineWise MedicineInsight, examining the achievement of guideline-recommended BP levels in patients with CKD and hypertension, and the relationship with sociodemographic, clinical and health-system variables, including continuity of care (CoC) in general practice. RESULTS: Of 37,425 patients in the cohort, 46.7% had achieved the recommended BP targets. Patients with higher relational CoC and more general practitioner (GP) visits were more likely to achieve BP targets, while this was less likely when the target was lowered by concomitant diabetes or cardiovascular disease. DISCUSSION: Reaching BP targets in patients with CKD is a challenge, especially when the target is lower because of co-existing risk factors. Greater CoC from the same GP increased the likelihood of achieving target BP values.
BACKGROUND AND OBJECTIVE:Hypertension frequently co-exists with chronic kidney disease (CKD). The objective of this study was to investigate blood pressure (BP) control among general practice patients with CKD and hypertension, and whether control was related to continuity of care. METHODS: We analysed data from NPS MedicineWise MedicineInsight, examining the achievement of guideline-recommended BP levels in patients with CKD and hypertension, and the relationship with sociodemographic, clinical and health-system variables, including continuity of care (CoC) in general practice. RESULTS: Of 37,425 patients in the cohort, 46.7% had achieved the recommended BP targets. Patients with higher relational CoC and more general practitioner (GP) visits were more likely to achieve BP targets, while this was less likely when the target was lowered by concomitant diabetes or cardiovascular disease. DISCUSSION: Reaching BP targets in patients with CKD is a challenge, especially when the target is lower because of co-existing risk factors. Greater CoC from the same GP increased the likelihood of achieving target BP values.
Authors: Woldesellassie M Bezabhe; Alex Kitsos; Timothy Saunder; Gregory M Peterson; Luke R Bereznicki; Barbara C Wimmer; Matthew Jose; Jan Radford Journal: J Clin Med Date: 2020-03-13 Impact factor: 4.241