ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001
Blood pressure control in treated hypertensive patients: clinical performance of general practitioners.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Exploring the content and delivery of feedback facilitation co-interventions: a systematic review.Implementation science : IS · 2024Pooled it
- Methods for the guideline-based development of quality indicators--a systematic review.Implementation science : IS · 2012Pooled it
- Interventions used to improve control of blood pressure in patients with hypertension.The Cochrane database of systematic reviews · 2010Pooled it
- Educational and organisational interventions used to improve the management of hypertension in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Pooled it
- A comparison of the quality of hypertension management in primary care between Shanghai and Shenzhen: a cohort study of 3196 patients.Medicine · 2015Trial
- Impact on hypertension control of a patient-held guideline: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Trial
- The effect of hypertension and hypercholesterolemia screening with subsequent intervention letter on the use of blood pressure and lipid lowering drugs.British journal of clinical pharmacology · 2004Trial
- Intensive support to improve clinical decision making in cardiovascular care: a randomised controlled trial in general practice.Quality & safety in health care · 2003Trial
- Clinical indicators for common paediatric conditions: Processes, provenance and products of the CareTrack Kids study.PloS one · 2019Article
- Impact of ethnic-specific guidelines for anti-hypertensive prescribing in primary care in England: a longitudinal study.BMC health services research · 2014Article
- Lack of adherence to hypertension treatment guidelines among GPs in southern Sweden-a case report-based survey.BMC family practice · 2012Article
- Barriers to adherence to hypertension guidelines among GPs in southern Sweden: a survey.Scandinavian journal of primary health care · 2008Article
- Aim, design and methods of the 'reasons for not intensifying antihypertensive treatment' (RIAT): an international registry in essential hypertension.Journal of human hypertension · 2006Article
- Organisational factors in relation to control of blood pressure: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Research methods used in developing and applying quality indicators in primary care.Quality & safety in health care · 2002Article
- Are guidelines ethical? Some considerations for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- The role of home blood pressure measurement in managing hypertension: an evidence-based review.Journal of human hypertension · 2002Review
- Is there a tension between doctors' duty of care and evidence-based medicine?Health care analysis : HCA : journal of health philosophy and policy · 2002Article
- Ageing Britain--challenges and opportunities for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Awareness of hypertension guidelines and the diagnosis and evaluation of hypertension by primary care physicians in Nigeria.Cardiovascular journal of AfricaArticle
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe blood pressure of many treated hypertensive patients remains above recommended target levels. This discrepancy may be related to general practitioners' (GPs') actions.
aimTo assess clinical performance of GPs in blood pressure control in treated hypertensive patients and to explore the influence of patient and GP characteristics on clinical performance. DESIGN OF STUDY: Cross-sectional study conducted on 195 GPs with invitations to participate made via bulletins and by letter.
settingOne hundred and thirty-two practices in the southern half of The Netherlands from November 1996 to April 1997.
methodPerformance criteria were selected from Dutch national hypertension guidelines for general practice. GPs completed self-report forms immediately after follow-up visits of hypertensive patients treated with antihypertensive medication.
resultsThe GPs recorded 3526 follow-up visits. In 63% of these consultations the diastolic blood pressure (DBP) was 90 mmHg or above. The median performance rates of the GPs were less than 51% for most of the recommended actions, even at a DBP of > or = 100 mmHg. Performance of non-pharmacological actions increased gradually with increasing DBP; prescribing an increase in antihypertensive medication and making a follow-up appointment scheduled within six weeks rose steeply at a DBP of > or = 100 mmHg. Patient and GP characteristics contributed little to clinical performance. Action performance rates varied considerably between GPs.
conclusionGPs seem to target their actions at a DBP of below 100 mmHg, whereas guidelines recommend targeting at a DBP of below 90 mmHg.
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Identifiers
11271892PMC1313918W100581606What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.