ArticleJournal of human hypertension2002
Compliance to hypertension guidelines in clinical practice: a multicentre pilot study in Italy.
Article in Journal of human hypertension, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 49 citations in OpenAlex.
- Global differences in blood pressure control and clinical outcomes in the INternational VErapamil SR-Trandolapril STudy (INVEST).Clinical cardiology · 2005Trial
- Effectiveness of instructional videos for enhancing healthcare provider competencies for hypertension management - a pre-post study in primary healthcare settings, Tanzania.BMC health services research · 2022Article
- The adoption of hypertension reference framework: An investigation among primary care physicians of Hong Kong.PloS one · 2018Article
- Provider adherence to first antenatal care guidelines and risk of pregnancy complications in public sector facilities: a Ghanaian cohort study.BMC pregnancy and childbirth · 2016Article
- Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana.BMC health services research · 2016Article
- Client Factors Affect Provider Adherence to Clinical Guidelines during First Antenatal Care.PloS one · 2016Article
- Adherence of doctors to a clinical guideline for hypertension in Bojanala district, North-West Province, South Africa.African journal of primary health care & family medicine · 2015Article
- The neglected role of the electrocardiogram in the diagnostic work-up of hypertensive patients: a study in clinical practice.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2013Article
- View on the problem of managing of medical care quality.Oman medical journal · 2012Article
- The use of three strategies to improve quality of care at a national level.Clinical orthopaedics and related research · 2012Article
- Physicians' perceptions and adherence to guidelines for the management of hypertension: a national, multicentre, prospective study.International journal of hypertension · 2012Article
- Physician adherence to hypertension treatment guidelines and drug acquisition costs of antihypertensive drugs at the cardiac clinic: a pilot study.Patient preference and adherence · 2012Article
- Barriers to adherence to hypertension guidelines among GPs in southern Sweden: a survey.Scandinavian journal of primary health care · 2008Article
- Hypertension in an urban population--who is treated with what and how well?Journal of human hypertension · 2007Article
- Explicit and implicit evaluation of physician adherence to hypertension guidelines.Journal of clinical hypertension (Greenwich, Conn.) · 2007Article
- Development of explicit criteria to measure adherence to hypertension guidelines.Journal of human hypertension · 2006Article
- Measuring adherence to practice guidelines for the management of hypertension: an evaluation of the literature.Hypertension (Dallas, Tex. : 1979) · 2004Review
- Evaluation of hypertension control in Greek primary care units. The VANK study.Journal of human hypertension · 2003Article
- Awareness of hypertension guidelines and the diagnosis and evaluation of hypertension by primary care physicians in Nigeria.Cardiovascular journal of AfricaArticle
Corrections and comments
- Commented on by
Authors and funding
12 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to investigate the diagnostic approach to recently diagnosed hypertensive patients by primary care physicians in Italy and to find out whether general practitioners manage these patients according to 1999 WHO/ISH guideline recommendations. In total, 228 consecutive patients (117 men and 111 women, mean age 51+/-12 years) with recently diagnosed hypertension (<2 years) referred for the first time to six outpatient hypertension centres throughout Italy were included in the study. The primary care physicians' approach was evaluated during the specialist visit by a specific questionnaire containing detailed questions about diagnostic work-up and treatment made at the time of the first diagnosis of hypertension. At the study visit, 71% of the patients were on treatment with antihypertensive drugs and 18.7% of them had blood pressure (BP) values lower than 140/90 mmHg. A complete clinical and laboratory evaluation according to the minimum work-up suggested by the guidelines had been carried out in only 10% of the patients. A full physical examination had been performed in 60% of the patients, electrocardiogram in 54%, serum total cholesterol in 53%, glucose in 49%, creatinine in 49%, urine analysis in 46%, potassium in 42%, and fundus oculi in 19%. Additional investigations such as ambulatory BP monitoring, echocardiogram, carotid ultrasonogram, and microalbuminuria had been carried out in a minority of patients (21, 18, 9, and 3%, respectively). The impact on hypertension guidelines on patients' management in everyday primary care practice appears marginal. Thus, our findings indicate that the majority of general practitioners manage hypertensive patients according to a simple BP-based approach rather than a more integrated approach based on global risk stratification.
Indexed as
Identifiers
What 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.