ArticleBMC health services research2008
Antihypertensive medication prescription patterns and time trends for newly-diagnosed uncomplicated hypertension patients in Taiwan.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- The impact of blood pressure lowering agents on the risk of worsening frailty among patients with diabetes mellitus: a cohort study.npj aging · 2024Article
- Use of calcium channel blockers and risk of breast cancer among women aged 55 years and older: a nationwide population-based cohort study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Non-persistence to antihypertensive drug therapy in Lithuania.European journal of clinical pharmacology · 2022Article
- Asian management of hypertension: Current status, home blood pressure, and specific concerns in Taiwan.Journal of clinical hypertension (Greenwich, Conn.) · 2020Review
- Prescribing Patterns of Antihypertensives for Treatment-Naïve Patients in South Korea: From Korean NHISS Claim Data.International journal of hypertension · 2019Article
- Antihypertensive Prescription Pattern and Compliance to JNC 7 and JNC 8 at Tertiary Care Government Hospital, Hyderabad, India: A Cross-sectional Retrospective Study.Hospital pharmacy · 2018Article
- The Use of Dried Blood Spots for the Quantification of Antihypertensive Drugs.International journal of analytical chemistry · 2018Review
- Observational
- Article
- Persistence with Antihypertensive Medications in Uncomplicated Treatment-Naïve Patients: Effects of Initial Therapeutic Classes.Journal of Korean medical science · 2015Article
- The impact of the 'Better Care Better Value' prescribing policy on the utilisation of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers for treating hypertension in the UK primary care setting: longitudinal quasi-experimental design.BMC health services research · 2015Article
- Systolic hypertension: an increasing clinical challenge in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2015Review
- A review on prescribing patterns of antihypertensive drugs.Clinical hypertension · 2015Review
- Anti hypertensive prescribing patterns and cost analysis for primary hypertension: a retrospective study.Journal of clinical and diagnostic research : JCDR · 2014Article
- Antihypertensive drug prescription patterns, rationality, and adherence to Joint National Committee-7 hypertension treatment guidelines among Indian postmenopausal women.Journal of mid-life health · 2014Article
- Outpatient Hypertension Control and Prescribing Habits for Hypertension in Taiwan.Acta Cardiologica Sinica · 2013Article
- Secular Trends in Prescription Patterns of Single-Pill Combinations of an Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker Plus a Thiazide Diuretic for Hypertensive Patients in Taiwan.Acta Cardiologica Sinica · 2013Article
- Difference of antihypertensive prescribing between office- and hospital-based clinics in Taiwan.International journal of clinical pharmacy · 2012Article
- Spectrum of antihypertensive therapy in South Asians at a tertiary care hospital in Pakistan.BMC research notes · 2011Article
- Prescribing pattern of antihypertensive drugs in a general hospital in central China.International journal of clinical pharmacy · 2011Article
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Authors and funding
2 authors.
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Abstract
backgroundKnowledge of existing prescription patterns in the treatment of newly-diagnosed hypertension can provide useful information for improving clinical practice in this field. The aims of this study are to determine the prescription patterns and time trends for antihypertensive medication in newly-diagnosed cases of uncomplicated hypertension in Taiwan and to compare these with current clinical guidelines.
methodsA total of 6,536 newly-diagnosed patients with uncomplicated hypertension, aged >/=30 years, were identified from the representative 200,000-person sample in the computerized reimbursement database of the National Health Insurance in Taiwan. These patients were followed from 1998 to 2004 with all diagnoses, prescription data and medication charges being retrieved for subsequent analysis.
resultsPrescription patterns varied by age, gender and clinical facilities, with mono-therapies being found to be dominant in the first year, albeit declining over time. Calcium channel blockers and beta-blockers were the most frequently prescribed antihypertensive drugs, either alone or in combinations. Although least expensive, the prescription rates of diuretics were low, at 8.3% for mono-therapies and 19.9% overall. The prescription rate for angiotensin receptor blockers (ARBs) was elevated considerably over time. After controlling for other related factors by multiple logistic regression analysis, ARBs were found to be prescribed mainly by medical centers or regional hospitals.
conclusionThese findings indicate the existence of a gap between current clinical practice and the desired goal of cost-effectiveness in antihypertensive treatment in Taiwan, which should be corrected.
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