ArticleScandinavian journal of primary health care2008
Barriers to adherence to hypertension guidelines among GPs in southern Sweden: a survey.
Article in Scandinavian journal of primary health care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The concept and definition of therapeutic inertia in hypertension in primary care: a qualitative systematic review.BMC family practice · 2014Pooled it
- Mixed methods evaluation of targeted case finding for cardiovascular disease prevention using a stepped wedged cluster RCT.BMC public health · 2012Trial
- Adherence to guidelines in people with screen-detected type 2 diabetes, ADDITION, Denmark.Scandinavian journal of primary health care · 2009Trial
- Guideline adherence for the management of cardiovascular disease in primary care: a scoping review.Family practice · 2026Article
- Managing hypertension in frail oldest-old-The role of guideline use by general practitioners from 29 countries.PloS one · 2020Article
- The adoption of hypertension reference framework: An investigation among primary care physicians of Hong Kong.PloS one · 2018Article
- Doctors' Knowledge of Hypertension Guidelines Recommendations Reflected in Their Practice.International journal of hypertension · 2018Article
- Implementing Quality Indicators for Diabetes and Hypertension in Family Medicine in Slovenia.Zdravstveno varstvo · 2017Article
- Under-prescribing of Prevention Drugs and Primary Prevention of Stroke and Transient Ischaemic Attack in UK General Practice: A Retrospective Analysis.PLoS medicine · 2016Article
- Article
- GPs' Perceptions of Cardiovascular Risk and Views on Patient Compliance: A Qualitative Interview Study.International journal of family medicine · 2015Article
- Retrospective case review of missed opportunities for primary prevention of stroke and TIA in primary care: protocol paper.BMJ open · 2014Article
- General practitioners' hypertension knowledge and training needs: a survey in Xuhui district, Shanghai.BMC family practice · 2013Article
- Barriers and facilitators to the implementation of clinical practice guidelines: a cross-sectional survey among physicians in Estonia.BMC health services research · 2012Article
- Lack of adherence to hypertension treatment guidelines among GPs in southern Sweden-a case report-based survey.BMC family practice · 2012Article
- Prevalence, awareness, treatment, and control of hypertension: rule of thirds in the Skaraborg project.Scandinavian journal of primary health care · 2012Article
- Clinical Gaze in Risk-Factor Haze: Swedish GPs' Perceptions of Prescribing Cardiovascular Preventive Drugs.International journal of family medicine · 2012Article
- GP's adherence to guidelines for cardiovascular disease among elderly: a quality development study.TheScientificWorldJournal · 2012Article
- Lipid-lowering drugs as primary prevention in general practice: do patients reach guideline goals and continue treatment? ADDITION Denmark.Scandinavian journal of primary health care · 2011Article
- The medico-professional quality of GP consultations assessed by analysing patient records.Scandinavian journal of primary health care · 2011Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate barriers to adherence to hypertension guidelines among publicly employed general practitioners (GPs).
designQuestionnaire-based survey distributed to GPs in 24 randomly selected primary care centres in the Region of Skåne in southern Sweden. SUBJECTS: A total of 109 GPs received a self-administered questionnaire and 90 of them responded.
main outcome measuresUse of risk assessment programmes. Reasons to postpone or abstain from pharmacological treatment for the management of hypertension.
resultsReported managing of high blood pressure (BP) varied. In all, 53% (95% CI 42-64%) of the GPs used risk assessment programmes and nine out of 10 acknowledged blood pressure target levels. Only one in 10 did not inform the patients about these levels. The range for immediate initiating pharmacological treatment was a systolic BP 140-220 (median 170) mmHg and diastolic BP 90-110 (median 100) mmHg. One-third (32%; 95% CI 22-42%) of the GPs postponed or abstained from pharmacological treatment of hypertension due to a patient's advanced age. No statistically significant associations were observed between GPs' gender, professional experience (i.e. in terms of specialist family medicine and by number of years in practice), and specific reasons to postpone or abstain from pharmacological treatment of hypertension.
conclusionThese data suggest that GPs accept higher blood pressure levels than recommended in clinical guidelines. Old age of the patient seems to be an important barrier among GPs when considering pharmacological treatment for the management of hypertension.
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