ArticleBMC family practice2009
Current European guidelines for management of arterial hypertension: are they adequate for use in primary care? Modelling study based on the Norwegian HUNT 2 population.
Article in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
14 citing papers in PubMed.
- Factors associated with blood pressure control in Swedish primary care patients with hypertension: a cross-sectional study.Scandinavian journal of primary health care · 2026Trial
- Joint associations of multiple healthy lifestyles with the risk of cardiovascular disease: a prospective cohort study of UK Biobank.European journal of public health · 2026Article
- General practitioners and management control through guidelines: a qualitative study of its effects on their practice.BMC primary care · 2026Article
- Applying current European periodontitis clinical practice guidelines is not feasible even for the richest countries in the world.Community dentistry and oral epidemiology · 2025Article
- Cochrane Sustainable Healthcare: evidence for action on too much medicine.The Cochrane database of systematic reviews · 2019Article
- Stroke follow-up in primary care: a Norwegian modelling study on the implications of multimorbidity for guideline adherence.BMC family practice · 2019Article
- Stroke follow-up in primary care: a prospective cohort study on guideline adherence.BMC family practice · 2018Article
- Applying clinical guidelines in general practice: a qualitative study of potential complications.BMC family practice · 2016Article
- Is the quality of primary healthcare services influenced by the healthcare centre's type of ownership?-An observational study of patient perceived quality, prescription rates and follow-up routines in privately and publicly owned primary care centres.BMC health services research · 2015Observational
- Is there an association between disease ignorance and self-rated health? The HUNT Study, a cross-sectional survey.BMJ open · 2014Observational
- What professional activities do general practitioners find most meaningful? Cross sectional survey of Norwegian general practitioners.BMC family practice · 2013Article
- Article
- Is the use of cholesterol in mortality risk algorithms in clinical guidelines valid? Ten years prospective data from the Norwegian HUNT 2 study.Journal of evaluation in clinical practice · 2012Article
- Who receives anticoagulant treatment with warfarin and why? A population-based study in Finland.Scandinavian journal of primary health care · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies indicate that clinical guidelines using combined risk evaluation for cardiovascular diseases (CVD) may overestimate risk. The aim of this study was to model and discuss implementation of the current (2007) hypertension guidelines in a general Norwegian population.
methodsImplementation of the current European Guidelines for the Management of Arterial Hypertension was modelled on data from a cross-sectional, representative Norwegian population study (The Nord-Trøndelag Health Study 1995-97), comprising 65,028 adults, aged 20-89, of whom 51,066 (79%) were eligible for modelling.
resultsAmong individuals with blood pressure >or=120/80 mmHg, 93% (74% of the total, adult population) would need regular clinical attention and/or drug treatment, based on their total CVD risk profile. This translates into 296,624 follow-up visits/100,000 adults/year. In the Norwegian healthcare environment, 99 general practitioner (GP) positions would be required in the study region for this task alone. The number of GPs currently serving the adult population in the study area is 87 per 100,000 adults.
conclusionThe potential workload associated with the European hypertension guidelines could destabilise the healthcare system in Norway, one of the world's most long- and healthy-living nations, by international comparison. Large-scale, preventive medical enterprises can hardly be regarded as scientifically sound and ethically justifiable, unless issues of practical feasibility, sustainability and social determinants of health are considered.
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.