ArticleBMC family practice2012
Lack of adherence to hypertension treatment guidelines among GPs in southern Sweden-a case report-based survey.
Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intervention effect estimates in randomised controlled trials conducted in primary care versus secondary or tertiary care settings: a meta-epidemiological study.BMC medical research methodology · 2022Pooled it
- Hypertension: A Continuing Public Healthcare Issue.International journal of molecular sciences · 2024Review
- Adoption of and adherence to the Hellenic Diabetes Association guidelines for the management of subjects with type 2 diabetes mellitus by Greek physicians.Hormones (Athens, Greece) · 2021Article
- Implementation of home blood pressure monitoring among French GPs: A long and winding road.PloS one · 2019Article
- The adoption of hypertension reference framework: An investigation among primary care physicians of Hong Kong.PloS one · 2018Article
- Drugs prescribed by general practitioners according to age, gender and socioeconomic status after adjustment for multimorbidity level.BMC family practice · 2014Article
- Recentralizing healthcare through evidence-based guidelines - striving for national equity in Sweden.BMC health services research · 2014Article
- Primary care evidence in clinical guidelines: a mixed methods study of practitioners' views.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners (GPs) often fail to correctly adhere to guidelines for the treatment of hypertension. The reasons for this are unclear, but could be related to lack of knowledge in assessing individual patients' cardiovascular disease risk. Our aim was to investigate how GPs in southern Sweden adhere to clinical guidelines for the treatment of hypertension when major cardiovascular risk factors are taken into consideration.
methodA questionnaire with five genuine cases of hypertension with different cardiovascular risk profiles was sent to a random sample of GPs in southern Sweden (n=109) in order to investigate the attitude towards blood pressure (BP) treatment when major cardiovascular risk factors were present.
resultsIn general, GPs who responded tended to focus on the absolute target BP rather than assessing the entire cardiovascular risk factor profile. Thus, cases with the highest risk of cardiovascular disease were not treated accordingly. However, there was also a tendency to overtreat the lowest risk individuals. Furthermore, the BP levels for initiating pharmacological treatment varied widely (systolic BP 140-210 mmHg). ACE inhibitors (70%) were the most common first choice of pharmacological treatment.
conclusionIn this study, GPs in Southern Sweden were suggesting, for different cases, either under- or overtreatment in relation to current guidelines for treatment of hypertension. On reason may be that they failed to correctly assess individual cardiovascular risk factor profiles.
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