ArticleThe Pan African medical journal2012
The managed hypertensive: the costs of blood pressure control in a Nigerian town.
Article in The Pan African medical journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The economic burden of treating uncomplicated hypertension in Sub-Saharan Africa: a systematic literature review.BMC public health · 2022Pooled it
- Provider costs for prevention and treatment of cardiovascular and related conditions in low- and middle-income countries: a systematic review.BMC public health · 2015Pooled it
- Pooled it
- Hypertension treatment in sub-Saharan Africa: a systematic review.Cardiovascular journal of AfricaPooled it
- Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.Annals of global health · 2023Article
- Managing hypertension in rural Uganda: Realities and strategies 10 years of experience at a district hospital chronic disease clinic.PloS one · 2020Article
- TREATMENT RESPONSE IN ADULT PATIENTS WITH HYPERTENSION ATTENDING A SECONDARY HEALTH CARE CENTER IN SOUTH-WEST NIGERIA.Annals of Ibadan postgraduate medicine · 2019Article
- Depression and medication-adherence in patients with hypertension attending a tertiary health facility in South-West Nigeria.The Pan African medical journal · 2019Article
- Social Support, Treatment Adherence and Outcome among Hypertensive and Type 2 Diabetes Patients in Ambulatory Care Settings in southwestern Nigeria.Ghana medical journal · 2017Article
- Economic benefit of back titration in the treatment of hypertension in Jos, Nigeria.ClinicoEconomics and outcomes research : CEOR · 2017Article
- Closing the blood pressure gap: an affordable proposal to save lives worldwide.BMJ global health · 2017Article
- A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa.PloS one · 2015Article
- Anti hypertensive prescribing patterns and cost analysis for primary hypertension: a retrospective study.Journal of clinical and diagnostic research : JCDR · 2014Article
- Prevalence, determinants and systems-thinking approaches to optimal hypertension control in West Africa.Globalization and health · 2014Review
- Reaction to Ilesanmi O S et al. The managed hypertensive: the costs of blood pressure control in a Nigerian town.The Pan African medical journal · 2013Article
- Financial Cost of Hypertension in Urban and Rural Tertiary Health Facilities in Southwest, Nigeria: A Comparative Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health systems designed to cater for patients with chronic illnesses like hypertension have not fully evaluated the burden of long term therapy and its effect on patient outcome. This study assessed the financial implication and cost effectiveness of hypertension treatment in a rural Nigerian town.
methodsA chart review of 250 rural patients with primary hypertension at a regional hospital in Southwest Nigeria was conducted.
resultsThe mean age of patients was 61 ± 11.2 years, 59.2% were females, 67% had an income < ₦20,000 ($133.3) monthly. Diuretics and alpha-Methyl Dopa were the most prescribed drugs. The median number of prescribed drugs was two (range1-4). Mean cost of treatment was ₦1440 ± 560 ($9.6 ± 3.7) with 52.8% spending ≥ 10% of their income on treatment. The most cost effective therapies were Methyl Dopa and Diuretics with Cost-effectiveness ratios of 8 and 12.8 respectively. Patients with co-morbidities, stage 2 hypertension and those on three or four drug regimen had significantly higher treatment costs.
conclusionThe financial burden of long term antihypertensive therapy appears substantial, cost reduction strategies are needed to optimize hypertension treatment in societies with limited resources. Hypertensive management therefore requires a response adapted to the local context.
Indexed as
Identifiers
23133696PMC3489397What 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.