Trial reportJournal of human hypertension2013
Barriers to achieving blood pressure treatment targets in elderly hypertensive individuals.
Trial report in Journal of human hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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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, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Is Blood Pressure Lowering in the Very Elderly With Previous Stroke Associated With a Higher Risk of Adverse Events?Journal of the American Heart Association · 2021Pooled it
- Effects of spironolactone on dialysis patients with refractory hypertension: a randomized controlled study.Journal of clinical hypertension (Greenwich, Conn.) · 2014Trial
- Machine Learning Prediction of Incident Hypertension in Australian Men: Integrating Survey, Pharmaceutical and Healthcare Utilisation Data From the Ten to Men Cohort.International journal of hypertension · 2026Article
- Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension.Frontiers in cardiovascular medicine · 2024Article
- Age and sex disparities in hypertension control: The multi-ethnic study of atherosclerosis (MESA).American journal of preventive cardiology · 2021Article
- Associations between Socio-Demographic Factors and Hypertension Management during the COVID-19 Pandemic: Preliminary Findings from Malaysia.International journal of environmental research and public health · 2021Article
- Gaps in hypertension care and control: a population-based study in low-income urban Medellin, Colombia.Tropical medicine & international health : TM & IH · 2021Article
- Assessment of hypertension control and factors associated with the control among hypertensive patients attending at Zewditu Memorial Hospital: a cross sectional study.BMC research notes · 2019Article
- A practical approach to the pharmacological management of hypertension in older people.Therapeutic advances in drug safety · 2017Review
- Services aimed at achieving desirable clinical outcomes in patients with chronic kidney disease and diabetes mellitus: A narrative review.SAGE open medicine · 2017Review
- Attainment of multifactorial treatment targets among the elderly in a lipid clinic.Journal of geriatric cardiology : JGC · 2015Article
- Increasing complexity: which drug class to choose for treatment of hypertension in the elderly?Clinical interventions in aging · 2014Review
- Prescribing patterns and pharmacoeconomic analysis of antihypertensive drugs in South Indian population: A cross-sectional study.Perspectives in clinical researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High blood pressure (BP) is highly prevalent among the elderly, and even with pharmacological therapy BP is difficult to control to guideline recommended levels. Although poor compliance to therapy is associated with less BP control, little is known regarding other barriers to attaining on-treatment target BP. This study examined factors associated with achieving on-treatment target BP in 6010 hypertensive participants aged 65-84 years from the Second Australian National Blood Pressure study. Participants were followed for a median of 4.1 years, with BP monitored every 6 months. 'Target BP' was defined as a reduction of systolic/diastolic BP of at least 20/10 mm Hg and BP <160/90 mm Hg from randomization in two consecutive follow-up visits. Cox regression was used to identify factors associated with achieving target BP from a number of baseline and in-study factors. Mean BP at randomization was 168/91 mm Hg and patients had a median of 9 (range: 2-20) study visits. Target BP was achieved in 50% of patients. Demographic factors associated with achieving target BP were male gender, living in a regional area; and clinical factors included history of antihypertensive therapy, increased plasma creatinine, lower pretreatment pulse pressure and in-study use of multiple BP-lowering drugs. Those aged >80 years and seeking care from multiple doctors (hazard ratio 0.40, 95% confidence interval 0.36-0.45, P<0.001) were less likely to achieve target BP. These findings identify clinical markers that can be targeted for intervention, but also demographic factors related to service delivery, which may provide further opportunity for achieving better BP control in hypertensive elderly.
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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.