ArticleCardiovascular diagnosis and therapy2014
Approach to hypertension among primary care physicians in the West Region of Cameroon: substantial room for improvement.
Article in Cardiovascular diagnosis and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- High prevalence of dyslipidaemia among persons with diabetes mellitus and hypertension at a tertiary hospital in Blantyre, Malawi.BMC cardiovascular disorders · 2022Article
- Lifestyle modification and hypertension: prescription patterns of Nigerian general practitioners.The Pan African medical journal · 2020Article
- Assessment of the quality of primary care for the elderly according to the Chronic Care Model.Revista latino-americana de enfermagem · 2018Article
- Prevalence and correlates of chronic kidney disease in a group of patients with hypertension in the Savanah zone of Cameroon: a cross-sectional study in Sub-Saharan Africa.Cardiovascular diagnosis and therapy · 2017Article
- Antiretroviral therapy related adverse effects: Can sub-Saharan Africa cope with the new "test and treat" policy of the World Health Organization?Infectious diseases of poverty · 2017Article
- One-size-fits-all management of hypertension: a key to poor control of hypertension in low income settings in sub-Saharan Africa?Annals of translational medicine · 2016Article
- Management of arterial hypertension in Cotonou city, Benin: general practitioners' knowledge, attitudes and practice.Cardiovascular journal of Africa · 2016Article
- Cardiovascular risk factors awareness and prevalence among primary care physicians: an insight from the West region Awareness Initiative Survey to fight cardiovascular disease (WAIT-CVD) in Cameroon.BMC research notes · 2015Article
- Patterns of cardiovascular disease in a group of HIV-infected adults in Yaoundé, Cameroon.Cardiovascular diagnosis and therapy · 2015Article
- Prevalence and Risk Factors of Hypertension in Urban Areas of Cameroon: A Nationwide Population-Based Cross-Sectional Study.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
- The approach of general practitioners in Lagos to the detection and evaluation of hypertension.Clinical hypertension · 2015Article
- Awareness of hypertension guidelines and the diagnosis and evaluation of hypertension by primary care physicians in Nigeria.Cardiovascular journal of AfricaArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study was conducted to assess the knowledge and approach of primary care physician (PCP) towards the management of hypertension in Cameroon.
methodsIn 2012 we surveyed 77 PCPs among the 111 working in the West region of Cameroon. We used a standardized questionnaire assessing practices regarding the detection, evaluation and treatment of hypertension, and source of information about updates on hypertension.
resultsParticipants had a mean duration of practice of 10.1 (SD 7.6) years, and received an average of 10.5 (SD 5.8) patients daily. Most of the PCPs (80.5%, n=62) measured blood pressure (BP) for all adult patients in consultation, however, only 63.6% (n=49) used correct BP thresholds to diagnose hypertension. Sixty-seven PCPs (87.0%) ordered a minimal work-up for each newly diagnosed hypertensive patient, but only the work-up offered by 8 (10.4%) PCPs was adequate. Regarding treatment, the most commonly prescribed medications as monotherapy were loop diuretics (49.3%). Bitherapy mostly included the combination of a diuretic with other drug classes. Most of PCPs used incorrect target BP, with a general tendency of using higher target levels. PCPs received updates on hypertension management mostly through drug companies representatives (53.2%, n=41). Up to 97.4% were willing to receive continuing medical training on hypertension.
conclusionsPCPs' knowledge and management of hypertension is poor in this region of Cameroon. Our data point to a need for continually updating the teaching curricula of medical schools with regard to the management of hypertension, and physicians in the field should receive continuing medical education.
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