ArticleJournal of general internal medicine2017
Patients' Future Expectations for Diabetes and Hypertension Treatments: "Through the Diet… I Think This is Going to Go Away."
Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Healthy dietary pattern and risk of rheumatoid arthritis: A systematic review and meta-analysis.Seminars in arthritis and rheumatism · 2025Pooled it
- Idealistic, realistic, and unrealistic expectations of pharmacological treatment in persons with type 2 diabetes in primary care.Frontiers in public health · 2023Article
- A Systematic Review of Patient Preferences, Expectations, and Values for the Management and Treatment of Hypertension.Patient preference and adherence · 2022Review
- Dissonance in the discourse of the duration of diabetes: A mixed methods study of patient perceptions and clinical practice.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Understanding Patient Expectations of Health Care: A Qualitative Study.Journal of patient experience · 2020Article
- Individualized Glycemic Control for U.S. Adults With Type 2 Diabetes: A Cost-Effectiveness Analysis.Annals of internal medicine · 2018Article
- Patient expectations of hypertension and diabetes medication: Excessive focus on short-term benefits.SAGE open medicine · 2018Article
- Capsule Commentary on Fairchild et al., Patients' future expectations for diabetes and hypertension treatments: "Through the diet… I think this is going to go away ".Journal of general internal medicine · 2017Article
- How Family Physicians Practice the Principle of Remission Along the Glycemic Continuum.Journal of primary care & community healthArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDiabetes and hypertension are chronic conditions for which over 90 % of patients require medication regimens that must be intensified over time. However, delays in intensification are common, and may be partially due to unrealistic patient expectations.
objectiveTo explore whether patient expectations regarding their diabetes and hypertension are congruent with the natural history of these conditions.
designQualitative analysis of semi-structured interviews.
participantsSixty adults from an urban academic primary care clinic taking oral medications for both diabetes (duration <10 years) and hypertension (any duration) MAIN MEASURES: (1) Expectations for their a) current diabetes and hypertension medications, b) need for additional medications, c) likelihood of cure (not requiring medications); (2) preferences for receiving information on expected duration of treatments KEY
resultsThe average patient age was 60 years, and 65 % were women. Nearly half (48 %) of participants expected to discontinue current diabetes medications in 6 years or less, whereas only one-fifth (22 %) expected to take medications for life. For blood pressure medications, one-third (37 %) expected to stop medicines in 6 years or less, and one-third expected to take medicines for life. The vast majority did not expect that they would need additional medications in the future (oral diabetes medications: 85 %; insulin: 87 %; hypertension medications: 93 %). A majority expected that their diabetes (65 %) and hypertension (58 %) would be cured. Most participants believed that intensifying lifestyle changes would allow them to discontinue medications, avoid additional medications, or cure their diabetes and hypertension. Nearly all participants (97 %) wanted to hear information on the expected duration of their diabetes and hypertension treatments from their healthcare provider.
conclusionsProviders should educate patients on the natural history of diabetes and hypertension in order to manage patient expectations for current and future medications. Future research should assess whether education can increase the adoption of and adherence to medications, without diminishing enthusiasm for lifestyle changes.
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