ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Trends in the diagnosis and management of hypertension: repeated primary care survey in South West England.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis.BMC family practice · 2021Pooled it
- Pooled it
- Waking up to wearables: the next era of blood pressure measurement for primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Need to take action for hypertension: insights from primary care blood pressure practices in Greece.Journal of human hypertension · 2026Article
- Understanding measurement of postural hypotension: a nationwide survey of general practice in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Article
- Successful Management of Incidentally-Detected Subclavian Stenosis During Anesthetic Preparation for Spinal Surgery: A Case Report.International medical case reports journal · 2025Article
- Peripheral artery disease recognition, diagnosis, and management in general practice in the Republic of Ireland and England: an online survey.BJGP open · 2024Article
- Prevalence and factors associated with inter-arm systolic and diastolic blood pressure differences: results from the baseline Fasa Adult's Cohort Study (FACS).BMC public health · 2024Article
- Assessment of blood pressure measurement technique amongst nurses working at a tertiary care cardiac center.PloS one · 2024Article
- Attainment of NICE blood pressure targets among older people with newly diagnosed hypertension: nationwide linked electronic health records cohort study.Age and ageing · 2023Article
- Ethnic differences in hypertension management, medication use and blood pressure control in UK primary care, 2006-2019: a retrospective cohort study.The Lancet regional health. Europe · 2023Article
- Hypertension and hypotension: getting the balance right.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Dihydropyridine Calcium Channel Blockers and Risk of Pancreatic Cancer: A Population-Based Cohort Study.Journal of the American Heart Association · 2022Article
- Inter-arm blood pressure difference and cardiovascular risk estimation in primary care: a pilot study.BJGP open · 2022Article
- Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian primary care.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Article
- Proceedings From a National Heart, Lung, and Blood Institute and the Centers for Disease Control and Prevention Workshop to Control Hypertension.American journal of hypertension · 2022Article
- Renin-Angiotensin-Aldosterone System Inhibitors and Risk of Acute Pancreatitis: A Population-Based Cohort Study.Drug safety · 2022Article
- Impact of changes to national guidelines on hypertension-related workload: an interrupted time series analysis in English primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious surveys identified a shift to nurse-led care in hypertension in 2010. In 2011 the National Institute for Health and Care Excellence (NICE) recommended ambulatory (ABPM) or home (HBPM) blood pressure (BP) monitoring for diagnosis of hypertension.
aimTo survey the organisation of hypertension care in 2016 to identify changes, and to assess uptake of NICE diagnostic guidelines. DESIGN AND
settingQuestionnaires were distributed to all 305 general practices in South West England.
methodResponses were compared with previous rounds (2007 and 2010). Data from the 2015 Quality and Outcomes Framework (QOF) were used to compare responders with non-responders, and to explore associations of care organisation with QOF achievement.
resultsOne-hundred-and-seventeen practices (38%) responded. Responders had larger list sizes and greater achievement of the QOF target BP ≤150/90 mmHg. Healthcare assistants (HCAs) now monitor BP in 70% of practices, compared with 37% in 2010 and 19% in 2007 (
conclusionIn primary care BP monitoring has devolved from GPs and nurses to HCAs. One in 10 practices are not implementing NICE guidelines on ABPM and HBPM for diagnosis of hypertension. Most practices express confidence interpreting HBPM results but less so with ABPM. The need for education and quality assurance for allied health professionals is highlighted, and for training in ABPM interpretation for GPs.
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