ArticleHypertension research : official journal of the Japanese Society of Hypertension2020
Physician and patient perspectives on hypertension management and factors associated with lifestyle modifications in Japan: results from an online survey.
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20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suboptimal blood pressure control and its associated factors among people living with diabetes mellitus in sub-Saharan Africa: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- Association between care by hypertension specialists and major adverse cardiovascular events in patients with uncontrolled hypertension.Frontiers in cardiovascular medicine · 2026Article
- Hypertension is associated with an increased risk of peritoneal dialysis-associated peritonitis: a retrospective cohort study.Frontiers in cellular and infection microbiology · 2026Article
- Understanding clinical inertia in hypertension management: clues from real-world data.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Specialty and age-based differences in awareness and attitudes towards antibiotic stewardship: a cross-sectional online survey on Japanese clinic physicians.BMC infectious diseases · 2025Article
- Home blood pressure-based treatment with hypertension specialists: a better strategy for overcoming uncontrolled blood pressure.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Digital therapeutic for hypertension improves physician-patient communication and clinical inertia: a survey of physicians who implemented CureApp HT in clinical practice.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- App-based multimodal lifestyle-intervention for essential hypertension (HYPE): a decentralized randomised controlled trial.Frontiers in digital health · 2025Article
- Strategies for improving the treatment and control of hypertension in Japan.Journal of human hypertension · 2024Review
- Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru.Global health action · 2023Article
- Achievement rate of target blood pressure in patients with hypertension treated by hypertension specialists and non-specialists in a real-world setting.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Sex differences in effect of patients-centered intervention on blood pressure in patients with hypertension.Scientific reports · 2023Article
- Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan.International journal of environmental research and public health · 2023Review
- Cost-effectiveness of digital therapeutics for essential hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2022Article
- Latest hypertension research to inform clinical practice in Asia.Hypertension research : official journal of the Japanese Society of Hypertension · 2022Article
- Seven-action approaches for the management of hypertension in Asia - The HOPE Asia network.Journal of clinical hypertension (Greenwich, Conn.) · 2022Review
- A Systematic Review of Patient Preferences, Expectations, and Values for the Management and Treatment of Hypertension.Patient preference and adherence · 2022Review
- Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial.JMIR cardio · 2021Article
- Perspectives of patients and physicians regarding hypertensive management from an online survey for excellence: a subanalysis of the PARADOX study by physician categories.Hypertension research : official journal of the Japanese Society of Hypertension · 2020Article
- Patient Perspective on Adherence to Reflux Lifestyle Modifications: A Qualitative Study.Journal of primary care & community healthArticle
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Abstract
We conducted a survey to examine the gaps between Japanese physician and patient perspectives on hypertension management and to investigate important factors that may help solve the "hypertension paradox" in Japan. Web-based surveys of patients and physicians were conducted in Japan between October 19 and 31, 2017. The data collected included physician and patient perspectives on hypertension education, adherence to lifestyle modifications and antihypertensive medication, and reasons for treatment adherence/nonadherence. Factors relating to specific patient behaviors (e.g., monitoring their home blood pressure [BP] daily) were analyzed by multivariate logistic regression analysis. Of the 541 physicians and 881 patients included in the analyses, both groups recognized that the extent of lifestyle changes was insufficient. Approximately 80% of physicians reported that they fully or sufficiently provided education to patients about reasons for hypertension treatment and its associated risks, target BP levels, and lifestyle modifications. Only 40-50% of patients considered those topics having been fully or sufficiently discussed. Logistic regression analyses revealed that positive lifestyle modifications (daily home BP monitoring, salt intake <6 g/day, and daily aerobic exercise for ≥30 min) were positively associated with receiving feedback from physicians about specific lifestyle modifications and patient motivation for maintaining their target BP. In conclusion, perception of the amount of education provided by physicians on hypertension management was lower in patients than in physicians. In addition to effective regular follow-up regarding lifestyle modifications, patient motivation by physicians is an important factor for improving lifestyle modifications and achieving effective hypertension management in Japan.
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