ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1998
The management of hypertension in the elderly by general practitioners in Merseyside: the rule of halves revisited.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand.Quality in health care : QHC · 2001Pooled it
- The detection, treatment and control of high blood pressure in older British adults: cross-sectional findings from the British Women's Heart and Health Study and the British Regional Heart Study.Journal of human hypertension · 2006Trial
- Improving management of hypertension in general practice: a randomised controlled trial of feedback derived from electronic patient data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- What benefit do patients expect from adding second and third antihypertensive drugs?British journal of clinical pharmacology · 2002Trial
- Addressing barriers to change: an RCT of practice-based education to improve the management of hypertension in the elderly.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Trial
- Recording blood pressure and eGFR in primary care after the Belgrade screening study.Renal failure · 2018Article
- Recording blood pressure readings in elderly patients' charts: what patient and physician characteristics make it more likely?Canadian family physician Medecin de famille canadien · 2008Article
- Zero end-digit preference in recorded blood pressure and its impact on classification of patients for pharmacologic management in primary care - PREDICT-CVD-6.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Antihypertensive drug prescribing in Grampian.British journal of clinical pharmacology · 2005Article
- Blood pressure control in treated hypertensive patients: clinical performance of general practitioners.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Performance indicators for primary care groups. Current indicators have been chosen for ease of collection rather than scientific validity.BMJ (Clinical research ed.) · 1999Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment of hypertension in the elderly significantly reduces cardiovascular events and confers greater absolute benefit compared with treating younger adults. However, this group has been undertreated in the past.
aimTo perform a reliable and valid multipractice audit of the current management of elderly hypertensive patients.
methodAn observational study conducted as multiple standardized audits in general practices. The notes of 6139 patients aged 65 years or over from 76 general practices in Merseyside were examined to determine the percentage of elderly patients who had their blood pressure recorded. The percentages of hypertensive patients who were diagnosed, treated, and controlled was also recorded.
resultsEighty-one per cent of the sample had their blood pressure recorded. Fifty-three per cent of patients over the age of 65 were identified as hypertensive; 64% of hypertensive patients are receiving antihypertensive medication and 54% of treated hypertensive patients can be considered controlled. However, very small changes in the criteria used to define blood pressure control have dramatic effects on the results. Digit preference and the number of available blood pressure recordings also significantly affect the results.
conclusionThe management of hypertension in the elderly by Merseyside general practitioners (GPs) gives better results than predicted by the 'rule of halves'. Elderly hypertensive patients are more likely to be detected and treated, but only half achieve control to 160/90. The results are particularly sensitive to the degree of digit preference, the number of available recordings, and to the precise definition used for control.
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Identifiers
9667089PMC1410051What OpenQuestion holds
Registered trials
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