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Effectiveness of Pharmacological Hypertension Treatment by General Practitioners in Poland
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Abstract
Material and Methods: 15 838 hypertensive patients treated by 528 GPs from different parts of Poland were investigated. Every patient had his or her blood pressure measured twice within approximately 5-minute interval in sited position. We used mean blood pressure from both measurements in our further analysis. GPs performed blood pressure measurements in their cabinets.
Results: Only 8,3% treated hypertensive patients had systolic blood pressure SBP < 140 mmHg and diastolic blood pressure DBP < 90 mm Hg, 8,7% in men and 7,9% in women respectively. In the whole cohort sex had no significant influence on hypertension therapy effectiveness (p = 0,08). However, in women aged 60 years or older the treatment efficacy turned out to be significantly lower compared to men of the same age (7,5% in women and 9% in men, p < 0,02). In addition, in men aged 50 years or older the treatment efficacy was significantly higher compared to younger men (p < 0,0001). The prevalence of isolated systolic hypertension defined as SBP ł ł 140 and DBP < 90 mm Hg was significantly more frequent in women. There was significant difference between mean SBP in men (161,0 ± 19,9 mm Hg) and women (162,6 ± 20,7 mm Hg, p < 0,001). Mean DBP in women (94,8 ± 11,5 mm Hg) and men (95,1 ± ± 1,4 mm Hg) did not differ significantly (p = 0,37). The difference between mean pulse pressure (PP) in women (67,8 ± 16,6 mm Hg) and men (65,9 ± 16,0 mm Hg) was significant (p < 0,001).
Conclusion: It seems that vast majority of hypertensive patients treated pharmacologically by GPs in Poland is treated unsuccessfully. The situation is found to be relatively equally unsatisfactory in both men and women.
Abstract
Material and Methods: 15 838 hypertensive patients treated by 528 GPs from different parts of Poland were investigated. Every patient had his or her blood pressure measured twice within approximately 5-minute interval in sited position. We used mean blood pressure from both measurements in our further analysis. GPs performed blood pressure measurements in their cabinets.
Results: Only 8,3% treated hypertensive patients had systolic blood pressure SBP < 140 mmHg and diastolic blood pressure DBP < 90 mm Hg, 8,7% in men and 7,9% in women respectively. In the whole cohort sex had no significant influence on hypertension therapy effectiveness (p = 0,08). However, in women aged 60 years or older the treatment efficacy turned out to be significantly lower compared to men of the same age (7,5% in women and 9% in men, p < 0,02). In addition, in men aged 50 years or older the treatment efficacy was significantly higher compared to younger men (p < 0,0001). The prevalence of isolated systolic hypertension defined as SBP ł ł 140 and DBP < 90 mm Hg was significantly more frequent in women. There was significant difference between mean SBP in men (161,0 ± 19,9 mm Hg) and women (162,6 ± 20,7 mm Hg, p < 0,001). Mean DBP in women (94,8 ± 11,5 mm Hg) and men (95,1 ± ± 1,4 mm Hg) did not differ significantly (p = 0,37). The difference between mean pulse pressure (PP) in women (67,8 ± 16,6 mm Hg) and men (65,9 ± 16,0 mm Hg) was significant (p < 0,001).
Conclusion: It seems that vast majority of hypertensive patients treated pharmacologically by GPs in Poland is treated unsuccessfully. The situation is found to be relatively equally unsatisfactory in both men and women.
Keywords
hypertension; control of hypertension; effectivenes of treatment
Title
Effectiveness of Pharmacological Hypertension Treatment by General Practitioners in Poland
Journal
Issue
Article type
Original paper
Pages
97-105
Published online
2000-05-23
Page views
800
Article views/downloads
1963
Bibliographic record
Nadciśnienie tętnicze 2000;4(2):97-105.
Keywords
hypertension
control of hypertension
effectivenes of treatment
Authors
Adam Grzybowski
Marcin Gruchała
Jerzy Bellwon
Wojciech Sobiczewski
Joanna Wdowczyk-Szulc
Andrzej Koprowski
Janusz Popaszkiewicz
Łukasz Stolarczyk
Andrzej Rynkiewicz