Abstract
Aims: To assess the impact of simple, collectively produced, evidence-based guidelines on optimizing the choice of anti-hypertensive drugs in routine care. Methods and Results: Forty-eight physicians agreed to produce and test these guidelines for 1 year in their daily practice on a random sample of 1049 treated hypertensive patients (intervention group). A control group of 42 general practitioners recruited and followed up for 1 year a parallel nonintervention cohort of 722 treated hypertensive patients. After 1 year of follow-up, the patients in the nonintervention group had no changes in any of the predefined end points. In the intervention group, the use of diuretics and β-blockers-drugs with documented preventive efficacy-increased, respectively, from 48.3% to 57.6% and from 22.0% to 29.7%; and the proportion of hypertensive patients receiving indicated drugs (with no contraindications) rose from 66.1% to 73.0%. The prescription of poorly tolerated drugs decreased from 12.4% to 7.2%, and noncompliance with the antihypertensive therapy decreased from 5.2% to 3.8%. In the intervention group, both systolic and diastolic blood pressure control improved (systolic pressure
| Original language | English |
|---|---|
| Pages (from-to) | 726-732 |
| Number of pages | 7 |
| Journal | American Heart Journal |
| Volume | 144 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 1 2002 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
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Simple, shared guidelines raise the quality of antihypertensive treatment in routine care. / Avanzini, Fausto; Corsetti, Alessandra; Maglione, Teresa; Alli, Claudio; Colombo, Fabio; Torri, Valter; Floriani, Irene; Tognoni, Gianni.
In: American Heart Journal, Vol. 144, No. 4, 01.10.2002, p. 726-732.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Simple, shared guidelines raise the quality of antihypertensive treatment in routine care
AU - Avanzini, Fausto
AU - Corsetti, Alessandra
AU - Maglione, Teresa
AU - Alli, Claudio
AU - Colombo, Fabio
AU - Torri, Valter
AU - Floriani, Irene
AU - Tognoni, Gianni
PY - 2002/10/1
Y1 - 2002/10/1
N2 - Aims: To assess the impact of simple, collectively produced, evidence-based guidelines on optimizing the choice of anti-hypertensive drugs in routine care. Methods and Results: Forty-eight physicians agreed to produce and test these guidelines for 1 year in their daily practice on a random sample of 1049 treated hypertensive patients (intervention group). A control group of 42 general practitioners recruited and followed up for 1 year a parallel nonintervention cohort of 722 treated hypertensive patients. After 1 year of follow-up, the patients in the nonintervention group had no changes in any of the predefined end points. In the intervention group, the use of diuretics and β-blockers-drugs with documented preventive efficacy-increased, respectively, from 48.3% to 57.6% and from 22.0% to 29.7%; and the proportion of hypertensive patients receiving indicated drugs (with no contraindications) rose from 66.1% to 73.0%. The prescription of poorly tolerated drugs decreased from 12.4% to 7.2%, and noncompliance with the antihypertensive therapy decreased from 5.2% to 3.8%. In the intervention group, both systolic and diastolic blood pressure control improved (systolic pressure
AB - Aims: To assess the impact of simple, collectively produced, evidence-based guidelines on optimizing the choice of anti-hypertensive drugs in routine care. Methods and Results: Forty-eight physicians agreed to produce and test these guidelines for 1 year in their daily practice on a random sample of 1049 treated hypertensive patients (intervention group). A control group of 42 general practitioners recruited and followed up for 1 year a parallel nonintervention cohort of 722 treated hypertensive patients. After 1 year of follow-up, the patients in the nonintervention group had no changes in any of the predefined end points. In the intervention group, the use of diuretics and β-blockers-drugs with documented preventive efficacy-increased, respectively, from 48.3% to 57.6% and from 22.0% to 29.7%; and the proportion of hypertensive patients receiving indicated drugs (with no contraindications) rose from 66.1% to 73.0%. The prescription of poorly tolerated drugs decreased from 12.4% to 7.2%, and noncompliance with the antihypertensive therapy decreased from 5.2% to 3.8%. In the intervention group, both systolic and diastolic blood pressure control improved (systolic pressure
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UR - http://www.scopus.com/inward/citedby.url?scp=0036791184&partnerID=8YFLogxK
U2 - 10.1016/S0002-8703(02)00149-7
DO - 10.1016/S0002-8703(02)00149-7
M3 - Article
C2 - 12360171
AN - SCOPUS:0036791184
VL - 144
SP - 726
EP - 732
JO - American Heart Journal
JF - American Heart Journal
SN - 0002-8703
IS - 4
ER -