Simple, shared guidelines raise the quality of antihypertensive treatment in routine care

Fausto Avanzini, Alessandra Corsetti, Teresa Maglione, Claudio Alli, Fabio Colombo, Valter Torri, Irene Floriani, Gianni Tognoni

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)726-732
Number of pages7
JournalAmerican Heart Journal
Volume144
Issue number4
DOIs
Publication statusPublished - Oct 1 2002

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Antihypertensive Agents
Guidelines
Blood Pressure
Pharmaceutical Preparations
Therapeutics
Diuretics
General Practitioners
Prescriptions
Physicians
Control Groups

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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 journalArticle

Avanzini, F, Corsetti, A, Maglione, T, Alli, C, Colombo, F, Torri, V, Floriani, I & Tognoni, G 2002, 'Simple, shared guidelines raise the quality of antihypertensive treatment in routine care', American Heart Journal, vol. 144, no. 4, pp. 726-732. https://doi.org/10.1016/S0002-8703(02)00149-7
Avanzini, Fausto ; Corsetti, Alessandra ; Maglione, Teresa ; Alli, Claudio ; Colombo, Fabio ; Torri, Valter ; Floriani, Irene ; Tognoni, Gianni. / Simple, shared guidelines raise the quality of antihypertensive treatment in routine care. In: American Heart Journal. 2002 ; Vol. 144, No. 4. pp. 726-732.
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