Control de la presión arterial en una población hipertensa diabética asistida en atención primaria. «Estudio PRESCAP-Diabetes»

Llisterri, J.L.; Rodríguez-Roca, G.C.; Llamas, M.A. Perez; Alonso, Vivencio Barrios; Fernández, P. Beato; Martínez, Teresa; Cervantes, C. Escobar; Martínez, R. Genique; Lerín, A García; González-Segura, Diego

doi:10.1016/j.semerg.2010.02.006

Cited by 4 publications

(4 citation statements)

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“…In our study, 56.43% of patients under treatment were taking more than two antihypertensive drugs in 2003 and this percentage rose to 62.45% in 2009. These results are better than those found in other studies, where the proportion of patients taking more than two drugs was found to be between 13.3% and 26.8% [20], [23], [24]. This could be due to the fact that all antihypertensive drugs prescribed by family doctors were included in our study, although treatment may initially have been prescribed for another condition, such as renal protection, heart failure, stroke, arrhythmia, peripheral vascular disease or prostatic hyperplasia.…”

Section: Discussioncontrasting

confidence: 90%

“…If we take as control criterion the objective of 140/90 mmHg, the control level in 2003 was 53.03%, a value slightly lower than the 58.6% found in the CONTROLPRES study [36] , done with this cut-off point in the same year for the Spanish population attended in PC. The poor control of HTN for people with type 2 diabetes, due mainly to difficulty in reaching systolic BP objectives [20] , [23] – [25] , [27] , [28] , [32] , [37] , as well as the progressive improvement as time passes [20] , [30] , [32] are consistent with findings of other studies.…”

Section: Discussionsupporting

confidence: 87%

“…The population included in the study has socio-demographic and clinical characteristics similar to other studies undertaken in PC in Spain during the same years [20] – [24] .…”

Section: Discussionmentioning

confidence: 99%

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Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

et al. 2014

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In patients with type 2 diabetes, the prevalence of hypertension is higher than in non-diabetic subjects. Despite the high cardiovascular risk involving hypertension in these patients, its prevalence and control are not well known. The aims of this study were: to estimate the hypertension prevalence, awareness, treatment and control in Spanish adults with type 2 diabetes attended in Primary Care; and to analyse its time trend from 2003 to 2009. A serial cross-sectional study from 2003 to 2009 was performed in 21 Primary Care Centres in Madrid. The study population comprised all patients with diagnosed type 2 diabetes in their computerised medical history. Overall annual prevalence during the period 2003–2009 was calculated from and according to sex and age groups. Linear trend tests, regression lines and coefficients of determination were used. In 2003 89.78% (CI 87.92–91.64) of patients with type 2 diabetes suffered hypertension and 94.76% (CI: 92.85–96.67) in 2009. This percentage was greater for women and for patients over 65 years old. 30% of patients suffered previously undiagnosed hypertension in 2003 and 23.1% in 2009. 97% of diagnosed patients received pharmacological treatment and 28.79% reached the blood pressure objective in 2009. The average number of antihypertensive drugs taken was 2.72 in 2003 and 3.27 in 2009. Only 5.2% of patients with type 2 diabetes show blood pressure levels below 130/80 mmHg. Although significant improvements have been achieved in the diagnosis and control of hypertension in people with type 2 diabetes, these continue to remain far from optimum.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

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Trends in Hypertension Prevalence, Awareness, Treatment and Control in an Adult Type 2 Diabetes Spanish Population between 2003 and 2009

et al. 2014

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“…El grado de control de la HTA de los pacientes diabé ticos incluidos en el estudio sigue siendo muy bajo, aunque fue superior al mostrado en los estudios PRESCAP 2002 (9,1%) 8 30 . Por otro lado, la menor proporció n de control observada en las poblaciones rurales puede estar relacionada con una edad má s elevada y una mayor prevalencia de obesidad.…”

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Control de la presión arterial en la población hipertensa española asistida en Atención Primaria. Estudio PRESCAP 2010

Llisterri¹,

Roca

Moreno³

et al. 2012

Medicina Clínica

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