Physician Familiarity With Diagnosis and Management of Hypertension According to JNC 7 Guidelines

Abstract

Physician knowledge of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines is unknown and may contribute to the prevalence of uncontrolled hypertension. Our objective was to determine physician knowledge of JNC 7 guidelines and whether online instruction could improve knowledge. A pretest served as baseline knowledge, and comparison with a post-test after completing an online didactic demonstrated improvement in knowledge. Participants included 1280 physicians at 45 internal medicine residency training programs. Average baseline knowledge of six concepts of hypertension was 51.2%. Attending physicians performed better than trainees on some but not all concepts (p<0.05). Third-year post-graduate trainees performed better than first-year trainees on some but not all concepts (p<0.05). Knowledge increased significantly on all concepts after completing the curriculum (p<0.05). The authors demonstrated that physician knowledge of JNC 7 guidelines is poor but can be improved by an online curriculum. Further study is needed to determine the impact of physician education on clinical outcomes in individuals with hypertension.

Essential pediatric hypertension: defining the educational needs of primary care pediatricians

“…To provide another approach that serves those who prefer in-person education, we will also employ educational sessions in small group settings to reinforce key content and guidelines [37]. Self-learning materials will also be used that contain the same content.…”

Role of Oxidative Stress in the Development of Vascular Injury and its Therapeutic Intervention by Nifedipine

“…In addition, a recent systematic review revealed that DHPs were inferior to non-DHPs in reducing proteinuria [7]. On the basis of these findings, the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines recommends DHPs as a first-line therapy for patients with isolated systolic hypertension especially for the reduction of stroke and as an add-on agent to achieve optimal BP level in other hypertensive patients except for heart failure with systolic dysfunction [8]. NonDHPs, alone or in combination with ACEIs or ARBs, are suggested as preferred agents to lower BP in hypertensive patients with nephropathy associated with overt proteinuria [9].…”

Effect of general practitioner education on adherence to antihypertensive drugs: cluster randomised controlled trial

“…10 Similar findings have been reported from developed countries. [11][12][13] We did this study in Karachi, Pakistan, to assess the impact of special educational training of general practitioners in the management of hypertension on adherence to prescribed antihypertensive drugs and to determine the practice patterns of doctors that contribute to adherence to antihypertensive drugs. We hypothesised that adherence to antihypertensive drugs by patients seeking care from general practitioners specially trained in the management of hypertension would be higher than in those seeking care from general practitioners providing usual care.…”