Undertreatment of hypertension in a population-based study in The Netherlands

Klungel, Olaf H.; Boer, Anthonius de; Paes, A. H. P.; Seidell, Jacob C.; Nagelkerke, N. J. D.; Bakker, A.

doi:10.1097/00004872-199816090-00018

Cited by 41 publications

(32 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 From elderly nonstroke populations, the proportion of nontreatment has been reported to be 18% in the Netherlands 19 and 41% in men and 22% in women in Sweden. 20 Within the blood pressure control groups in the present study, those with controlled blood pressure had a similar proportion of people not treated (10%) as the uncontrolled group (16%). It is important to note that nontreatment does not imply an absence of management of hypertension altogether.…”

Section: Discussionmentioning

confidence: 48%

See 1 more Smart Citation

Control of Hypertension 5 Years After Stroke in the North East Melbourne Stroke Incidence Study

Paul

Thrift

2006

Hypertension

View full text Add to dashboard Cite

Abstract-Control of blood pressure after stroke is important for reducing the risk of recurrent stroke. We examined the control of hypertension in a community-based population of 5-year stroke survivors. Cases of first-ever stroke from the North East Melbourne Stroke Incidence Study were interviewed at 5 years poststroke. Blood pressure, history of hypertension, and antihypertensive medications were recorded. Individuals were classified as normotensive (blood pressure Ͻ140/90 mm Hg, no history of hypertension, and no antihypertensive medications), controlled hypertensive (blood pressure Ͻ140/90 mm Hg, history of hypertension, and/or taking antihypertensive medications), uncontrolled hypertensive (blood pressure Ն140/90 mm Hg, history of hypertension, and/or taking antihypertensive medications), or uninformed hypertensive (blood pressure Ն140/90 mm Hg, no known history of hypertension, and no antihypertensive medications). At 5 years poststroke, 441 (45%) of 978 first-ever stroke cases were alive. Of these, 305 (69%) had complete data on blood pressure, antihypertensive medication use, and history of hypertension. No statistical differences existed between those with or without these data. Eight-two percent were hypertensive; 63% had controlled hypertension, 30% had uncontrolled hypertension, and 7% were unaware that they were hypertensive. Overall, 67% of individuals classified as uncontrolled or uninformed hypertensive subjects were receiving treatment that was insufficient to achieve target blood pressure levels. Uncontrolled hypertensive subjects were more likely to recall receiving advice to manage their hypertension with medication (PϽ0.02) and diet (PϽ0.09). Although the majority of hypertensive individuals had controlled hypertension at 5 years poststroke, considerable improvement can be made in the control of hypertension after stroke.

show abstract

Section: Discussionmentioning

confidence: 48%

“…Therefore, the uncontrolled blood pressure seen in the present study may be a result of other factors, such as treatment resistance, recent commencement of medications, or lack of physician follow-up. 20 It is evident that most of these factors can be readily addressed.…”

Section: Discussionmentioning

confidence: 99%

Control of Hypertension 5 Years After Stroke in the North East Melbourne Stroke Incidence Study

Paul

Thrift

2006

Hypertension

View full text Add to dashboard Cite

show abstract

“…Furthermore, international differences in dosing and varying undertreatment of hypertension may also be an Utilization of antihypertensive agents P Stolk et al explanation. 25 Differences in population age and gender composition of the respective countries were relatively small. 8 For both absolute and relative differences, the various approaches to cope with the challenges of the pharmaceutical marketplace when it comes to price setting, reimbursement restrictions and insurance schemes surely also play a role.…”

Section: Discussionmentioning

confidence: 99%

Between-country variation in the utilization of antihypertensive agents: guidelines and clinical practice

et al. 2006

View full text Add to dashboard Cite

“…Previously, it was reported that the prevalence of hypertension (systolic blood pressure (SBP) X140 mmHg and/or diastolic blood pressure (DBP) X90 mmHg and/or use of antihypertensive medication) in the Netherlands in the period 1993-1997 was approximately 20.2% of the population in the age-group from 40 to 59 years. 10 Studies from other countries suggest that the proportion of hypertensives treated and/or controlled has been stable in recent years or has even decreased. 11,12 Therefore, we performed the present study to assess the prevalence and determinants of undertreatment of hypertension in the Netherlands during 1996-2002.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of undertreatment of hypertension in the Netherlands

et al. 2004

View full text Add to dashboard Cite

The objective of this study was to determine the prevalence, treatment, and control of hypertension, and the determinants of undertreatment in the Dutch population. The study design was cross-sectional. A population-based survey on cardiovascular disease risk factors in the Netherlands from 1996 to 2002 was the setting of the study. A total of 10 820 men and women, aged 30-59 years, were included in the study. The main outcome measures of the study were: Prevalence of hypertension, treatment, and control of hypertension and determinants of undertreatment of hypertension. Hypertension was defined as: systolic blood pressure (SBP) X140 mmHg and/or diastolic blood pressure (DBP) X90 mmHg, and/or the use of antihypertensive medication. Treated and controlled hypertension was defined as SBP o140 mmHg and DBP o90 mmHg. Multivariate logistic regression was used to assess the determinants of undertreatment. The prevalence of hypertension in men was 21.4% and in women 14.9%, and 17.9% of the hypertensive men and 38.5% of the hypertensive women were receiving antihypertensive medication. Of the untreated hypertensives, 21.9% of the men and 13.6% of the women were eligible for treatment with antihypertensive medication according to Dutch guidelines. Female gender and the use of cholesterollowering medication were associated with an increased chance of being treated. Subjects who were physically active, on a low salt diet, and current smokers had an increased chance of being untreated. Taking cholesterol-lowering medication and no asthma or allergy were factors associated with better control of blood pressure. In conclusion, a considerable proportion of hypertensives were untreated and uncontrolled. Therefore, the detection and control of hypertension in the Netherlands needs to improve. Several groups of hypertensives were identified that need additional care and attention.

show abstract

Undertreatment of hypertension in a population-based study in The Netherlands

Cited by 41 publications

References 52 publications

Control of Hypertension 5 Years After Stroke in the North East Melbourne Stroke Incidence Study

Control of Hypertension 5 Years After Stroke in the North East Melbourne Stroke Incidence Study

Between-country variation in the utilization of antihypertensive agents: guidelines and clinical practice

Prevalence and determinants of undertreatment of hypertension in the Netherlands

Contact Info

Product

Resources

About