Hypertension control at physicians' offices in the United States

American Journal of Hypertension
Jing FangJanet B Croft

Abstract

Uncontrolled hypertension is a common and important risk factor for heart disease and stroke. Nevertheless, the control rate among patients taking prescribed medication and/or therapeutic lifestyle modification has remained about the same for the past several decades. We analyzed 2003 and 2004 National Ambulatory Medical Care Survey (NAMCS) data to determine hypertension control in the physician offices in the United States. All visits for hypertension with measured blood pressure levels were included in the analyses. Survey weights were applied to obtain national estimates. Characteristics associated with hypertension control status were identified. About 176 million hypertension-related office visits occurred (9.7% of total office visits) during 2003 and 2004. Of these, 17, 44, and 62% of visits had blood pressure <130/80 mm Hg, 140/90 mm Hg, and 145/95 mm Hg, respectively. The likelihood of hypertension control (<140/90 mm Hg) was associated with a diagnosis of coronary heart disease (odds ratio (OR) 1.54, 95% confidence interval (CI) = 1.01-2.35), visits with increased serum cholesterol (OR = 1.34, 95% CI = 1.09-1.65), visits with patients' primary care physician vs. those with non-primary care physicians (OR = 1.49, 95% CI...Continue Reading

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Citations

Aug 3, 2012·American Journal of Hypertension·Cristina GiannattasioGiuseppe Mancia
Feb 13, 2008·American Journal of Hypertension·Bruce M Psaty
Feb 25, 2014·Journal of Pharmaceutical Health Services Research : an Official Journal of the Royal Pharmaceutical Society of Great Britain·Junling WangJulie W Kuhle
Nov 9, 2010·The Journal of Clinical Hypertension·Alan H Gradman
Feb 20, 2010·The Journal of Clinical Hypertension·Farhan AslamJoAnne M Foody
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Adam WindakTomasz Grodzicki
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Jun 5, 2013·The Journal of Clinical Hypertension·William J ElliottTorry M Sansone
Aug 20, 2020·BMC Medical Informatics and Decision Making·Richelle J KoopmanMichael L LeFevre
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Dec 1, 2018·American Journal of Hypertension·Giuliano TocciMassimo Volpe
Sep 6, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Amos SongNitin Jain
Aug 7, 2021·BMC Medical Informatics and Decision Making·Pete WegierRichelle J Koopman

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