Hypertension Control Cascade: A Framework to Improve Hypertension Awareness, Treatment, and Control

The Journal of Clinical Hypertension
Gregory WozniakMatthew Wynia

Abstract

Evidence-based interventions differ for increasing hypertension awareness, treatment, and control and should be targeted for specific patient panels. This study developed a hypertension control cascade to identify patients with a usual source of care represented at each level of the cascade using the 2007-2012 National Health and Nutrition Examination Survey. Overall, 10.7 million adults in the United States were unaware of their condition, 3.8 million were aware but untreated, and 15.8 million were treated but uncontrolled. The results also suggest that failure to attain hypertension control because of lack of awareness or lack of treatment despite awareness occurs mainly among younger individuals and those with no annual healthcare visits, while the elderly and minorities are more likely to remain uncontrolled when aware and treated. Opportunities to leverage population health management functions in electronic health information systems to align the specific patient subgroups facing barriers to hypertension control at each level of the cascade with targeted hypertension management interventions are discussed.

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Citations

Nov 28, 2017·The Journal of Ambulatory Care Management·James MacinkoMaria Fernanda Lima-Costa
Jul 27, 2018·MMWR. Morbidity and Mortality Weekly Report·Elizabeth L CieminsJohn K Cuddeback
Aug 28, 2019·Current Hypertension Reports·Charles MuiruriLeah L Zullig
Sep 17, 2020·Revista Da Sociedade Brasileira De Medicina Tropical·Aldrey Nascimento CostaMarcus Vinicius Guimarães de Lacerda
Sep 6, 2020·BMC Public Health·Jutta M Adelin JorgensenJustine I Davies
Oct 1, 2021·Journal of General Internal Medicine·Sho KatsuragawaKosuke Inoue
Oct 29, 2021·Frontiers in Cardiovascular Medicine·Raja Ram DhunganaMaximilian de Courten
Jul 7, 2021·Journal of Human Hypertension·Biplab Kumar DattaMuhammad Jami Husain

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