Temporal and Geospatial Trends of Hypertension Management in Korea: a Nationwide Study 2002-2016

Korean Circulation Journal
Hokyou LeeHyeon Chang Kim

Abstract

Geographic distribution of hypertension management in Korea has never been reported. We investigated temporal and regional trends of hypertension management in Korea. For each calendar year from 2002 to 2016, we identified 2,423,245 to 7,549,989 persons aged ≥30 years treated for hypertension (total 80,564,109 cases). We calculated yearly age-sex standardized rates for medication adherence, combination therapy, blood test, and urine test according to geographic regions. We then used multivariate logistic regression to calculate odds ratios for hypertension management adjusted for individual-level sociodemographic factors. Adherence rates have markedly increased from 24.4% (2002) to 71.6% (2016) nationwide. Regional difference was prominent in 2002 (highest, 31.7% in Seoul; lowest, 14.4% in Jeonbuk), but has become less noticeable over 15 years (highest, 73.1% in Daejeon; lowest, 69.0% in Jeonnam, 2016). Combination therapy rates increased from 42.8% (2002) to 61.0% (2011), but are in decreasing trend after 2011. Blood test rates were 58.8% in 2016, whereas urine test rates have been stagnant below 50% across all regions. Geographic variations of combination therapy and complication screening rates were not profound. Results fro...Continue Reading

References

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Citations

May 11, 2019·Korean Circulation Journal·Mi Hyang Jung, Sang Hyun Ihm
Dec 20, 2019·Korean Circulation Journal·Hae Young Lee
Feb 26, 2020·Korean Circulation Journal·Jee Seon ShimHyeon Chang Kim
Apr 7, 2021·Korean Circulation Journal·Jongmin BaekHyeon Chang Kim
Jan 27, 2022·Clinical and Translational Gastroenterology·Hokyou LeeHyeon Chang Kim

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