Why the study?
What is the rate of achieving guideline-directed blood pressure treatment goals among Japanese hypertensive patients in a community-based setting?
What is the rate of achieving guideline-directed blood pressure treatment goals among Japanese hypertensive patients in a community-based setting?
Real-world achievement of guideline-directed blood pressure targets is extremely low among Japanese hypertensive patients, highlighting a significant gap in community-based hypertension management.
Highlights major gaps in year-round BP control among Japanese hypertensives; leaves open effective strategies to improve community management.
In this observational cohort study, the authors assessed the achievement of treatment goals as defined in the Japanese Society of Hypertension's Guidelines for the Management of Hypertension (JSH 2004) among 2743 Japanese hypertensive patients who were followed for 1 year (follow-up rate of 82.6%). Median age was 72 years, and 45% were men. Achievement of treatment goals across all 4 seasons was very low, at 4.1% among patients with diabetes mellitus or renal disease, 3.9% among nonelderly patients (<65 years of age) without these diseases, and 30.8% among elderly patients (>or=65 years of age) without these diseases. These findings highlight the importance of maintaining appropriate blood pressure control. In addition, an analysis of factors associated with achievement rates identified the importance of weight control, lifestyle modification, and family history, and indicated a need for better blood pressure management before complications arise.
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Yokokawa et al. (2010) studied this question.
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