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January 1, 2023INQUIRY The Journal of Health Care Organization Provision and FinancingOpen Access

Uncontrolled hypertension in men is linked to a 6-point worse HR-QoL score versus controlled hypertension.

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Why the study?

Hypertension poses a hazard to quality of life, but patient-reported outcomes like quality of life are often overlooked and not routinely evaluated or used to customize treatments.

Does uncontrolled hypertension worsen health-related quality of life in hypertensive men compared to controlled hypertension?

Population

500 hypertensive men undergoing treatment at a charitable hospital in Pune, India

Comparison

Uncontrolled hypertension vs controlled blood pressure

Key result

Uncontrolled hypertension in male patients was associated with a significantly poorer overall health-related quality of life score (41) compared to controlled hypertension (35).

Authors

MPMansi PatilRHRadhika HedaooRSRohan Pravinbhai Shah

Discussion

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Member takes

Overview

Supports QoL monitoring in men with uncontrolled hypertension; cross-sectional design leaves causality open.

Study Design

Type

Cross-Sectional (n=500)

Multicenter

No

Structured PICO

Does uncontrolled hypertension worsen health-related quality of life in hypertensive men compared to controlled hypertension?

P
Population
500 hypertensive men undergoing treatment visiting a charitable hospital in Pune, India
I
Intervention
Uncontrolled hypertension
C
Comparator
Controlled hypertension
O
Outcome
Health-related quality of life (HR-QoL) assessed using the MINICHAL scalepatient reported

Main Result

Absolute Event Rate: 41% vs 35%

p-value: p=<.0001

Uncontrolled hypertension is associated with significantly worse health-related quality of life in men compared to controlled hypertension.

Limitations

  • Only male patients were recruited, limiting generalizability to women.
  • No measure of medications prescribed or medication compliance was monitored.
  • Utilized manual blood pressure monitoring using a mercury sphygmomanometer rather than an automated device.
  • Study population was from a single center in urban India, limiting generalizability to the wider community.

Cite This Study

Patil et al. (2023) conducted a cross-sectional in Hypertension (n=500). Uncontrolled hypertension vs. Controlled hypertension was evaluated on Overall Health-Related Quality of Life (HR-QoL) score on the MINICHAL scale (p=<.0001). Uncontrolled hypertension in male patients was associated with a significantly poorer overall health-related quality of life score (41) compared to controlled hypertension (35).

synapsesocial.com/papers/6a0f86c48090e499da5fdefchttps://doi.org/10.1177/00469580231167010
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