What does this research mean for the field?

In patients treated at a specialized hypertension clinic, medication adherence is high (90.1%), but blood pressure control is achieved in only 69.2% of patients and is independently associated with marital status, calcium channel blocker use, and the number of prescribed antihypertensive drugs. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify clinical and sociodemographic variables associated with blood pressure control and medication adherence among patients treated at a specialized hypertension outpatient clinic.

December 1, 2021Patient Preference and AdherenceOpen Access

Blood Pressure Control and Adherence to Drug Treatment in Patients with Hypertension Treated at a Specialized Outpatient Clinic: A Cross-Sectional Study

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Why the study?

Variables associated with blood pressure control and adherence to antihypertensive drug treatment in patients monitored at a specialized, highly complex outpatient service needed evaluation.

What factors are associated with blood pressure control and adherence to antihypertensive drug treatment in patients with hypertension?

Key Points

To identify clinical and sociodemographic variables associated with blood pressure control and medication adherence among patients treated at a specialized hypertension outpatient clinic.
Conducted a prospective cross-sectional evaluation of 253 adult patients followed for at least six months at a tertiary teaching hospital hypertension unit.
Assessed medication adherence with the Morisky Green Levine Scale, defined blood pressure control as <140/90 mmHg, and analyzed predictors using multiple logistic regression.
Blood pressure control was achieved by 69.2% of patients, while medication adherence was documented in 90.1%.
Blood pressure control was independently associated with married marital status (OR 2.3; 95% CI, 1.34–4.28), calcium channel blocker use (OR 0.4; 95% CI, 0.19–0.92), and total number of prescribed antihypertensives (OR 0.78; 95% CI, 0.66–0.92).

Structured PICO

What factors are associated with blood pressure control and adherence to antihypertensive drug treatment in patients with hypertension?

Population

253 patients aged ≥18 years with hypertension monitored for at least 6 months at a specialized outpatient clinic of a tertiary teaching hospital, excluding secondary hypertension and pregnant women. Mean age 65 (13.3) years, mostly white, married, women, with low income and education levels.

Intervention

Antihypertensive drug treatment

Outcome

Blood pressure control (<140/90 mmHg) and adherence to antihypertensive treatment (assessed using the Morisky Green Levine Scale)surrogate

In a specialized outpatient clinic, adherence to antihypertensive therapy was high (90.1%), but blood pressure control was achieved in only 69.2% of patients and was associated with social and treatment-related factors.

Discussion

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Implication

Social factors and regimen complexity warrant consideration despite high adherence; cross-sectional data leaves open causality and needs prospective confirmation.

Cite This Study

Guimarães et al. (2021) studied this question.

synapsesocial.com/papers/6a1d29d2c1a3b75cd0d00a3e https://doi.org/10.2147/ppa.s336524

Topics

Hypertension management

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Implication

Social factors and regimen complexity warrant consideration despite high adherence; cross-sectional data leaves open causality and needs prospective confirmation.

Blood Pressure Control and Adherence to Drug Treatment in Patients with Hypertension Treated at a Specialized Outpatient Clinic: A Cross-Sectional Study

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Blood Pressure Control and Adherence to Drug Treatment in Patients with Hypertension Treated at a Specialized Outpatient Clinic: A Cross-Sectional Study

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider