What does this research mean for the field?

In patients with both hypertension and diabetes, cardiologists underutilize combination antidiabetic therapy while endocrinologists underutilize combination antihypertensive therapy, though disease control rates do not significantly differ between the two specialties. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research examines the association and management of hypertension and diabetes mellitus in cardiology and endocrinology.

June 10, 2016Journal of HypertensionOpen Access

Management of hypertension and diabetes mellitus by cardiovascular and endocrine physicians

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Why the study?

Does the management setting (cardiology vs endocrinology) affect the treatment patterns and control of coexisting hypertension and diabetes mellitus?

Population

Patients seen for hypertension in cardiology or for diabetes mellitus in endocrinology in a multicentre…

Comparison

Management in an endocrinology setting vs Management in a cardiology setting

Design

Cross-sectional

Authors

JSJie SongSichuan University CSChang‐Sheng ShengRuijin Hospital QHQi‐Fang HuangGuangxi Medical University

Discussion

Member takes

Implication

Specialty differences in combination therapy for comorbid hypertension and diabetes highlight potential gaps; leaves open whether integrated care improves outcomes.

Key Points

This research examines the association and management of hypertension and diabetes mellitus in cardiology and endocrinology.
Multicentre registry including patients aged ≥20 years from cardiology and endocrinology clinics.
Patients completed a questionnaire and underwent measurements of blood pressure, glycosylated haemoglobin A1c, and albuminuria.
32.9% of hypertensive patients in cardiology had diabetes; 58.9% of diabetic patients in endocrinology had hypertension.
Combination antihypertensive therapy was less frequent in endocrinology (OR 0.31, P < 0.0001) than in cardiology.
Median occurrence of albuminuria was higher (23.3%) when both diseases were present compared to either disease alone (12.6% hypertension, 15.9% diabetes).

Structured PICO

Does the management setting (cardiology vs endocrinology) affect the treatment patterns and control of coexisting hypertension and diabetes mellitus?

Population

Patients (≥20 years) seen for hypertension in cardiology (n=1291) or for diabetes mellitus in endocrinology (n=1168) in a multicentre registry.

Intervention

Management in an endocrinology setting

Comparator

Management in a cardiology setting

Outcome

Use of combination antihypertensive and antidiabetic therapies, control of hypertension and diabetes, and prevalence of albuminuriasurrogate

Management of coexisting hypertension and diabetes shows specialty-specific gaps in the use of combination therapies, highlighting the need for more comprehensive cross-specialty care.

Cite This Study

Song et al. (2016) studied this question.

synapsesocial.com/papers/6a1d29d2c1a3b75cd0d00a41 https://doi.org/10.1097/hjh.0000000000000994

Topics

Hypertension management

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Implication

Specialty differences in combination therapy for comorbid hypertension and diabetes highlight potential gaps; leaves open whether integrated care improves outcomes.

Management of hypertension and diabetes mellitus by cardiovascular and endocrine physicians

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Management of hypertension and diabetes mellitus by cardiovascular and endocrine physicians

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider