Improving Blood Pressure Control in a Pharmacist‐Managed Hypertension Clinic

Q: What does this research mean for the field?

Pharmaceutical care provided by a pharmacist-managed clinic significantly increases the proportion of patients achieving blood pressure goals compared to traditional primary care. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Eva Vivian

doi:10.1592/phco.22.17.1533.34127

December 1, 2002Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy

Improving Blood Pressure Control in a Pharmacist‐Managed Hypertension Clinic

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Why the study?

Does a pharmacist-managed hypertension clinic improve blood pressure goal attainment in patients with essential hypertension?

Key Points

To determine whether pharmaceutical care provided in a pharmacist-managed hypertension clinic achieves superior blood pressure control and patient outcomes compared to standard primary physician care.
Randomized controlled trial conducted at a Veterans Affairs Medical Center involving 56 patients with essential hypertension followed for 6 months.
The intervention group (N=27) attended monthly pharmacist visits for medication adjustments and counseling under JNC VI guidelines, while the control group (N=29) received usual care from primary care physicians.
Outcomes evaluated included blood pressure goal attainment, medication compliance via a compliance survey, and health-related quality of life and satisfaction via the SF-36 survey.
Blood pressure goal attainment (<140/90 mm Hg) was achieved by 81% (21 patients) in the intervention group versus 30% (8 patients) in the control group (p < 0.0001).
Among patients with diabetes, blood pressure goal attainment (<130/80 mm Hg) occurred in 91% (10/11) of the intervention group compared to 12% (2/16) of the control group (p < 0.0001).
No statistically significant differences were observed between the intervention and control groups regarding treatment compliance or overall patient satisfaction.

Structured PICO

Does a pharmacist-managed hypertension clinic improve blood pressure goal attainment in patients with essential hypertension?

P

Population

56 patients with essential hypertension at a Veterans Affairs Medical Center in Philadelphia, Pennsylvania.

I

Intervention

Monthly meetings with a clinical pharmacist for drug changes, dosage adjustments, and counseling per JNC VI guidelines for 6 months.

C

Comparator

Standard care from primary care physicians.

O

Outcome

Treatment outcomes measured by changes in compliance, blood pressure (attainment of goal <140/90 mm Hg, or <130/80 mm Hg for diabetics), and patient satisfaction at 6 months.surrogate

Pharmacist-managed hypertension clinics significantly improve blood pressure goal attainment compared to standard primary care.

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Implication

Supports pharmacist-managed clinics for hypertension control; extends JNC VI with RCT evidence for team-based care.

Abstract

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Cite This Study

Eva Vivian (2002) studied this question.

synapsesocial.com/papers/6a1e7b015a76b87e09953ce2 https://doi.org/10.1592/phco.22.17.1533.34127

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Improving Blood Pressure Control in a Pharmacist‐Managed Hypertension Clinic

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Improving Blood Pressure Control in a Pharmacist‐Managed Hypertension Clinic

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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