Key result
Differences in attending physicians' practice patterns were significantly associated with inadequate blood pressure control, with patients of less aggressive physicians having up to 5.47 times higher odds of uncontrolled hypertension.
Why the study?
Does the attending physician's attitude toward antihypertensive therapy affect inadequate blood pressure control in hypertensive outpatients?
Population
256 hypertensive outpatients visiting Otsuki Hospital in Kochi, Japan, with duration of antihypertensive…
Comparison
Management by different attending physicians… vs Management by attending physician B
Design
Cross-sectional
Authors
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Physician practice variation was associated with uncontrolled hypertension; leaves open whether modifying physician behavior improves outcomes.
Cross-Sectional (n=256)
No
Does the attending physician's attitude toward antihypertensive therapy affect inadequate blood pressure control in hypertensive outpatients?
Odds Ratio: 5.47 (95% CI 2.17–13.81)
p-value: p=<0.001
Physicians' attitudes toward intensifying antihypertensive therapy play a crucial role in achieving adequate blood pressure control in outpatients.
Ono et al. (2003) conducted a cross-sectional in Hypertension (n=256). Attending physician practice patterns (Physician F vs. B) vs. Physician B (more aggressive treatment pattern) was evaluated on Inadequate blood pressure control (≥140/90 mmHg) (OR 5.47, 95% CI 2.17-13.81, p=<0.001). Differences in attending physicians' practice patterns were significantly associated with inadequate blood pressure control, with patients of less aggressive physicians having up to 5.47 times higher odds of uncontrolled hypertension.
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