Key result
Adherence to the Malaysian Clinical Practice Guidelines was significantly associated with better hypertension control compared to non-adherence (64.4% vs 44.9%, p=0.005) in patients with cardiovascular disease.
Why the study?
Does adherence to clinical practice guidelines improve hypertension control in established hypertensive patients with cardiovascular diseases?
Population
320 established hypertensive patients with cardiovascular diseases at an outpatient cardiology clinic in…
Comparison
Pharmacotherapy compliant with the Malaysian… vs Pharmacotherapy non-compliant with guidelines
Design
Cohort
Follow-up
Until the second clinic visit
Authors
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May support Malaysian CPG adherence for hypertension control in CVD patients; leaves open causality without randomized evidence.
Cross-Sectional (n=260)
No
Does adherence to clinical practice guidelines improve hypertension control in established hypertensive patients with cardiovascular diseases?
Effect estimate: Φ = 0.175
Absolute Event Rate: 64.4% vs 44.9%
p-value: p=0.005
Adherence to clinical practice guidelines, particularly the use of ACE inhibitors, is associated with significantly better blood pressure control in hypertensive patients with cardiovascular disease.
Ahmad et al. (2012) conducted a cross-sectional in Hypertension with cardiovascular diseases (n=260). Adherence to Malaysian Clinical Practice Guideline (CPG) 2008 vs. Non-adherence to CPG 2008 was evaluated on Hypertension control (goal BP) (Φ = 0.175, p=0.005). Adherence to the Malaysian Clinical Practice Guidelines was significantly associated with better hypertension control compared to non-adherence (64.4% vs 44.9%, p=0.005) in patients with cardiovascular disease.
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