Why the study?
Does a screening and referral model for hypertension lead to adequate blood pressure control and prevent cardiovascular complications in middle-aged men?
Does a screening and referral model for hypertension lead to adequate blood pressure control and prevent cardiovascular complications in middle-aged men?
A screening and referral model for hypertension in middle-aged men resulted in poor long-term blood pressure control and was deemed inappropriate due to inadequate treatment and poor compliance.
May not support standalone screening-referral for sustained hypertension management; leaves open integrated care approaches for cardiovascular prevention research.
In 1970–71 5 249 Copenhagen men aged 40–59 were screened for hypertension. 196 were found to have raised blood pressure and 150 of these men were examined in an outpatient clinic, treated if judged necessary and then referred to their own doctors for further treatment. A 5 year follow up was undertaken to determine their experience. 10 (6.7%) had died. 11 (7.5%) had had major cardiovascular complications. Only 38 (31.1%) were well controlled. The poor prognosis was probably due to inadequate treatment and poor patient compliance. The screening model is judged inappropriate.
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Lauridsen et al. (1979) studied this question.
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