August 1, 2012Open Access

The managed hypertensive: the costs of blood pressure control in a Nigerian town

View Full Paper

Ask AI

Bookmark

Population

250 rural patients with primary hypertension attending a regional hospital in Southwest Nigeria, mean age…

Design

Cross-sectional

Follow-up

median 12 months (range 1-91 months) of treatment

Authors

OIOlayinka Stephen IlesanmiUniversity College Hospital, Ibadan OIOlusimbo K. IgeUniversity of Ibadan AAAkindele O. AdebiyiUniversity College Hospital, Ibadan

Discussion

Member takes

Implication

High out-of-pocket costs and low control in rural Nigeria may limit adherence; leaves open whether cost-effective regimens improve outcomes prospectively.

Structured PICO

Population

250 rural patients with primary hypertension attending a regional hospital in Southwest Nigeria (Igbo-Ora, Oyo State), mean age 61±11.2 years, 59.2% female. 82.4% had Stage 2 hypertension at diagnosis.

Intervention

Antihypertensive therapy (monotherapy or combination, predominantly diuretics and alpha-methyldopa)

Outcome

Achievement rates of target blood pressure (BP < 140/90 mmHg or < 130/80 mm Hg for diabetics) and cost-effectiveness ratio (CER)surrogate

In rural Nigeria, the financial burden of hypertension treatment is substantial, with over half of patients spending at least 10% of their income, underscoring the need for affordable, cost-effective regimens.

Limitations

Cost of health care is probably underestimated as laboratory tests and hospital admissions were not included
Influence of patients' compliance and persistence with treatment were not considered in cost-effectiveness
Small number of patients on other combinations precluded them from analysis

Cite This Study

Ilesanmi et al. (2012) studied this question.

synapsesocial.com/papers/6a81cf6c28bb6950eb6103c4 https://doi.org/10.11604/pamj.2012.12.96.1209

View Full Paper

Ask AI

Bookmark

August 1, 2012Open Access

The managed hypertensive: the costs of blood pressure control in a Nigerian town

View Full Paper

Ask AI

Bookmark

Population

250 rural patients with primary hypertension attending a regional hospital in Southwest Nigeria, mean age…

Design

Cross-sectional

Follow-up

median 12 months (range 1-91 months) of treatment

Authors

OIOlayinka Stephen IlesanmiUniversity College Hospital, Ibadan OIOlusimbo K. IgeUniversity of Ibadan AAAkindele O. AdebiyiUniversity College Hospital, Ibadan

Discussion

Member takes

Implication

High out-of-pocket costs and low control in rural Nigeria may limit adherence; leaves open whether cost-effective regimens improve outcomes prospectively.

Structured PICO

Population

Intervention

Antihypertensive therapy (monotherapy or combination, predominantly diuretics and alpha-methyldopa)

Outcome

Achievement rates of target blood pressure (BP < 140/90 mmHg or < 130/80 mm Hg for diabetics) and cost-effectiveness ratio (CER)surrogate

Limitations

Cost of health care is probably underestimated as laboratory tests and hospital admissions were not included
Influence of patients' compliance and persistence with treatment were not considered in cost-effectiveness
Small number of patients on other combinations precluded them from analysis

Cite This Study

Ilesanmi et al. (2012) studied this question.

synapsesocial.com/papers/6a81cf6c28bb6950eb6103c4 https://doi.org/10.11604/pamj.2012.12.96.1209

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

View Full Paper

Ask AI

Bookmark