Key result
Antihypertensive medication use in Greenland rises to ~18%, though underdiagnosis remains widespread.
Why the study?
The prevalence of patients using antihypertensive medication in Greenland and the impact of having a medical diagnosis code on quality of care were not well characterized.
Does having a medical diagnosis code for hypertension improve the quality of care in patients using antihypertensive medication?
Cross-Sectional (n=13,637)
Does having a medical diagnosis code for hypertension improve the quality of care in patients using antihypertensive medication?
Having a formal medical diagnosis code for hypertension is associated with significantly improved quality of care process indicators among patients taking antihypertensive medication in Greenland.
This study aimed to estimate the age- and sex specific prevalence of patients using antihypertensive medication in Greenland, and compared the quality of care between patients with and without a diagnosis for hypertension. The study was a cross-sectional study comparing patients using antihypertensive medication in 2020 (6,629 patients) and 2021 (7,008 patients), respectively. For data from 2021, patients with a medical diagnosis code were identified. Data was obtained from the Greenlandic electronic medical record. The population of Greenland was used as background population. Quality of care was evaluated based on suggested indicators by international guidelines and goals from Steno Diabetes Centre Greenland. The prevalence of patients aged ≥20 years using antihypertensive medication had increased from 16.7% in 2020 to 17.5% in 2021. The prevalence increased by age and was higher among women compared to men. In 2021, the prevalence of patients aged ≥20 years with a medical diagnosis code for hypertension was 7.9%. The use of antihypertensive medication in Greenland is common. The associated quality of care was low. However, process indicators were significantly improved when patients had a medical diagnosis code. Future focus must be on initiating initiatives ensuring that more patients are registered with a medical diagnosis code.
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Nielsen et al. (2022) conducted a cross-sectional in Hypertension (n=13,637). Year 2021 vs. Year 2020 was evaluated on Prevalence of patients aged ≥20 years using antihypertensive medication. The prevalence of patients aged ≥20 years using antihypertensive medication in Greenland increased from 16.7% in 2020 to 17.5% in 2021, with only 7.9% having a medical diagnosis code in 2021.
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