Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network

Detalhes bibliográficos
Autor(a) principal: Pinto, Daniel
Data de Publicação: 2018
Outros Autores: Rodrigues, Ana Paula, Nunes, Baltazar
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/148269
Resumo: Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.
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spelling Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice NetworkHypertensionAntihypertensive agentsDrug utilizationPrimary careSentinel surveillanceCopyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.INTRODUCTION AND OBJECTIVES: Finding out which drugs are chosen to treat incident cases of hypertension may help in interpreting prevalent use of antihypertensive agents. We aimed to determine the proportion of patients who begin treatment with each antihypertensive drug class, which physicians initiate treatment and whether family physicians alter prescriptions initiated by others, and to compare the prescribing patterns of family physicians and other specialists. METHODS: In this cohort-nested cross-sectional study between 2014 and 2015 within the Portuguese Sentinel Practice Network, family physicians notified incident cases of hypertension, reporting treatment, who issued the initial prescription and whether treatments initiated by other physicians were changed. RESULTS: A total of 681 incident cases were notified. The initial prescription was issued by the patient's family physician in 86.9% of cases (95% CI: 84.2-89.3%). The most frequently used agents were angiotensin-converting enzyme inhibitors (51.3% of patients, 95% CI: 47.5-55.0%), thiazide and thiazide-like diuretics (32.2%, 95% CI: 28.8-35.8%), and angiotensin receptor blockers (21.4%, 95% CI: 18.5-24.7%). Compared to other specialists, family physicians used less beta-blockers (20.4 vs. 5.9%, p<0.001) and loop diuretics (8.2 vs. 0.8%, p=0.003). Prescriptions initiated by other specialists were changed by family physicians in 11.6% of cases (95% CI: 6.0-19.6%). CONCLUSION: Angiotensin-converting enzyme inhibitors were the most frequently prescribed antihypertensive class. Most diagnoses were made by the patient's own family physician. Prescriptions initiated by other specialists were usually continued by family physicians. Prescribing patterns were similar between family physicians and other specialists, except for lower use of beta-blockers and loop diuretics.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNPinto, DanielRodrigues, Ana PaulaNunes, Baltazar2023-01-27T22:10:20Z2018-082018-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://hdl.handle.net/10362/148269eng0870-2551PURE: 5600027https://doi.org/10.1016/j.repc.2017.10.016info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:40Zoai:run.unl.pt:10362/148269Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:18.292870Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
title Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
spellingShingle Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
Pinto, Daniel
Hypertension
Antihypertensive agents
Drug utilization
Primary care
Sentinel surveillance
title_short Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
title_full Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
title_fullStr Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
title_full_unstemmed Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
title_sort Initial therapeutic choices for hypertension in the Portuguese Sentinel Practice Network
author Pinto, Daniel
author_facet Pinto, Daniel
Rodrigues, Ana Paula
Nunes, Baltazar
author_role author
author2 Rodrigues, Ana Paula
Nunes, Baltazar
author2_role author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Pinto, Daniel
Rodrigues, Ana Paula
Nunes, Baltazar
dc.subject.por.fl_str_mv Hypertension
Antihypertensive agents
Drug utilization
Primary care
Sentinel surveillance
topic Hypertension
Antihypertensive agents
Drug utilization
Primary care
Sentinel surveillance
description Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.
publishDate 2018
dc.date.none.fl_str_mv 2018-08
2018-08-01T00:00:00Z
2023-01-27T22:10:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/148269
url http://hdl.handle.net/10362/148269
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0870-2551
PURE: 5600027
https://doi.org/10.1016/j.repc.2017.10.016
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 7
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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