Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis
Knowing the usual clinical practice is relevant for evaluations in health care and economic policies of management of hypertension. This study aimed to describe the usual management of hypertension in the Brazilian primary healthcare system through a systematic review and meta-analysis. The search o...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2017/1274168 |
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| author | Rafael V. Picon Juvenal S. Dias-da-Costa Flavio D. Fuchs Maria Teresa A. Olinto Niteesh K. Choudhry Sandra C. Fuchs |
| author_facet | Rafael V. Picon Juvenal S. Dias-da-Costa Flavio D. Fuchs Maria Teresa A. Olinto Niteesh K. Choudhry Sandra C. Fuchs |
| author_sort | Rafael V. Picon |
| collection | DOAJ |
| description | Knowing the usual clinical practice is relevant for evaluations in health care and economic policies of management of hypertension. This study aimed to describe the usual management of hypertension in the Brazilian primary healthcare system through a systematic review and meta-analysis. The search of population-based studies conducted in Brazil was undertaken using PubMed, EMBASE, and Brazilian databases. Eligible studies were those conducted in adults with hypertension (blood pressure (BP) ≥ 140/90 mmHg or using BP lowering drugs). Three datasets’ data were analyzed: SESI study (in Brazilian workers); HIPERDIA (Brazilian Registration and Monitoring of Hypertensive and Diabetic Patients Program); and a population-based study. Meta-analysis has been performed using the fixed and random effect models. A total of 11 studies or data sets were included in the systematic review. Hypertensive individuals had, on average, 2.6 medical visits annually and 18.2% were on diuretics (n=811 hypertensive patients) and 16.2% on ACE inhibitors (n=1768 hypertensive patients). BP control rate ranged from 43.7 to 67.5%; 35.5% had measured total cholesterol and 36.5% determined fasting plasma glucose in the previous 12 months. Thiazide diuretics and ACE inhibitors were the most used BP lowering medications as single drugs, but the control rate of hypertension is insufficient. |
| format | Article |
| id | doaj-art-d88b0c7061d841f29bc01ebd2bd7b946 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-d88b0c7061d841f29bc01ebd2bd7b9462025-02-03T01:31:38ZengWileyInternational Journal of Hypertension2090-03842090-03922017-01-01201710.1155/2017/12741681274168Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-AnalysisRafael V. Picon0Juvenal S. Dias-da-Costa1Flavio D. Fuchs2Maria Teresa A. Olinto3Niteesh K. Choudhry4Sandra C. Fuchs5Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, BrazilPostgraduate Program of Collective Health, Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, BrazilDivision of Cardiology, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilPostgraduate Program of Collective Health, Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, BrazilDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Harvard School of Medicine, Harvard University, Boston, MA, USAPostgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, BrazilKnowing the usual clinical practice is relevant for evaluations in health care and economic policies of management of hypertension. This study aimed to describe the usual management of hypertension in the Brazilian primary healthcare system through a systematic review and meta-analysis. The search of population-based studies conducted in Brazil was undertaken using PubMed, EMBASE, and Brazilian databases. Eligible studies were those conducted in adults with hypertension (blood pressure (BP) ≥ 140/90 mmHg or using BP lowering drugs). Three datasets’ data were analyzed: SESI study (in Brazilian workers); HIPERDIA (Brazilian Registration and Monitoring of Hypertensive and Diabetic Patients Program); and a population-based study. Meta-analysis has been performed using the fixed and random effect models. A total of 11 studies or data sets were included in the systematic review. Hypertensive individuals had, on average, 2.6 medical visits annually and 18.2% were on diuretics (n=811 hypertensive patients) and 16.2% on ACE inhibitors (n=1768 hypertensive patients). BP control rate ranged from 43.7 to 67.5%; 35.5% had measured total cholesterol and 36.5% determined fasting plasma glucose in the previous 12 months. Thiazide diuretics and ACE inhibitors were the most used BP lowering medications as single drugs, but the control rate of hypertension is insufficient.http://dx.doi.org/10.1155/2017/1274168 |
| spellingShingle | Rafael V. Picon Juvenal S. Dias-da-Costa Flavio D. Fuchs Maria Teresa A. Olinto Niteesh K. Choudhry Sandra C. Fuchs Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis International Journal of Hypertension |
| title | Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis |
| title_full | Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis |
| title_fullStr | Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis |
| title_full_unstemmed | Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis |
| title_short | Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis |
| title_sort | hypertension management in brazil usual practice in primary care a meta analysis |
| url | http://dx.doi.org/10.1155/2017/1274168 |
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