Avaliação da adesão de médicos ao protocolo de hipertensão arterial da secretaria municipal de saúde de Curitiba

Maluf, Ivan; Zahdi, Mariana Ribas; Unterstell, Natasha; Maluf, Eliane Mara Cesário Pereira; Sousa, André Bonamigo de; Loures, Felipe Dominici

doi:10.1590/s0066-782x2010000100014

Cited by 8 publications

(9 citation statements)

References 12 publications

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“…Some of them described the compliance with treatment guidelines of the State Health Department or provided an opinion on this matter [22, 23]. One article assessed physicians' compliance with HT treatment according to a Municipal Health Department guideline and detected noncompliance rates of 56.8%, 63.8%, and 54.0% regarding HT staging, cardiovascular risk classification, and choice of treatment, respectively [20]. …”

Section: Discussionmentioning

confidence: 99%

Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis

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Costa

Fuchs

et al. 2017

International Journal of Hypertension

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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.

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Section: Discussionmentioning

confidence: 99%

Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis

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Costa

Fuchs

et al. 2017

International Journal of Hypertension

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“…As categorias dos objetivos foram: adesão 7,11 ; validação 8,9,14,16 , implantação 10,12 e aplicação 13,15 . Desta feita, todos os trabalhos atendiam diretamente ao objeto deste estudo.…”

Section: Resultsunclassified

O Uso De Protocolos Na Gestão Do Cuidado Da Hipertensão Arterial Na Atenção Primária À Saúde: Uma Revisão Integrativa

Dantas

Lima³

et al. 2018

REV. CIÊNC. PLURAL

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O uso de protocolos, na assistência a hipertensão arterial sistêmica (HAS), permite um melhor direcionamento nas condutas profissionais. Objetivou-se identificar na literatura nacional e internacional, a existência de protocolos para otimizar a gestão do cuidar ao cliente com HAS assistido na Atenção Primária à Saúde. Trata-se de uma revisão integrativa (dezembro/2016 a janeiro/2017). Bases: Scopus, Lilacs, Medline, Scielo, PubMed e Biblioteca Cochrane. A análise da pertinência dos estudos deu-se com a escala de Likert e índice de concordância, a textual com agregação dos objetivos e resultados em categorias. Likert > 4 classificou os estudos em muito pertinente. O índice de concordância foi > 88%. Foram incluídos 10 estudos e todos mostraram a importância do uso de protocolos como estratégia para o acompanhamento e controle da HAS. As categorias encontradas foram: avaliação, adesão e satisfação. Apesar da baixa adesão aos protocolos, a sua utilização é uma ferramenta importante no controle da HAS, e para um cuidar integral, é necessário um protocolo voltado para a equipe multiprofissional, que conte com a adesão de gestores, profissionais e clientes, reforçando a integralidade do cuidar.

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“… Poor adherence to guidelines (as low as 40% in Brazil) Clinical inertia to initiate and modify treatment regimens in a timely manner …”

Section: New Guideline With New Targetsmentioning

confidence: 99%

The American College of Cardiology/American Heart Association 2017 hypertension guideline: Implications for incorporation in Latin America, the Caribbean, and other resource‐limited settings

Skeete

Connell

Ordúñez

et al. 2018

J of Clinical Hypertension

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Avaliação da adesão de médicos ao protocolo de hipertensão arterial da secretaria municipal de saúde de Curitiba

Cited by 8 publications

References 12 publications

Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis

Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-Analysis

O Uso De Protocolos Na Gestão Do Cuidado Da Hipertensão Arterial Na Atenção Primária À Saúde: Uma Revisão Integrativa

The American College of Cardiology/American Heart Association 2017 hypertension guideline: Implications for incorporation in Latin America, the Caribbean, and other resource‐limited settings

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