Antihypertensive medication prescription patterns and time trends for newly-diagnosed uncomplicated hypertension patients in Taiwan

Liu, Pang-Hsiang; Wang, Jung‐Der

doi:10.1186/1472-6963-8-133

Cited by 46 publications

(50 citation statements)

References 30 publications

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“…[32][33][34][35] However the above pattern is anomalous to other studies conducted by (Tiwari et al; Surapaneni et al) in India, Pittrow et al in Germany and (Lee et al, in China have reported higher prevalence of hypertension in females than in males. 18,26,29,30 This study also reveals that hypertension is more prevalent in elderly patients belonging to age group 40-60 or more. Study conducted by Tiwari et al found most common age group 50-59 years (33.3%) followed by 60-69 years and 40-49 years (26.7%).…”

Section: Discussionmentioning

confidence: 53%

An assessment of antihypertensive drug prescription patterns and adherence to joint national committee-8 hypertension treatment guidelines among hypertensive patients attending a tertiary care teaching hospital

Romday¹,

Gupta

Bhambani

2016

Int J Res Med Sci

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Background:The new guidelines issued by the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC-8) emphasize that aggressive blood pressure (BP) control is essential to reducing morbidity and mortality. Patient non-adherence is a serious obstacle to the effective treatment of many acute and chronic disorders. Successful treatment and outcome of a chronic disease such as hypertension depend on many factors, including resources (e.g., funds, space, and people), avoidance of serious adverse events, patient adherence with treatment plans, and the availability of effective therapies. The aim of this study is to assess the antihypertensive drug prescription patterns and adherence to joint national committee (JNC-8) hypertension (HT) treatment recommendations among hypertensive patients attending a tertiary care teaching hospital. Methods: An observational and cross-sectional prospective prescription audit study was carried over a period of 1 year in ambulatory patients attending medicine OPD. A total of 500 prescriptions prescribed to diagnose HT were analyzed. Drug prescription patterns, and their adherence to JNC-8 report was assessed. Results: Out of 500 patients, 299 (59.8%) were male and 201 (40.2%) were female. Mean age of male and female patients were found to be 57.68±15.32 and 61.29±12.65 years respectively. As per present study, most of the physicians prescribed single drug (monotherapy, 34.6%) to control BP followed by two-drug combination (18.4%), three-drug combination (11.8%) and four-drug combination (3%). Two drugs regimen was prescribed in 18.4% of the hypertensive patients. Angiotensin receptor blocker + diuretic combination (4.4%) was mostly used in two drug combination therapy followed by Angiotensin receptor blockers + Diuretics (3.6%) and Calcium channel blocker + ACEIs combination (2.6%). No combination of ACEIs + ARBs was prescribed in any prescription. The overall rate of adherence was 16.5 % (Pre-hypertension); 87.90% (Stage 1 hypertension); and 68.20% (Stage 2 hypertension). Conclusions:In conclusion, present study demonstrated that physicians are not completely adhering to standard guidelines while treating hypertension with comorbid conditions.

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Section: Discussionmentioning

confidence: 53%

An assessment of antihypertensive drug prescription patterns and adherence to joint national committee-8 hypertension treatment guidelines among hypertensive patients attending a tertiary care teaching hospital

Romday¹,

Gupta

Bhambani

2016

Int J Res Med Sci

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“…The situation in Nigeria is such that healthcare financing is mainly out of pocket payments and often the burden is borne entirely by the individuals affected [9]. Given the growth in healthcare expenditure and the limited resources for healthcare, there is a clear need to explore prescription patterns and trends, in a chronic disease such as hypertension [10].…”

Section: Introductionmentioning

confidence: 99%

Anti-Hypertensive Prescription and Cost Patterns in an Outpatient Department of a Teaching Hospital in Lagos State Nigeria

Osibogun¹,

Okwor²

2014

OJPM

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Introduction: Hypertension is a public health problem with a high prevalence in Nigeria. The cost of prescription medications is thought to be a barrier for many patients to access the healthcare they need. This study was aimed at identifying associated co-morbid conditions, the prescribing patterns and cost of prescription for the treatment of hypertension in an outpatient clinic at Lagos University Teaching Hospital.

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“…The guidelines recommend Thiazide diuretics to be prescribed alone or as part of combination therapy for most hypertensive patients without compelling indications [11]. However, most recent published data showed an increasing use of the more expensive Calcium Channel Blockers (CCBs) and Angiotensin Converting Enzyme Inhibitors (ACEIs) despite the lack of evidence to support that they are superior to diuretics and beta blockers in reducing morbidity and mortality of cardiovascular diseases [12]. Despite broad dissemination of the JNC guidelines, prescribing practices have long remained discrepant with recommendations [13].…”

Section: Introductionmentioning

confidence: 99%

Anti Hypertensive Prescribing Patterns and Cost Analysis for Primary Hypertension: A Retrospective Study

Shivamurthy

2014

JCDR

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Antihypertensive medication prescription patterns and time trends for newly-diagnosed uncomplicated hypertension patients in Taiwan

Cited by 46 publications

References 30 publications

An assessment of antihypertensive drug prescription patterns and adherence to joint national committee-8 hypertension treatment guidelines among hypertensive patients attending a tertiary care teaching hospital

An assessment of antihypertensive drug prescription patterns and adherence to joint national committee-8 hypertension treatment guidelines among hypertensive patients attending a tertiary care teaching hospital

Anti-Hypertensive Prescription and Cost Patterns in an Outpatient Department of a Teaching Hospital in Lagos State Nigeria

Anti Hypertensive Prescribing Patterns and Cost Analysis for Primary Hypertension: A Retrospective Study

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