Current practice of blood pressure measurement in Germany: a nationwide questionnaire-based survey in medical practices

Beger, Christian; Mayerböck, Astrid; Klein, Konrad; Karg, Theresa; Schmidt‐Ott, Kai M.; Randerath, O.; Limbourg, Florian P.

doi:10.1080/08037051.2023.2165901

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…These numbers are also very similar to the findings of other studies, where e.g. 40.8% of treated patients had a BP in the controlled range [ 36 ]. After one year of diagnosis, almost half of the patients achieved normotension.…”

Section: Discussionsupporting

confidence: 91%

“…Based on two million patients from statutory health insurance data from 2011 to 2013 in Germany, combination therapy was prescribed for 40.6% of patients with a new diagnosis of hypertension after one year, while therapy was not prescribed in 21.7% of cases [ 39 ]. A nation-wide survey obtained a similar number for combination therapy (38.2%) [ 36 ]. The German DEGAM guideline for cardiovascular prevention suggests to start therapy with monotherapy and combination therapy [ 12 ].…”

Section: Discussionmentioning

confidence: 95%

“…Our data suggest that only one in three patients had their BP measured at least three times during the first 1.5 years of the disease. Other studies find even lower numbers for Germany, e.g., below 25% [ 36 ]. In general, the prognostic power of such office-based BP measurements for the risk of cardiovascular disease events is considered to be lower in comparison with home-based measurement or ABPM, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Most related studies use survey data [ 36 , 48 ] or routine data that is extracted from a specific health care institution or from a specific health insurance [ 39 ]. All these sources have different drawbacks.…”

Section: Discussionmentioning

confidence: 99%

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Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany

Strumann,

Engler,

von Meissner

et al. 2024

BMC Prim. Care

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Background Hypertension is a leading cause of morbidity and mortality if not properly managed. Primary care has a major impact on these outcomes if its strengths, such as continuity of care, are deployed wisely. The analysis aimed to evaluate the quality of care for newly diagnosed hypertension in routine primary care data. Methods In the retrospective cohort study, routine data (from 2016 to 2022) from eight primary care practices in Germany were exported in anonymized form directly from the electronic health record (EHR) systems and processed for this analysis. The analysis focused on five established quality indicators for the care of patients who have been recently diagnosed with hypertension. Results A total of 30,691 patients were treated in the participating practices, 2,507 of whom have recently been diagnosed with hypertension. Prior to the pandemic outbreak, 19% of hypertensive patients had blood pressure above 140/90 mmHg and 68% received drug therapy (n = 1,372). After the pandemic outbreak, the proportion of patients with measured blood pressure increased from 63 to 87%, while the other four indicators remained relatively stable. Up to 80% of the total variation of the quality indicators could be explained by individual practices. Conclusion For the majority of patients, diagnostic procedures are not used to the extent recommended by guidelines. The analysis showed that quality indicators for outpatient care could be mapped onto the basis of routine data. The results could easily be reported to the practices in order to optimize the quality of care.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany

Strumann,

Engler,

von Meissner

et al. 2024

BMC Prim. Care

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“…The basis for diagnosing RH is a properly performed BP measurement [ 24 ]. However, studies show that not following current guideline recommendations is a common mistake made during both office and HBPM [ 25 ]. Many factors can affect the outcome of a measurement, such as preparation for the examination, the technique used to perform the procedure, and the selection of the cuff [ 24 ].…”

Section: Diagnostics Of Rhmentioning

confidence: 99%

Advances in the Pathogenesis and Treatment of Resistant Hypertension

Dybiec,

Krzemińska,

Radzioch

et al. 2023

IJMS

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Hypertension is a prevalent chronic disease associated with an increased risk of cardiovascular (CV) premature death, and its severe form manifests as resistant hypertension (RH). The accurate prevalence of resistant hypertension is difficult to determine due to the discrepancy in data from various populations, but according to recent publications, it ranges from 6% to 18% in hypertensive patients. However, a comprehensive understanding of the pathogenesis and treatment of RH is essential. This review emphasizes the importance of identifying the causes of treatment resistance in antihypertensive therapy and highlights the utilization of appropriate diagnostic methods. We discussed innovative therapies such as autonomic neuromodulation techniques like renal denervation (RDN) and carotid baroreceptor stimulation, along with invasive interventions such as arteriovenous anastomosis as potential approaches to support patients with inadequate medical treatment and enhance outcomes in RH.

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Frequency of office blood pressure measurements and the seasonal variability of blood pressure: results of the Hungarian Hypertension Registry

Nemcsik,

Takács,

Pásztor

et al. 2024

Blood Pressure

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Current practice of blood pressure measurement in Germany: a nationwide questionnaire-based survey in medical practices

Cited by 5 publications

References 33 publications

Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany

Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany

Advances in the Pathogenesis and Treatment of Resistant Hypertension

Frequency of office blood pressure measurements and the seasonal variability of blood pressure: results of the Hungarian Hypertension Registry

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