Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

Abel, Nicole; Contino, Krysta; Jain, Navjot; Grewal, Navjot; Hagans, Iris; Hunter, Krystal; Roy, Satyajeet

doi:10.4103/1947-2714.168669

Cited by 46 publications

(30 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A CDS developed in New York provides dental hygienists with assessments and recommendations for screening of chronic, systemic conditions such as hypertension and diabetes . As vital signs such as blood pressure are measured and recorded, the CDS provides assessments of personalized disease risk and prompts for referral to a specialist in appropriate situations as established by the current hypertension management guidelines . Another CDS was developed by Machado et al for use in dental trauma management and was found to improve adherence to evidence‐based guidelines in both dental students as well as experienced pediatric dentists .…”

Section: Discussionmentioning

confidence: 99%

“…80 As vital signs such as blood pressure are measured and recorded, the CDS provides assessments of personalized disease risk and prompts for referral to a specialist in appropriate situations as established by the current hypertension management guidelines. 81 Another CDS was developed by Machado et al for use in dental trauma management and was found to improve adherence to evidencebased guidelines in both dental students as well as experienced pediatric dentists. 82 The use of CDS for tobacco abuse screening and interventions has been found to improve both provider adherence to current evidence and patient outcomes.…”

Section: How To Use Datamentioning

confidence: 99%

See 1 more Smart Citation

Using big data to promote precision oral health in the context of a learning healthcare system

Finkelstein

Zhang

Levitin

et al. 2020

J Public Health Dent

View full text Add to dashboard Cite

Summary There has been a call for evidence‐based oral healthcare guidelines, to improve precision dentistry and oral healthcare delivery. The main challenges to this goal are the current lack of up‐to‐date evidence, the limited integrative analytical data sets, and the slow translations to routine care delivery. Overcoming these issues requires knowledge discovery pipelines based on big data and health analytics, intelligent integrative informatics approaches, and learning health systems. This article examines how this can be accomplished by utilizing big data. These data can be gathered from four major streams: patients, clinical data, biological data, and normative data sets. All these must then be uniformly combined for analysis and modelling and the meaningful findings can be implemented clinically. By executing data capture cycles and integrating the subsequent findings, practitioners are able to improve public oral health and care delivery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: How To Use Datamentioning

confidence: 99%

Using big data to promote precision oral health in the context of a learning healthcare system

Finkelstein

Zhang

Levitin

et al. 2020

J Public Health Dent

View full text Add to dashboard Cite

show abstract

“…The blood pressure was measured according to the World Health Organization (WHO) (17) using an electronic sphygmomanometer on the right arms of participants in a sitting position, after at least 5 minutes of rest. Hypertension is defined as systolic blood pressure value ≥140 mm Hg and/or diastolic blood pressure value ≥90 mm Hg or normal blood pressure in people on antihypertensive therapy (18). Serum creatinine was measured by the Jaffé kinetic method.…”

Section: Definitionsmentioning

confidence: 99%

Prevalence and characteristics of diabetic kidney disease in type 2 diabetic patients in Abidjan, Côte d’Ivoire

et al. 2018

View full text Add to dashboard Cite

Introduction: Diabetes mellitus is a disease whose prevalence has been steadily increasing worldwide. Objectives: To evaluate the prevalence of diabetic kidney disease and to identify the associated factors in type 2 diabetic patients. Material and Methods: This was a descriptive and analytical cross-sectional study. The study was conducted over a period from January to June 2016, among patients with type 2 diabetes, followed up at the Division of Diabetology of the University Hospital of Treichville, Abidjan. Results: Of 154 included patients, diabetic nephropathy (DN) was observed in 40 cases (25.9% prevalence). We observed a female predominance (sex ratio; 0.17) and the mean age of 57.7 ± 11 years. Based on the K/DOQI guidelines, half of our patients had stage 3 kidney disease. Complications such as diabetic retinopathy (100%), hypertension (HT) (75%), dyslipidemia (45%) and obesity (30%) were found. Factors such as female sex (P = 0.001; OR [95% CI] = 4.76 [1.85-12.19]), a range 55-65 years old (P = 0.010; OR [95% CI] = 2.64 [1.26-5.53]), obesity (P = 0.012; OR [95% CI] = 3.06 [1.27-7.36]), hypertension (P = 0.0001; OR [95% CI] = 4.77 [2.12-10.71]) and HbA1c <7% (P = 0.002; OR [94% CI] = 3.42 [1.57-7.44]) were associated with nephropathy by multivariate analysis. Conclusion: the prevalence of diabetic kidney disease is high in our study. The associated factors are non-modifiable such as female gender and age, but also modifiable such as obesity and hypertension.

show abstract

“…Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg or lower than 140/90 mmHg in patients on antihypertensive therapy [6].…”

Section: Operational Definitionsmentioning

confidence: 99%

Multiple Antihypertensive Therapy in Nephrology Practice

Hubert¹,

Arouna²,

Cyr³

et al. 2017

OJNeph

View full text Add to dashboard Cite

Introduction: Hypertension (HT) can be the cause or consequence of chronic kidney disease. Its management often requires a multiple therapy due to its severity. Objective: To describe the profile of patients receiving a multiple antihypertensive therapy in nephrology practice. Materials and Methods: This was a prospective, descriptive study conducted in the department of Nephrology, Yopougon Teaching Hospital, from January 1 to October 31, 2016. We included all patients admitted to this department who had received at least three antihypertensive drugs. Results: Out of a total of 625 hypertensive patients admitted over the study period, we included 120 patients on multiple therapy, i.e. a 19% prevalence. HT was essential in 60% of cases, secondary to chronic glomerulonephritis (CGN) in 25%, to diabetes in 13.3% and to polycystic kidney disease (PKD) in 1.7%. The therapy consisted of the combination of 3 antihypertensive drugs in 36.7% of cases, 4 drugs in 49.2% and 5 drugs in 4.2%. The antihypertensive classes used were Calcium channel blockers (CCB) in 99.2% of cases, Diuretics (D) in 87.5%, Angiotensin Converting Enzyme Inhibitors (ACEI) in 70%, Centrally acting medication (C) in 66.7%, Angiotensin Receptor Blockers (ARB) in 25.8% and Beta-blockers (β-) in 6.7%. The main combinations were CCB + D + ACEI + C in 34.2% of cases, CCB + D + ACEI in 23.3%, and CCB + D + ARB + C in 12.5%. The combinations of antihypertensive drugs varied according to the cause of HT with a non-significant difference. Patient outcome was characterized by normal blood pressure in 64.2% of cases and normal renal function in 13.3%. The mortality rate was 17.5%. In multivariate analysis, stage 5 renal disease (p = 0.001), hypertensive retinopathy (p = 0.04) and hemoglobin level < 8 g/dl (p = 0.039) were associated with mortality. Conclusion: Multiple antihypertensive therapy, which is common in nephrology, is related to the severity of HT and not to its cause. We still use centrally acting drugs in combination with the other recommended classes, so as to achieve the target blood pressure.

show abstract

Eighth joint national committee (JNC-8) guidelines and the outpatient management of hypertension in the African-American population

Cited by 46 publications

References 18 publications

Using big data to promote precision oral health in the context of a learning healthcare system

Using big data to promote precision oral health in the context of a learning healthcare system

Prevalence and characteristics of diabetic kidney disease in type 2 diabetic patients in Abidjan, Côte d’Ivoire

Multiple Antihypertensive Therapy in Nephrology Practice

Contact Info

Product

Resources

About