Detailed Information

Cited 3 time in webofscience Cited 3 time in scopus
Metadata Downloads

Clinical impact of guideline-based practice and patients' adherence in uncontrolled hypertensionClinical impact of guideline-based practice and patients’ adherence in uncontrolled hypertension

Other Titles
Clinical impact of guideline-based practice and patients’ adherence in uncontrolled hypertension
Authors
Sohn, Il SukKim, Chong JinYoo, Byung-SuKim, Byung JinChoi, Jae WoongKim, Doo-IlLee, Sang-HakSong, Woo-HyukJeon, Dong WoonCha, Tae JunKim, Dae-KyeongLim, Seong-HoonNam, Chang-WookShin, Joon-HanKim, UngKwak, Jae-JinPark, Jun-BeanCha, Jin-HyeKim, Young-JooChoi, JimiLee, Juneyoung
Issue Date
15-Dec-2021
Publisher
Korean Society of Hypertension | BioMed Central
Keywords
Treatment adherence and compliance; Quality of life; Patient satisfaction
Citation
Clinical Hypertension, v.27, no.1, pp 78 - 84
Pages
7
Indexed
SCOPUS
ESCI
KCICANDI
Journal Title
Clinical Hypertension
Volume
27
Number
1
Start Page
78
End Page
84
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54988
DOI
10.1186/s40885-021-00183-1
ISSN
2635-6325
2056-5909
Abstract
Background Chronic diseases like hypertension need comprehensive lifetime management. This study assessed clinical and patient-reported outcomes and compared them by treatment patterns and adherence at 6 months among uncontrolled hypertensive patients in Korea. Methods This prospective, observational study was conducted at 16 major hospitals where uncontrolled hypertensive patients receiving anti-hypertension medications (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg) were enrolled during 2015 to 2016 and studied for the following 6 months. A review of medical records was performed to collect data on treatment patterns to determine the presence of guideline-based practice (GBP). GBP was defined as: (1) maximize first medication before adding second or (2) add second medication before reaching maximum dose of first medication. Patient self-administered questionnaires were utilized to examine medication adherence, treatment satisfaction and quality of life (QoL). Results A total of 600 patients were included in the study. Overall, 23% of patients were treated based on GBP at 3 months, and the GBP rate increased to 61.4% at 6 months. At baseline and 6 months, 36.7 and 49.2% of patients, respectively, were medication adherent. The proportion of blood pressure-controlled patients reached 65.5% at 6 months. A higher blood pressure control rate was present in patients who were on GBP and also showed adherence than those on GBP, but not adherent, or non-GBP patients (76.8% vs. 70.9% vs. 54.2%, P < 0.001). The same outcomes were found for treatment satisfaction and QoL (P < 0.05). Conclusions This study demonstrated the importance of physicians’ compliance with GBP and patients’ adherence to hypertensive medications. GBP compliance and medication adherence should be taken into account when setting therapeutic strategies for better outcomes in uncontrolled hypertensive patients.
Files in This Item
There are no files associated with this item.
Appears in
Collections
1. Basic Science > Department of Biostatistics > 1. Journal Articles
2. Clinical Science > Department of Cardiology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Lee, Juneyoung photo

Lee, Juneyoung
College of Medicine (Department of Biostatistics)
Read more

Altmetrics

Total Views & Downloads

BROWSE