title: [Regional management of arterial hypertension in France. Report of a survey of general practitioners].
abstract: A survey was conducted in 14 regional samples of general practitioners (GPs) included in Gallup-up poll. 2,423 GPs contributed to the study and had to include all patients > 18 years old over a period of one week. Patients were considered hypertensives if the mean of two recorded BP measurements was > or = 140/90 mmHg and/or < 140/90 mmHg if they were under antihypertensive treatment. Hypertensives were considered as controlled if there BP levels were overall < 140/90 mmHg under treatment. The risk factors associated with hypertension were collected in order to evaluate the cardiovascular risk, according to 1999 ISH-OMS recommendations. 156,470 patients recruited by 2423 GPs were included in the study representing 14 different French regions: Ile-de-France I (1), Ile-de-France II (2), Ile-de-France-Pays-de-la-Loire (3), Bretagne (4), Normandie-Picardie (5), Nord-Pas-de-Calais (6), Alsace-Lorraine (7), Bourgogne-Franche Comté (8), Rhônes-Alpes (9), Provence-Côte d'Azur (10), Languedoc-Provence (11), Limousin-Auvergne (12), Midi-Pyrénées (13), Aquitaine (14). Among 70,073 hypertensives, 23,054 had never received antihypertensive treatment, and 32,059 (47%) had a high or a very high cardiovascular risk. 67% of hypertensives (47,019) were treated, and 32.8% of treated hypertensives (15,422) had a BP < 140/90 mmHg. The study illustrated few differences in prevalence and control of hypertension in the different French regions: BP control at the 140/90 mmHg threshold vary from 28.5 to 36.6% among treated hypertensives and % of patients at high cardiovascular risk from 42.1% (South-France) to 49.7% (East-France).
authors.affiliation: Service de médecine interne et HTA, CHU Purpan, Toulouse.
authors.forename: B
authors.initials: B
authors.lastname: Chamontin
authors.forename: T
authors.initials: T
authors.lastname: Lang
authors.forename: B
authors.initials: B
authors.lastname: Vaisse
authors.forename: R
authors.initials: R
authors.lastname: Nicodeme
authors.forename: M P
authors.initials: MP
authors.lastname: Antoine
authors.forename: M L
authors.initials: ML
authors.lastname: Lazorthes
authors.forename: H
authors.initials: H
authors.lastname: Gallois
authors.forename: L
authors.initials: L
authors.lastname: Poggi
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology; D005194:Family Practice; D005260:Female; D005602:France; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D015995:Prevalence; D012307:Risk Factors