title: Computer confirmation of improved blood pressure control in diabetic patients.
abstract: In order to evaluate efforts to improve blood pressure (BP) control in veterans with diabetes, the authors performed a retrospective review of computerized health records in the Veterans Affairs Northern California Health Care System (VANCHCS). A total of 6624 diabetic patients with BP data were identified and a comparison was made to earlier surveys. There was an overall improvement in BP control. In a cohort of 1791 patients followed since 1999, there was a progressive improvement in both systolic BP (patients at goal increased from 28% to 35%; P<.001, chi(2)) and diastolic BP (patients at goal increased from 69% to 79%; P<.001). There was a corresponding increase in both number of drug classes used and use of antiangiotensin treatment. The authors conclude that the improvement in BP control in these veterans with diabetes was temporally associated with intensification in antihypertensive pharmacotherapy and sustained provider education and patient-specific computerized reminders.
authors.affiliation: Medical Services, VA Northern California Health Care System, Martinez, CA 94553, USA. arthur.swislocki@va.gov
authors.forename: Arthur
authors.initials: A
authors.lastname: Swislocki
authors.forename: Robert H
authors.initials: RH
authors.lastname: Noth
authors.forename: Bryan
authors.initials: B
authors.lastname: Volpp
authors.forename: Joy
authors.initials: J
authors.lastname: Meier
authors.forename: David
authors.initials: D
authors.lastname: Siegel
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy*; D008297:Male; D010353:Patient Education as Topic; D017010:Reminder Systems; D012189:Retrospective Studies
chemical_list: D000959:Antihypertensive Agents