title: Changes in blood-pressure control among patients with hypertension from 2008 through 2011: surveys of actual clinical practice.
abstract: We performed cross-sectional surveys to investigate changes in clinical practices regarding blood-pressure control in patients with hypertension from 2008 through 2011. Questionnaires regarding the care of patients with hypertension were mailed to members of the Kanagawa Physicians Association in Kanagawa Prefecture, Japan. Data were obtained on 675 patients in 2008, 332 in 2009, and 1,076 in 2011. The mean systolic blood pressure (BP) was significantly lower in 2011 than in 2008 (132.2±11.9 mm Hg versus 134.6±10.6 mm Hg). The office-measured target BP, according to the 2009 guidelines of the Japanese Society of Hypertension for the management of patients with hypertension, was achieved in 53.9% of patients in 2008, 55.1% in 2009, and 57.1% in 2011. In nonelderly patients (younger than 65 years), the achievement rate was significantly greater in 2011 (41.2%) than in 2008 (23.6%). This analysis showed that the factor most significantly associated with a decrease in office-measured BP was treatment with a larger number and higher doses of antihypertensive agents. To investigate changes in clinical practices according to the guidelines, further follow-up surveys are necessary.
authors.affiliation: Kanagawa Physicians Association.
authors.forename: Nobuo
authors.initials: N
authors.lastname: Hatori
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakai
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Sato
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Mitani
authors.forename: Masayuki
authors.initials: M
authors.lastname: Miyajima
authors.forename: Shouhei
authors.initials: S
authors.lastname: Yuasa
authors.forename: Shingo
authors.initials: S
authors.lastname: Kuboshima
authors.forename: Keiichi
authors.initials: K
authors.lastname: Kajiwara
authors.forename: Masaaki
authors.initials: M
authors.lastname: Miyakawa
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000494:pharmacology / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology / Q000503:physiopathology*; D007564:Japan / Q000453:epidemiology; D008297:Male; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*
chemical_list: D000959:Antihypertensive Agents