title: [Management of hypertension and diabetes in Primary Care clinical practice: ATENCION study].
abstract: OBJECTIVE
  Cardiovascular diseases are the main cause of death in the Spanish population. The detection and control of cardiovascular risk factors are fundamental in the prevention of cardiovascular disease. The main objectives of this study are to analyse the attitudes and therapeutic decisions of Primary Care (PC) physicians when treating hypertension (HT) and diabetes mellitus type 2 (DM2), with the aim of establishing the situation and eventually proposing improvement strategies.
  
  
  METHODS
  A national ecological, multicentre, cross-sectional, and descriptive study was conducted in 2013. A questionnaire was used and 1,028 PC physicians took part in the study.
  
  
  RESULTS
  A total of 92.9% of the investigators consulted have indicated that they follow the guidelines for evaluation, treatment, and diagnosis of HT, and 91.4% in the case of diabetes. The latter is diagnosed as a casual finding, while HT is diagnosed through active investigation in patients with other risk factors. Combined therapy takes more than 6 months to take effect in patients with HT, and between 8 and 9 months in diabetic patients. The percentage of non-compliance is similar (10-40%) in both pathologies. Around half the physicians questioned considered interaction with the specialist to be good or excellent (46% HT and 57.3% DM2).
  
  
  CONCLUSIONS
  Clinical practices in PC for HT and DM2 have some basic criteria in common. The interaction with the specialist is good, but there is a considerable margin for improvement.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España. Electronic address: jesus.millan@salud.madrid.org.
authors.forename: J
authors.initials: J
authors.lastname: Millán Núñez-Cortés
authors.affiliation: Equip d'Atenció Primària Sardenya, Unidad Docente ACEBA, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: de la Figuera von Wichmann
authors.affiliation: Departamento Médico, Mylan, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Rodríguez de Miguel
authors.affiliation: Departamento Médico, Mylan, Madrid, España.
authors.forename: M L
authors.initials: ML
authors.lastname: Orera Peña
authors.affiliation: Departamento Médico, Mylan, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: Labrador Barba
authors.affiliation: Departamento Médico, Mylan, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Lería Gelabert
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D058007:Physicians, Primary Care / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data; D012307:Risk Factors
keywords: Diabetes mellitus; Hipertensión; Hypertension; Professional practice; Práctica profesional