How informed general practitioners manage mild hypertension : a survey of readers of drug bulletins in 7 countries.
To determine whether general practitioners (GP) who are readers of independent drug bulletins can be used as an international epidemiological observatory of the criteria adopted by « well informed » doctors in various countries in the management of mild hypertension.
Questionnaire study of GPs'diagnostic criteria for mild hypertension, routine investigation and management of patients with this diagnosis.
206 GPs readers of independent drug bulletins in 7 countries, comprising 95 known systematic readers of a local bulletin and 111 randomly selected regular subscribers.
Main outcome measures
Response rate to the questionaire.
Diagnostic criteria, routine investigations, and treatment used for patients with mild hypertension.
The study required two months for planning and implementation.
Four countries out of eleven had a response rate iota 50% and were excluded ; the frequency of responses from other countries was 69%. The average diastolic blood pressure (DBP) considered diagnostic of mild hypertension range from 94 mmHg (lower threshold) to 106 (upper threshold).
A minority (17%) of GPs routinely request the minimum recommended laboratory tests to assess patients.
GPs routinely advise non-drug measures before starting a drug.
Most would not start drug treatment in patients without other risk factors and a DBP below 100 mmHg.
The top first choice drugs were diuretics and ï-adrenoceptor blockers.
Half of the doc...
Mots-clés Pascal : Médecin généraliste, Formation professionnelle, Evaluation, Hypertension artérielle, Littérature scientifique, Homme, Diagnostic, Traitement, Recommandation, Acceptation, Pratique professionnelle, Prise charge, Appareil circulatoire pathologie
Mots-clés Pascal anglais : General practitioner, Occupational training, Evaluation, Hypertension, Scientific literature, Human, Diagnosis, Treatment, Recommendation, Acceptance, Professional practice, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0154833
Code Inist : 002B30A05. Création : 199608.