Hypertension Management in Brazil: Usual Practice in Primary Care—A Meta-AnalysisReport as inadecuate




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International Journal of Hypertension - Volume 2017 2017, Article ID 1274168, 9 pages - https:-doi.org-10.1155-2017-1274168

Review Article

Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, Brazil

Postgraduate Program of Collective Health, Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brazil

Division of Cardiology, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Harvard School of Medicine, Harvard University, Boston, MA, USA

Postgraduate Studies Program in Epidemiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, Brazil

Correspondence should be addressed to Sandra C. Fuchs

Received 26 January 2017; Revised 7 May 2017; Accepted 16 May 2017; Published 2 July 2017

Academic Editor: Tomohiro Katsuya

Copyright © 2017 Rafael V. Picon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Knowing the usual clinical practice is relevant for evaluations in health care and economic policies of management of hypertension. This study aimed to describe the usual management of hypertension in the Brazilian primary healthcare system through a systematic review and meta-analysis. The search of population-based studies conducted in Brazil was undertaken using PubMed, EMBASE, and Brazilian databases. Eligible studies were those conducted in adults with hypertension blood pressure BP ≥ 140-90 mmHg or using BP lowering drugs. Three datasets’ data were analyzed: SESI study in Brazilian workers; HIPERDIA Brazilian Registration and Monitoring of Hypertensive and Diabetic Patients Program; and a population-based study. Meta-analysis has been performed using the fixed and random effect models. A total of 11 studies or data sets were included in the systematic review. Hypertensive individuals had, on average, 2.6 medical visits annually and 18.2% were on diuretics hypertensive patients and 16.2% on ACE inhibitors hypertensive patients. BP control rate ranged from 43.7 to 67.5%; 35.5% had measured total cholesterol and 36.5% determined fasting plasma glucose in the previous 12 months. Thiazide diuretics and ACE inhibitors were the most used BP lowering medications as single drugs, but the control rate of hypertension is insufficient.





Author: Rafael V. Picon, Juvenal S. Dias-da-Costa, Flavio D. Fuchs, Maria Teresa A. Olinto, Niteesh K. Choudhry, and Sandra C. Fuchs

Source: https://www.hindawi.com/



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