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Shared decision making in hypertension: the impact of patient preferences on treatment choice

A A Montgomery1, J Harding, T Fahey

  • 1Division of Primary Health Care, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK.

Family Practice
|May 18, 2001
PubMed

Insights

Patient preferences significantly influence hypertension treatment recommendations. Decision analysis incorporating patient values impacts medication decisions, highlighting the need for shared decision-making tools in hypertension management.

Area of Science:

  • Cardiology
  • Health Economics
  • Decision Science

Background:

  • Current hypertension guidelines focus on cardiovascular risk, not individual patient preferences.
  • Patient values and preferences for health outcomes are crucial but often overlooked in hypertension treatment.

Purpose of the Study:

  • To investigate how patient preferences affect hypertension treatment recommendations.
  • To utilize individual decision analysis to explore the impact of patient values on medication decisions.

Main Methods:

  • An observational study involving 52 hypertensive patients.
  • Patient preferences were quantified using the standard gamble method.
  • Decision analysis outcomes were compared with guideline-based recommendations (blood pressure, cardiovascular risk) and medication adherence.

Main Results:

  • Individual patient preferences substantially altered treatment recommendations.
  • Decision analysis recommended treatment for 56% of patients, differing significantly from guideline-based approaches (52% and 37%).
  • No correlation was found between decision analysis outcomes and medication adherence.

Conclusions:

  • Quantifying patient preferences and employing decision analysis can influence antihypertensive medication recommendations.
  • This approach shows promise as a shared decision-making tool for hypertension management.
  • Further research is warranted to evaluate this method's utility in clinical practice.
Abstract

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