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Improving control of hypertension by an integrated approach -- results of the 'Manage it well!' programme

Laszlo A Szirmai1, Csaba Arnold, Csaba Farsang

  • 1National Institute for Sports and Health, Semmelweis University of Medicine, Budapest, Hungary. laszloszirmai@axelero.hu

Journal of Hypertension
|January 12, 2005
PubMed

Insights

The "Manage it well!" programme improved hypertension control significantly. This integrated approach, focusing on patient adherence and regular monitoring, increased blood pressure control rates from 2.9% to 40.9% in a real-world setting.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Pharmacy

Background:

  • Patient non-compliance significantly hinders effective blood pressure control.
  • Established measures to improve adherence are not consistently implemented in routine practice.

Purpose of the Study:

  • To implement evidence-based adherence measures within an integrated 'Manage it well!' (MIW) program.
  • To evaluate the impact of this program on achieving blood pressure control.

Main Methods:

  • A prospective, open-cohort study involving 6941 hypertensive patients across 348 primary and 156 secondary care centers.
  • An intervention package including patient/physician education, frequent visits, and home blood pressure monitoring was introduced.
  • Treatment involved dose titration of trandolapril or verapamil SR, with potential add-on therapies.

Main Results:

  • Data from 5468 patients showed baseline hypertension control in only 2.9% of treated individuals.
  • Following the MIW program, control rates increased to 40.9% (P < 0.001).
  • Significant reductions in office blood pressure were observed (168/97 mmHg to 139/83 mmHg), with no regimen differences.

Conclusions:

  • The integrated, patient-centered MIW program demonstrated significant success in improving hypertension treatment outcomes.
  • The findings highlight the effectiveness of this approach in a real-world clinical setting.
Abstract

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