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Guidelines adherence and hypertension control at a tertiary hospital in Malaysia

Nafees Ahmad1, Yahaya Hassan, Balamurugan Tangiisuran

  • 1Researcher Lecturer, Department of Clinical Pharmacy Researcher, Department of Physiology, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Malaysia Professor Professor, Department of Clinical Pharmacy, Universiti Teknologi MARA, Puncak Alam Campus, Bandar Puncak Alam, Selangor, Malaysia Head of One Stop Centre, Clinical Research Centre, Ministry of Health, Pulau Pinang, Malaysia.

Journal of Evaluation in Clinical Practice
|May 16, 2012
PubMed

Insights

Doctors showed fair adherence to hypertension guidelines, leading to better blood pressure control. However, gaps exist in managing uncomplicated hypertension and cases with diabetes or renal disease.

Area of Science:

  • Clinical Pharmacy
  • Cardiovascular Medicine
  • Public Health

Background:

  • Suboptimal hypertension control is often linked to poor physician adherence to clinical guidelines.
  • Evaluating adherence to the Malaysian Clinical Practice Guideline (CPG 2008) is crucial for improving hypertension management.

Purpose of the Study:

  • To assess physician adherence to the Malaysian CPG 2008 for hypertension management.
  • To identify factors associated with guideline adherence and their impact on hypertension control.

Main Methods:

  • A cross-sectional study involving 26 doctors and 650 hypertensive outpatients at Hospital Pulau Pinang.
  • Prescription compliance with CPG 2008 was assessed, and patient blood pressure was monitored over two visits.
  • Statistical analysis using SPSS 16 was performed to determine associations.

Main Results:

  • 67.1% of patients received guideline-compliant pharmacotherapy; 51% achieved goal blood pressure.
  • Hypertension clinic visits were negatively associated with guideline adherence.
  • Guideline adherence, ACE inhibitors positively impacted BP control, while renal disease, diabetes, and diabetic clinics showed negative associations.

Conclusions:

  • A fair level of adherence to hypertension guidelines was observed, correlating with improved blood pressure control.
  • Gaps in guideline implementation were noted, particularly for uncomplicated hypertension and patients with diabetes mellitus or renal disease.
Abstract

Keywords:
Malaysiaadherenceguidelineshypertension

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