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[Impaired hypertension control in France: What the nephrologist needs to know]

Sébastien Rubin1, Romain Boulestreau2, Thierry Couffinhal3

  • 1Service de néphrologie, transplantation rénale, dialyse et aphérèses, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France; Unité Inserm U1034, university Bordeaux, Bordeaux, France.

Nephrologie & Therapeutique
|October 18, 2020
PubMed

Insights

Hypertension affects one in three French adults, with poor blood pressure control compared to other nations. This is especially concerning for Chronic Kidney Disease (CKD) patients in France, necessitating urgent improvements.

Area of Science:

  • Nephrology
  • Public Health
  • Cardiology

Background:

  • Hypertension prevalence in France affects one in three adults, with suboptimal blood pressure control (<140/90mmHg) in only one in four patients.
  • Control rates in France lag behind comparable nations like England, Germany, and the USA.
  • Over 90% of Chronic Kidney Disease (CKD) stages 3 and 4 patients have hypertension, yet over half in France exceed target blood pressure levels.

Purpose of the Study:

  • To highlight the critical issue of uncontrolled hypertension in France, particularly among CKD patients.
  • To analyze the contributing factors to poor hypertension management in the French population.
  • To propose actionable strategies for improving blood pressure control and mitigating associated risks.

Main Methods:

  • Analysis of recent French studies and surveys on hypertension prevalence and management.
  • Review of data from the CKD-REIN cohort focusing on CKD patients' blood pressure control.
  • Comparative analysis of hypertension control rates between France and other developed countries.

Main Results:

  • A significant proportion of French adults with hypertension do not achieve recommended blood pressure targets.
  • Hypertension control in CKD patients in France is notably worse than general population targets.
  • International comparisons reveal a disparity in hypertension management effectiveness.

Conclusions:

  • Urgent interventions are required to address the widespread issue of uncontrolled hypertension in France.
  • Failure to improve blood pressure control risks a substantial rise in cardiovascular events and cognitive decline.
  • Implementing suggested improvements is crucial for public health and patient outcomes.

Keywords:
Cardiovascular riskChronic kidney diseaseEpidemiologyHypertensionHypertension artérielleInsuffisance rénale chroniquePreventionPréventionRisque cardiovasculaireÉpidémiologie

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