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Clinical impact of guideline-based practice and patients' adherence in uncontrolled hypertension

Il Suk Sohn1, Chong Jin Kim2, Byung-Su Yoo3

  • 1Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.

Clinical Hypertension
|December 16, 2021
PubMed

Insights

Physician adherence to guideline-based practice (GBP) and patient medication adherence significantly improve blood pressure control and quality of life in uncontrolled hypertension patients. Combining both strategies yields the best clinical outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Hypertension requires lifelong management.
  • This study focuses on uncontrolled hypertensive patients in Korea.

Purpose of the Study:

  • To assess clinical and patient-reported outcomes.
  • To compare outcomes based on treatment patterns and adherence at 6 months.

Main Methods:

  • Prospective, observational study of 600 uncontrolled hypertensive patients.
  • Data collected on guideline-based practice (GBP) and medication adherence.
  • Patient-reported outcomes included treatment satisfaction and quality of life (QoL).

Main Results:

  • Guideline-based practice (GBP) adoption increased from 23% at 3 months to 61.4% at 6 months.
  • Medication adherence improved from 36.7% to 49.2% over 6 months.
  • Patients on GBP with adherence showed higher blood pressure control (76.8%) and better QoL compared to other groups.

Conclusions:

  • Physician adherence to GBP and patient medication adherence are crucial for managing uncontrolled hypertension.
  • Integrating GBP compliance and medication adherence into therapeutic strategies enhances patient outcomes.
Abstract

Keywords:
Patient satisfactionQuality of lifeTreatment adherence and compliance

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