{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T07:49:30Z","timestamp":1722930570736},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T00:00:00Z","timestamp":1483660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Previous studies suggest that up to 60% of all patients with hypertension receive inappropriate treatment. Current 2013 European Society of Hypertension\/European Society of Cardiology (ESH\/<jats:styled-content style=\"fixed-case\">ESC<\/jats:styled-content>) guidelines recommend taking cardiovascular risk factors into account when assessing treatment for patients with hypertension. The authors hypothesize that this approach will reduce the proportion of patients receiving inappropriate treatment. In this cross\u2010sectional study using electronic medical records of Swiss primary care patients, the authors estimate the proportion of patients receiving inappropriate treatment using two approaches: (1) based on a blood pressure threshold of 140\/90\u00a0mm\u00a0Hg; and (2) based on cardiovascular risk factors. A total of 22\u00a0434 patients with hypertension were identified. Based on these approaches, 72.7% and 44.6% of patients, respectively, qualified for drug treatment. In addition, 23.0% and 10.8% of patients, respectively, received inappropriate treatment. Application of the 2013 <jats:styled-content style=\"fixed-case\">ESH<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ESC<\/jats:styled-content> guidelines reduced the proportion of patients receiving inappropriate treatment by 50%. This shows the major impact of risk adjustment and highlights the need for a patient\u2010centered approach in hypertension treatment.<\/jats:p>","DOI":"10.1111\/jch.12958","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T04:26:59Z","timestamp":1483676819000},"page":"510-518","source":"Crossref","is-referenced-by-count":2,"title":["The impact of an individualized risk\u2010adjusted approach on hypertension treatment in primary care"],"prefix":"10.1111","volume":"19","author":[{"given":"Stefan","family":"Zechmann","sequence":"first","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Senn","sequence":"additional","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Valeri","sequence":"additional","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Neuner\u2010Jehle","sequence":"additional","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Rosemann","sequence":"additional","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sima","family":"Djalali","sequence":"additional","affiliation":[{"name":"Institute of Primary Care University of Zurich University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the FIRE Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO 2015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1753"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17741-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht151"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b1665"},{"key":"e_1_2_8_7_1","unstructured":"NICE"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200409000-00014"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.184182"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.650"},{"key":"e_1_2_8_12_1","first-page":"37","article-title":"Blood pressure in Canadian adults","volume":"21","author":"Wilkins K","year":"2010","journal-title":"Health Rep"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1002123"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12886"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003423"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2012.00650.x"},{"key":"e_1_2_8_17_1","first-page":"1655","article-title":"Evidence\u2010performance gap in primary care revisited in patients with diabetes","volume":"20","author":"Djalali S","year":"2014","journal-title":"Exp Clin Cardiol"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143085"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-15-159"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2008-7"},{"key":"e_1_2_8_21_1","first-page":"624","article-title":"Clinical characteristics of persistent frequent attenders in primary care: case\u2010control study","volume":"32","author":"Patel S","year":"2015","journal-title":"Fam Pract"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1157"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1024\/1661-8157\/a002176"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.3399\/096016407782604965"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000431740.32696.cc"},{"key":"e_1_2_8_26_1","first-page":"809","article-title":"The International Classification of Primary Care (ICPC\u20102): an essential tool in the EPR of the GP","volume":"124","author":"Verbeke M","year":"2006","journal-title":"Stud Health Technol Inform"},{"volume-title":"World Organization of National Colleges, Academies and Academic Associations of General Practitioners\/Family Physicians: ICPC\u20102\u2010R: International Classification of Primary Care","year":"2005","author":"WONCA","key":"e_1_2_8_27_1"},{"key":"e_1_2_8_28_1","unstructured":"WHO 2012"},{"key":"e_1_2_8_29_1","first-page":"w13142","article-title":"The FIRE project: a milestone for research in primary care in Switzerland","volume":"140","author":"Chmiel C","year":"2011","journal-title":"Swiss Med Wkly"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2003.09.001"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmh407"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e32835d8230"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/08037051.2014.868629"},{"volume-title":"Programmes: Health Statistics and Information Systems: Definition of an Older or Elderly Person","author":"WHO","key":"e_1_2_8_34_1"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2011.06.001"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/080370599439715"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.1081"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12281"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12711"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.2531"},{"key":"e_1_2_8_41_1","first-page":"973","article-title":"The Systolic Hypertension in the Elderly Program (SHEP): an intervention trial on isolated systolic hypertension","volume":"11","author":"Probstfield JL","year":"1989","journal-title":"Clin Exp Hypertens A"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138662"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511939"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01225-8"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136723"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0039877"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2014.82"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1185\/030079907X182077"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-004-5689-2"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.04.023"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjch.12958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.12958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T12:01:44Z","timestamp":1695556904000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.12958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,6]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/jch.12958"],"URL":"https:\/\/doi.org\/10.1111\/jch.12958","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"type":"print","value":"1524-6175"},{"type":"electronic","value":"1751-7176"}],"subject":[],"published":{"date-parts":[[2017,1,6]]}}}