{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T06:41:32Z","timestamp":1696228892232},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,2,6]],"date-time":"2015-02-06T00:00:00Z","timestamp":1423180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2015,4]]},"abstract":"Abstract<\/jats:title>Rationale, aims and objectives<\/jats:title>Hypertension (HT<\/jats:styled-content>) is prevalent in T<\/jats:styled-content>urkey and even with pharmacological interventions HT<\/jats:styled-content> control rates do not meet guideline recommendations. We aimed to estimate the proportion of hypertensive patients who achieved target blood pressure (BP<\/jats:styled-content>) and seek to determine the predictors responsible for failure of to reach goals.<\/jats:p><\/jats:sec>Methods<\/jats:title>We conducted a retrospective cohort study involving patients with HT<\/jats:styled-content>. A total of 437 patients were identified with a current diagnosis of HT<\/jats:styled-content> at baseline. All available predictors for BP<\/jats:styled-content> improvements were included in the multivariate linear regression model.<\/jats:p><\/jats:sec>Results<\/jats:title>Follow\u2010up data on HT<\/jats:styled-content> goal achievements was available for 276 (63.1%) participants. Only 18.1% of the patients at the baseline visit, and 48.6% at the follow\u2010up visit achieved the overall SBP<\/jats:styled-content>\/DBP<\/jats:styled-content> targets specified by the JNC<\/jats:styled-content>\u20108 guideline. Significant differences were determined by baseline and 1st visit measurements of mean SBP<\/jats:styled-content>\/DBP<\/jats:styled-content> levels (P<\/jats:italic>\u2009<\u20090.001, P<\/jats:italic>\u2009<\u20090.001, respectively). DM<\/jats:styled-content> and baseline SBP<\/jats:styled-content> were positively associated with SBP<\/jats:styled-content> improvement (\u03b2\u2009=\u20098.410, P<\/jats:italic>\u2009=\u20090.003; \u03b2\u2009=\u20090.692, P<\/jats:italic>\u2009<\u20090.001, respectively), whereas being prescribing more HT<\/jats:styled-content> medications and being older were negatively associated with improvement (\u03b2\u2009=\u2009\u22127.968, P<\/jats:italic>\u2009=\u20090.005; \u03b2\u2009=\u2009\u22125.707, P<\/jats:italic>\u2009=\u20090.037; respectively). DM<\/jats:styled-content>, baseline DBP<\/jats:styled-content> and HT<\/jats:styled-content> duration were positively associated with DBP<\/jats:styled-content> improvement (\u03b2\u2009=\u20094.539, P<\/jats:italic>\u2009=\u20090.012; \u03b2\u2009=\u20090.702, P<\/jats:italic>\u2009<\u20090.001; \u03b2\u2009=\u20090.023, P<\/jats:italic>\u2009=\u20090.012; respectively), whereas additional HT<\/jats:styled-content> medications and GFR<\/jats:styled-content> values were negatively associated with improvement (\u03b2\u2009=\u2009\u22125.682, P<\/jats:italic>\u2009=\u20090.002; \u03b2\u2009=\u2009\u22120.098, P<\/jats:italic>\u2009=\u20090.005; respectively).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Although the progress in achieving in BP<\/jats:styled-content> targets was encouraging, only half of patients had reached the HT<\/jats:styled-content> goals. Adequate pharmacological approaches and comprehensive management strategies should be implemented in hypertensive patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12318","type":"journal-article","created":{"date-parts":[[2015,2,6]],"date-time":"2015-02-06T16:57:47Z","timestamp":1423241867000},"page":"313-319","source":"Crossref","is-referenced-by-count":1,"title":["Blood pressure control in patients with hypertension: a retrospective cohort study"],"prefix":"10.1111","volume":"21","author":[{"given":"Umit","family":"Aydogan","sequence":"first","affiliation":[{"name":"Department of Family Medicine Gulhane Military Medical Faculty Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuf C.","family":"Doganer","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Mayo Clinic Rochester MN USA"},{"name":"Department of Family Medicine Primary Care Examination Center Turkish Military Academy Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asl\u0131","family":"Atik","sequence":"additional","affiliation":[{"name":"Oran Outpatient Clinic Primary Care & Family Health Center Beytepe Military Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Rohrer","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Mayo Clinic Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"Engin Gok","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Gulhane Military Medical Faculty Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebru","family":"Cirpan","sequence":"additional","affiliation":[{"name":"Foca Naval Base Outpatient Clinic Primary Care & Family Health Center \u0130zmir Military Hospital \u0130zmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmut I.","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Nephrology Gulhane Military Medical Faculty Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenan","family":"Saglam","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Gulhane Military Medical Faculty Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17741-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X656847"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1353"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/kisup.2013.68"},{"key":"e_1_2_9_8_1","unstructured":"Turkish Statistical Institute. (2012).Causes of death statistics. Available at:http:\/\/www.turkstat.gov.tr\/PreHaberBultenleri.do?id=15847(last accessed 2 September 2014)."},{"key":"e_1_2_9_9_1","unstructured":"Hypertension Canada Website. (2013)Hypertension without compelling indications: 2013 CHEP recommendations. Available at:http:\/\/www.hypertension.ca\/hypertension\u2010without\u2010compelling\u2010indications(last accessed 19 September 2014)."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht151"},{"key":"e_1_2_9_11_1","unstructured":"National Institute for Health and Clinical Excellence. (2011).Hypertension: clinical management of primary hypertension in adults. NICE Guidelines [CG127]. Available at:http:\/\/www.nice.org.uk\/guidance\/cg127(last accessed 19 September 2014)."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2012.12"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2013.11"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-013-9771-5"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq656"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000176789.89505.59"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1P791"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01215.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000275"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890.2012.679961"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(08)70698-6"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.07.018"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000252676.46043.18"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2007.07.009"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0091801"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61349-4"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjep.12318","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjep.12318","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.12318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T01:07:06Z","timestamp":1696208826000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.12318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,6]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1111\/jep.12318"],"URL":"https:\/\/doi.org\/10.1111\/jep.12318","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,6]]}}}