{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:05:22Z","timestamp":1715558722940},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Hypertension"],"published-print":{"date-parts":[[2000,4]]},"abstract":"<jats:p>\n            <jats:italic>Abstract<\/jats:italic>\n            \u2014A major invitational  hypertension meeting was hosted by the Department of Veterans Affairs  (VA) in Washington, DC, on May 26 to 28, 1999. It followed a report  that only 25% of hypertensive veterans had adequate levels of treated  blood pressure and focused on how control of hypertension could be  improved both immediately and in the future. After the  presentation of brief outlines of 5 unresolved basic  science questions, 2 general topics were considered: (1) 30 years of  change in hypertension and its treatment and (2) current healthcare  delivery mechanisms and how to improve them. Since 1970, the severity  of hypertension has decreased, malignant hypertension has disappeared,  and the prognostic roles of systolic and diastolic  blood pressure have been reversed as hypertension became milder. Five  VA Cooperative Studies have provided important data: the 1970 Freis  Trial report demonstrated the value of treatment, 2 trials showed that  some controlled patients can decrease or even discontinue  pharmacological treatment without recrudescent hypertension, a blinded  trial was performed on the efficacy of different antihypertensive  drugs, and an unblinded trial showed that diuretics and  \u03b2-blockers are the most effective agents when caregivers choose the  agent and dose. Two healthcare models were considered: (1) the  patient-friendly VA Hypertension Screening and Treatment Program that  was introduced in 1972, which controls 80% of patients at the goal of  the Joint National Committee on Detection, Evaluation, and Treatment of  High Blood Pressure with diuretics and keeps patients in the  program an average of 7.5 years, and (2) the newer primary care health  maintenance organization\u2013like model in the VA and throughout  the United States. Choosing a regimen and monitoring control of blood  pressure and compliance with therapy were discussed. The meeting was  closed with 6 general recommendations for improving the care of  hypertensive patients.\n          <\/jats:p>","DOI":"10.1161\/01.hyp.35.4.853","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:25:31Z","timestamp":1339460731000},"page":"853-857","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Department of Veterans Affairs Hypertension Meeting"],"prefix":"10.1161","volume":"35","author":[{"given":"H. Mitchell","family":"Perry","sequence":"first","affiliation":[{"name":"From the Department of Veterans Affairs Medical Center (H.M.P.), St  Louis, Mo; Department of Veterans Affairs Medical Center (E.D. Freis),  Washington, DC; and the Alton Oschner Medical Foundation (E.D. Frohlich), New  Orleans, La."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward D.","family":"Freis","sequence":"additional","affiliation":[{"name":"From the Department of Veterans Affairs Medical Center (H.M.P.), St  Louis, Mo; Department of Veterans Affairs Medical Center (E.D. Freis),  Washington, DC; and the Alton Oschner Medical Foundation (E.D. Frohlich), New  Orleans, La."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward D.","family":"Frohlich","sequence":"additional","affiliation":[{"name":"From the Department of Veterans Affairs Medical Center (H.M.P.), St  Louis, Mo; Department of Veterans Affairs Medical Center (E.D. Freis),  Washington, DC; and the Alton Oschner Medical Foundation (E.D. Frohlich), New  Orleans, La."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_1_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199812313392701"},{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440420033005"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.25.3.305"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1970.03170330025003"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1967.03130240070013"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/hyp.31.3.771"},{"key":"e_1_3_1_7_2","unstructured":"Perry HM Jr Belton ED Moses WG Page IR Smith WM Sokolow M Witwer BD. National High Blood Pressure Education Program: Report to the Hypertension Information and Education Advisory Committee Task Force I Data Base. 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J Natl Med Assoc. 1982;74:433\u2013444.","journal-title":"J Natl Med Assoc"}],"container-title":["Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.HYP.35.4.853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T17:12:13Z","timestamp":1715533933000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.HYP.35.4.853"}},"subtitle":["A Proposal for Improved Care"],"short-title":[],"issued":{"date-parts":[[2000,4]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2000,4]]}},"alternative-id":["10.1161\/01.HYP.35.4.853"],"URL":"https:\/\/doi.org\/10.1161\/01.hyp.35.4.853","relation":{},"ISSN":["0194-911X","1524-4563"],"issn-type":[{"value":"0194-911X","type":"print"},{"value":"1524-4563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,4]]},"assertion":[{"value":"1999-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-11-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-04-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}