{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:38:31Z","timestamp":1789162711168,"version":"build-2803163510"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2013,1,23]]},"abstract":"\n Background<\/jats:title>\n \n Patients with hypertension are primarily treated in general practice. However, major studies of patients with hypertension are rarely based on populations from primary care. Knowledge of blood pressure (\n BP<\/jats:styled-content>\n ) control rates in patients with diabetes and\/or cardiovascular diseases (\n CVDs<\/jats:styled-content>\n ), who have additional comorbidities, is lacking. We aimed to investigate the association of comorbidities with\n BP<\/jats:styled-content>\n control using a large cohort of hypertensive patients from primary care practices.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n Using the\n D<\/jats:styled-content>\n anish\n G<\/jats:styled-content>\n eneral Practice\n D<\/jats:styled-content>\n atabase, we included 37\u00a0651 patients with hypertension from 231 general practices in\n D<\/jats:styled-content>\n enmark. Recommended\n BP<\/jats:styled-content>\n control was defined as\n BP<\/jats:styled-content>\n <140\/90\u00a0mm\u00a0Hg in general and <130\/80\u00a0mm\u00a0Hg in patients with diabetes. The overall control rate was 33.2% (95%\n CI<\/jats:styled-content>\n : 32.7 to 33.7). Only 16.5% (95%\n CI<\/jats:styled-content>\n : 15.8 to 17.3) of patients with diabetes achieved\n BP<\/jats:styled-content>\n control, whereas control rates ranged from 42.9% to 51.4% for patients with ischemic heart diseases or cerebrovascular or peripheral vascular diseases. A diagnosis of cardiac heart failure in addition to diabetes and\/or\n CVD<\/jats:styled-content>\n was associated with higher\n BP<\/jats:styled-content>\n control rates, compared with men and women having only diabetes and\/or\n CVD<\/jats:styled-content>\n . A diagnosis of asthma in addition to diabetes and\n CVD<\/jats:styled-content>\n was associated with higher\n BP<\/jats:styled-content>\n control rates in men.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n In\n D<\/jats:styled-content>\n anish general practice, only 1 of 3 patients diagnosed with hypertension had a\n BP<\/jats:styled-content>\n below target.\n BP<\/jats:styled-content>\n control rates differ substantially within comorbidities. Other serious comorbidities in addition to diabetes and\/or\n CVD<\/jats:styled-content>\n were not associated with lower\n BP<\/jats:styled-content>\n control rates; on the contrary, in some cases the\n BP<\/jats:styled-content>\n control rates were higher when the patient was diagnosed with other serious comorbidities in addition to diabetes and\/or\n CVD<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.112.004531","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T16:49:11Z","timestamp":1369414151000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":44,"title":["Multimorbidity and Blood Pressure Control in 37\u00a0651 Hypertensive Patients From Danish General Practice"],"prefix":"10.1161","volume":"2","author":[{"given":"Maja S.","family":"Paulsen","sequence":"first","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"Andersen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"},{"name":"Centre for Pharmacoepidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janus L.","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"},{"name":"Danish Quality Unit of General Practice, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Schroll","sequence":"additional","affiliation":[{"name":"Danish Quality Unit of General Practice, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia V.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper","family":"Lykkegaard","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ib A.","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"The Clinic of Hypertension, Department of Endocrinology, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mogens L.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Christensen","sequence":"additional","affiliation":[{"name":"Department of General Practice, School of Public Health, University of Aarhus, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Sondergaard","sequence":"additional","affiliation":[{"name":"Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200401000-00003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2008.08.001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11911-8"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14739-3"},{"key":"e_1_3_3_6_2","volume-title":"Contact and Illness Pattern Study, KOS 2008, Aarhus","author":"Moth G","year":"2010","unstructured":"Moth G, Vedsted P, Olsen F. 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