{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:11:36Z","timestamp":1778235096406,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100018587","name":"northeast ohio medical university","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Technology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Beta blockers are no longer recommended as first-line agents for hypertension (HTN) without compelling indications; however, evidence suggests that there is still frequent inappropriate prescribing of beta blockers to many US adults with HTN.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To determine rate of prescribing of beta blockers for HTN without concurrent use of other first line antihypertensive agents.\n                    <jats:bold>Methods:<\/jats:bold>\n                    To analyze the validity of these claims, we utilized National Ambulatory Medical Care Survey data from 2013 to 2018 (excluding 2017). This data represented office visits related to adults receiving treatment for HTN. The data in the study encompasses 5191 unweighted visits representing 247 million visits nationally.\n                    <jats:bold>Results:<\/jats:bold>\n                    The data from these visits showed the prevalence of beta blocker prescribing to be 21.8% with 93.6% of beta blocker prescriptions considered inappropriate based on current guideline recommendations. This determination was made based on whether the patient had all first-line HTN treatment options prescribed prior to receiving beta blockade. Factors such as older age (\u226565 years; odds ratio [OR] = 1.48, 95% CI = 1.11-1.97) and elevated blood pressure at the visit (OR = 1.43, 95% CI = 1.06-1.92) were associated with an increased likelihood of beta blocker prescribing, while depression (OR = 0.42, 95% CI = 0.24-0.73) and diabetes (OR = 0.70, 95% CI = 0.55-0.90) were associated with decreased likelihood.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Inappropriate beta blocker prescribing for HTN without compelling indications remains highly prevalent in US outpatient practice. Older adults and patients with elevated blood pressure are particularly at risk. Targeted provider education and clinical decision support interventions are warranted to improve hypertension management.\n                  <\/jats:p>","DOI":"10.1177\/87551225261417534","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:04:54Z","timestamp":1770732294000},"page":"115-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Beta Blocker Prescribing for Hypertension"],"prefix":"10.1177","volume":"42","author":[{"given":"Brandon J.","family":"Skory","sequence":"first","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Arko","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laila","family":"Terkawi","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Slusarz","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"King","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Deokarran","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstan","family":"Glista","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Will","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hana","family":"Etemadi","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Brosch","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2525-2971","authenticated-orcid":false,"given":"Erik","family":"Wasowski","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"},{"name":"Department of Pharmacy, Cleveland Clinic Euclid Hospital, Euclid, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mate Michael","family":"Soric","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2008.08172.x"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000249"},{"key":"e_1_3_2_4_2","volume-title":"HTN Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021\u2013August 2023","author":"Fryar CD","year":"2024","unstructured":"Fryar CD, Kit B, Carroll MD, Afful J. HTN Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021\u2013August 2023 [NCHS data brief, No 511]. National Center for Health Statistics; 2024."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2024.07.005"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.23.2981"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.19.2560"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-010-0157-9"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002003.pub5"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.16402"},{"key":"e_1_3_2_12_2","unstructured":"Farzam K. Beta blockers. StatPearls [Internet]. August 22 2023. Accessed August 26 2025. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532906\/"},{"issue":"11","key":"e_1_3_2_13_2","first-page":"11","article-title":"HTN in young adults in India: perspectives and therapeutic options amongst clinician\u2019s in a cross sectional observational study","volume":"69","author":"Jadhav U","year":"2021","unstructured":"Jadhav U, Tiwaskar M, Khan A, et al. HTN in young adults in India: perspectives and therapeutic options amongst clinician\u2019s in a cross sectional observational study. J Assoc Physicians India. 2021;69(11):11-12.","journal-title":"J Assoc Physicians India"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.14041"}],"container-title":["Journal of Pharmacy Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/87551225261417534","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/87551225261417534","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/87551225261417534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:44:38Z","timestamp":1778233478000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/87551225261417534"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,10]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/87551225261417534"],"URL":"https:\/\/doi.org\/10.1177\/87551225261417534","relation":{},"ISSN":["8755-1225","1549-4810"],"issn-type":[{"value":"8755-1225","type":"print"},{"value":"1549-4810","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,10]]}}}