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首页> 外文期刊>Blood pressure. >Factors influencing the decision to start drug treatment in hypertension. A questionnaire study comparing general practitioners and hypertension specialists in Denmark.
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Factors influencing the decision to start drug treatment in hypertension. A questionnaire study comparing general practitioners and hypertension specialists in Denmark.

机译：影响决定开始进行高血压药物治疗的因素。一项问卷调查研究，比较了丹麦的全科医生和高血压专家。

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摘要

Objective. To determine the factors influencing treatment decisions in patients with hypertension. Methods. A postal questionnaire based on five constructed cases with hypertension was sent to 122 general practitioners (GPs) in the area around Herlev University Hospital and to 46 Danish hypertension specialists. The cases varied in gender, age, blood pressure, cholesterol, diabetes and smoking status and absolute risk for cardiovascular events. Results. Response rate was 46% for GPs and 59% for specialists. There were no significant differences in treatment decisions nor in drug choices for first-line monotherapy, which were diuretics, angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor antagonists in both groups of physicians. Blood pressure alone was the most important factor for instituting drug therapy according to 59% of the GPs and 56% of the specialists. There was no association between pre-treatment risk assessment and instituting treatment in either group in four out of fivecases. Conclusions. We found agreement with respect to all treatment decisions between GPs and hypertension specialists. The results from this study suggest that, in both GPs and specialists, a blood pressure threshold approach to treating hypertension is still dominating.
机译：目的。确定影响高血压患者治疗决策的因素。方法。将基于五例高血压病例的邮政问卷发送给Herlev大学医院周边地区的122位全科医生（GP）和46位丹麦高血压专家。这些病例的性别，年龄，血压，胆固醇，糖尿病和吸烟状况以及发生心血管事件的绝对风险各不相同。结果。 GP的回应率为46％，专科医生的回应率为59％。一线单一疗法的治疗决策或药物选择均无显着差异，两组医师中的利尿剂，血管紧张素转换酶（ACE）抑制剂或血管紧张素受体拮抗剂均无差异。 59％的GP和56％的专家认为，仅血压是实施药物治疗的最重要因素。在五分之四的病例中，两组的治疗前风险评估与开始治疗之间没有关联。结论我们发现GP和高血压专家之间就所有治疗决定均达成一致。这项研究的结果表明，在全科医生和专家中，血压阈值治疗高血压的方法仍占主导地位。

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