Academic Journal
Burden of cardiovascular disease across 29 countries and GPs’ decision to treat hypertension in oldest-old
| Title: | Burden of cardiovascular disease across 29 countries and GPs’ decision to treat hypertension in oldest-old |
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| Authors: | Sven Streit, Jacobijn Gussekloo, Robert A. Burman, Claire Collins, Biljana Gerasimovska Kitanovska, Sandra Gintere, Raquel Gómez Bravo, Kathryn Hoffmann, Claudia Iftode, Kasper L. Johansen, Ngaire Kerse, Tuomas H. Koskela, Sanda Kreitmayer Peštić, Donata Kurpas, Christian D. Mallen, Hubert Maisonneuve, Christoph Merlo, Yolanda Mueller, Christiane Muth, Rafael H. Ornelas, Marija Petek Šter, Ferdinando Petrazzuoli, Thomas Rosemann, Martin Sattler, Zuzana Švadlenková, Athina Tatsioni, Hans Thulesius, Victoria Tkachenko, Peter Torzsa, Rosy Tsopra, Canan Tuz, Marjolein Verschoor, Rita P. A. Viegas, Shlomo Vinker, Margot W. M. de Waal, Andreas Zeller, Nicolas Rodondi, Rosalinde K. E. Poortvliet |
| Source: | Scandinavian Journal of Primary Health Care, Vol 36, Iss 1, Pp 89-98 (2018) |
| Publisher Information: | Taylor & Francis Group, 2018. |
| Publication Year: | 2018 |
| Collection: | LCC:Public aspects of medicine |
| Subject Terms: | Oldest-old, hypertension, clinical decision-making, cardiovascular disease burden, life expectancy, Public aspects of medicine, RA1-1270 |
| More Details: | Objectives: We previously found large variations in general practitioner (GP) hypertension treatment probability in oldest-old (>80 years) between countries. We wanted to explore whether differences in country-specific cardiovascular disease (CVD) burden and life expectancy could explain the differences. Design: This is a survey study using case-vignettes of oldest-old patients with different comorbidities and blood pressure levels. An ecological multilevel model analysis was performed. Setting: GP respondents from European General Practice Research Network (EGPRN) countries, Brazil and New Zeeland. Subjects: This study included 2543 GPs from 29 countries. Main outcome measures: GP treatment probability to start or not start antihypertensive treatment based on responses to case-vignettes; either low (80 years of age). • In this study including 1947 GPs from 29 countries, we found that a high country-specific cardiovascular disease (CVD) burden (i.e. myocardial infarction and/or stroke) was associated with a higher GP treatment probability in patients aged >80 years. • However, the association was modified by country-specific life expectancy at age 60. While there was a positive association for GPs in countries with a low life expectancy at age 60, there was no association in countries with a high life expectancy at age 60. • These findings help explaining some of the large variation seen in the decision as to whether or not to treat hypertension in the oldest-old. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0281-3432 1502-7724 02813432 |
| Relation: | https://doaj.org/toc/0281-3432; https://doaj.org/toc/1502-7724 |
| DOI: | 10.1080/02813432.2018.1426142 |
| Access URL: | https://doaj.org/article/afe2e3bc0b404e069471f1e94ffac0eb |
| Accession Number: | edsdoj.fe2e3bc0b404e069471f1e94ffac0eb |
| Database: | Directory of Open Access Journals |
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| ISSN: | 02813432 15027724 |
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| DOI: | 10.1080/02813432.2018.1426142 |
| Published in: | Scandinavian Journal of Primary Health Care |
| Language: | English |