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Research Letters | Sep 24, 2012

Missed Opportunities for Treatment of Uncontrolled Hypertension at Physician Office Visits in the United States, 2005 Through 2009

Raman Ravi Khanna, MD, MAS; Ronald G. Victor, MD; Kirsten Bibbins-Domingo, PhD, MD; Martin F. Shapiro, MD, PhD, MPH; Mark J. Pletcher, MD, MPH

Arch Intern Med. 2012;172(17):1344-1345. doi:10.1001/archinternmed.2012.2749.

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Hypertension affects nearly one-third of all US adults and is a leading treatable cause of cardiovascular death.¹^- 2 National guidelines recommend prescribing new blood pressure (BP) medication for all untreated patients with an established diagnosis of hypertension and for treated patients with stage 2 BP elevation.² It is unclear how often these guidelines are followed nationally. We analyzed new BP medication prescriptions for patients with uncontrolled hypertension using the National Ambulatory Medical Care Survey (NAMCS).

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Figure. The likelihood of new blood pressure (BP) medication prescription by stage of BP elevation, number of current BP medications, and visit reason. Each bar represents the mean likelihood of new BP medication prescription, stratified by stage 1 (systolic BP ≥140 but ≤159 mm Hg or diastolic BP ≥90 but ≤99 mm Hg) (A) and stage 2 (systolic BP ≥160 mm Hg or diastolic BP ≥100 mm Hg) BP elevation, number of current BP medications, and whether the patient identified BP as a visit reason. Error bars represent 95% confidence intervals.

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Khanna R, Victor RG, Bibbins-Domingo K, Shapiro MF, Pletcher MJ. Missed Opportunities for Treatment of Uncontrolled Hypertension at Physician Office Visits in the United States, 2005 Through 2009. Arch Intern Med. 2012;172(17):1344-1345. doi:10.1001/archinternmed.2012.2749.

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