Why physicians do not prescribe a thiazide diuretic

Emily Sutton; Holly Wilson; Peter J Kaboli; Barry L Carter

doi:10.1111/j.1751-7176.2010.00299.x

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Why physicians do not prescribe a thiazide diuretic

Journal article

Open access

Peer reviewed

Why physicians do not prescribe a thiazide diuretic

Emily Sutton, Holly Wilson, Peter J Kaboli and Barry L Carter

The journal of clinical hypertension (Greenwich, Conn.), Vol.12(7), pp.502-507

07/01/2010

DOI: 10.1111/j.1751-7176.2010.00299.x

PMCID: PMC8673042

PMID: 20629812

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673042View

Published (Version of record) Open Access

Abstract

The purpose of this study was to evaluate the reasons physicians provided when the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines recommending a thiazide diuretic as a first line treatment for hypertension were not followed. A subsample of patients from a randomized controlled study who had uncontrolled blood pressure at an index visit and were not prescribed a thiazide were evaluated. Differences in groups that received any medication change or therapeutic lifestyle changes counseling and those that did not were compared. Differences in treatment were also compared for patients who received educational materials with or without telephone calls and financial incentive with a control group. The authors examined whether patients achieved blood pressure control in 12 months. The results show providers are not aggressive enough with getting blood pressure to goal and patients who are more educated about hypertension may be less likely to experience clinical inertia.

Attitude of Health Personnel

Humans

Middle Aged

Patient Participation

Hypertension - drug therapy

Male

Minnesota

Sodium Chloride Symporter Inhibitors - therapeutic use

Physicians, Primary Care - statistics & numerical data

Practice Patterns, Physicians' - statistics & numerical data

Iowa

Female

Primary Health Care

Patient Education as Topic

Details

Title: Subtitle: Why physicians do not prescribe a thiazide diuretic
Creators: Emily Sutton - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA
Holly Wilson
Peter J Kaboli
Barry L Carter
Resource Type: Journal article
Publication Details: The journal of clinical hypertension (Greenwich, Conn.), Vol.12(7), pp.502-507
DOI: 10.1111/j.1751-7176.2010.00299.x
PMID: 20629812
PMCID: PMC8673042
ISSN: 1524-6175
eISSN: 1751-7176
Grant note: HL091841 / NHLBI NIH HHS 5U18HSO16094 / PHS HHS
Language: English
Date published: 07/01/2010
Academic Unit: Epidemiology; Pharmacy Practice and Science; Internal Medicine
Record Identifier: 9984094372302771

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