Objective KONTROL study : therapeutic inertia in hypertensive patients attended in primary care of Spain
Copyright © 2010 Elsevier España, S.L. All rights reserved..
OBJECTIVES: To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC).
DESIGN: Cross-sectional, multicentre study.
SETTING: A sample of PC Teams from all over Spain.
PARTICIPANTS: The study was conducted among PC doctors using a questionnaire and clinical records of 4 patients.
MAIN MEASUREMENTS: The TI was calculated for each patient (TIp) as the proportion of visits in which there was no change in medication when this was indicated.
RESULTS: A total of 543 PC doctors provided data on 2,032 patients, who fulfilled the indication of a change in requirement. There was TI In 77.8% of cases. The TIp observed was non-existent or low for 17.1% of the patients, intermediate for 42% and high for 40.8%. For the patients, the factors most associated with TIp were, age (P<.001), diabetes (P<.001), stroke (P<.01), obesity (P<.01) and a low education level (P<.001). To be female, be less than 40 years or more than 55 years, to be a family doctor with a training program other than MIR and to work in the public sector increased the probability of TIp (P<.001 for all the assumptions).
CONCLUSIONS: The results of the study indicate that there is TI in 7 out every 10 visits made by hypertensive patients in Primary care. There are significant differences as regards the clinical characteristics of the patients and of the doctors.
| Errataetall: | |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2011 |
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| Erschienen: |
2011 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Atencion primaria - 43(2011), 12 vom: 06. Dez., Seite 638-47 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Inercia terapéutica en pacientes hipertensos asistidos en atención primaria en España. Estudio Objetivo Kontrol |
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| Beteiligte Personen: |
Doménech, Carlos Sanchis [VerfasserIn] |
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| Links: |
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| Themen: |
English Abstract |
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| Anmerkungen: |
Date Completed 01.05.2012 Date Revised 20.10.2021 published: Print-Electronic ErratumIn: Aten Primaria. 2012 Apr;44(4):243 Citation Status MEDLINE |
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| doi: |
10.1016/j.aprim.2010.09.030 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM206734069 |
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| 100 | 1 | |a Doménech, Carlos Sanchis |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Objective KONTROL study |b therapeutic inertia in hypertensive patients attended in primary care of Spain |
| 246 | 3 | 3 | |a Inercia terapéutica en pacientes hipertensos asistidos en atención primaria en España. Estudio Objetivo Kontrol |
| 264 | 1 | |c 2011 | |
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| 500 | |a Date Completed 01.05.2012 | ||
| 500 | |a Date Revised 20.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ErratumIn: Aten Primaria. 2012 Apr;44(4):243 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2010 Elsevier España, S.L. All rights reserved. | ||
| 520 | |a OBJECTIVES: To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC) | ||
| 520 | |a DESIGN: Cross-sectional, multicentre study | ||
| 520 | |a SETTING: A sample of PC Teams from all over Spain | ||
| 520 | |a PARTICIPANTS: The study was conducted among PC doctors using a questionnaire and clinical records of 4 patients | ||
| 520 | |a MAIN MEASUREMENTS: The TI was calculated for each patient (TIp) as the proportion of visits in which there was no change in medication when this was indicated | ||
| 520 | |a RESULTS: A total of 543 PC doctors provided data on 2,032 patients, who fulfilled the indication of a change in requirement. There was TI In 77.8% of cases. The TIp observed was non-existent or low for 17.1% of the patients, intermediate for 42% and high for 40.8%. For the patients, the factors most associated with TIp were, age (P<.001), diabetes (P<.001), stroke (P<.01), obesity (P<.01) and a low education level (P<.001). To be female, be less than 40 years or more than 55 years, to be a family doctor with a training program other than MIR and to work in the public sector increased the probability of TIp (P<.001 for all the assumptions) | ||
| 520 | |a CONCLUSIONS: The results of the study indicate that there is TI in 7 out every 10 visits made by hypertensive patients in Primary care. There are significant differences as regards the clinical characteristics of the patients and of the doctors | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Caro, José Luis Llisterri |e verfasserin |4 aut | |
| 700 | 1 | |a Sanz, Vicente Palomo |e verfasserin |4 aut | |
| 700 | 1 | |a Moreno, Francisco Javier Alonso |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez, Isidro López |e verfasserin |4 aut | |
| 700 | 1 | |a Loro, Armando Nevado |e verfasserin |4 aut | |
| 700 | 1 | |a Zamorano, Miguel Ángel |e verfasserin |4 aut | |
| 700 | 1 | |a García, Natividad Gil |e verfasserin |4 aut | |
| 700 | 1 | |a Conesa, M Dolores Aguilar |e verfasserin |4 aut | |
| 700 | 1 | |a Lázaro Y de Mercado, Pablo |e verfasserin |4 aut | |
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