Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial. / Reuther, Lene Ørskov; Paulsen, Maja Skov; Andersen, Morten; Schultz-Larsen, Peter; Christensen, Hanne Rolighed; Munck, Anders; Larsen, Pia Veldt; Damsgaard, Jens Kristian; Poulsen, Lars; Hansen, Dorte Gilså; Christensen, Bo Allesøe; Søndergaard, Jens Foged; Andersen, Morten; Poulsen, Lars.

In: Family Practice, Vol. 29, No. 6, 2012, p. 626-632.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Reuther, LØ, Paulsen, MS, Andersen, M, Schultz-Larsen, P, Christensen, HR, Munck, A, Larsen, PV, Damsgaard, JK, Poulsen, L, Hansen, DG, Christensen, BA, Søndergaard, JF, Andersen, M & Poulsen, L 2012, 'Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial', Family Practice, vol. 29, no. 6, pp. 626-632. https://doi.org/10.1093/fampra/cms031

APA

Reuther, L. Ø., Paulsen, M. S., Andersen, M., Schultz-Larsen, P., Christensen, H. R., Munck, A., Larsen, P. V., Damsgaard, J. K., Poulsen, L., Hansen, D. G., Christensen, B. A., Søndergaard, J. F., Andersen, M., & Poulsen, L. (2012). Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial. Family Practice, 29(6), 626-632. https://doi.org/10.1093/fampra/cms031

Vancouver

Reuther LØ, Paulsen MS, Andersen M, Schultz-Larsen P, Christensen HR, Munck A et al. Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial. Family Practice. 2012;29(6):626-632. https://doi.org/10.1093/fampra/cms031

Author

Reuther, Lene Ørskov ; Paulsen, Maja Skov ; Andersen, Morten ; Schultz-Larsen, Peter ; Christensen, Hanne Rolighed ; Munck, Anders ; Larsen, Pia Veldt ; Damsgaard, Jens Kristian ; Poulsen, Lars ; Hansen, Dorte Gilså ; Christensen, Bo Allesøe ; Søndergaard, Jens Foged ; Andersen, Morten ; Poulsen, Lars. / Is a targeted intensive intervention effective for improvements in hypertension control? A randomized controlled trial. In: Family Practice. 2012 ; Vol. 29, No. 6. pp. 626-632.

Bibtex

@article{f008afafa91046f992948462eb8a34c3,
title = "Is a targeted intensive intervention effective for improvements in hypertension control?: A randomized controlled trial",
abstract = "BACKGROUND: High blood pressure (BP) is one of the most important risk factors for stroke, and antihypertensive therapy significantly reduces the risk of cardiovascular morbidity and mortality. However, achieving a regulated BP in hypertensive patients is still a challenge. OBJECTIVE: To evaluate the impact of an intervention targeting GPs' management of hypertension. METHODS: A cluster randomized trial comprising 124 practices and 2646 patients with hypertension. In the Capital Region of Denmark, the participating GPs were randomized to an intensive or to a moderately intensive intervention group or to a control group and in Region Zealand and Region of Southern Denmark, practices were randomized into a moderately intensive intervention and to a control group. The main outcome measures were change in proportion of patients with high BP and change in systolic BP (SBP) and diastolic BP (DBP) from the first to the second registration. RESULTS: The proportion of patients with high BP in 2007 was reduced in 2009 by ~9% points. The mean SBP was reduced significantly from 2007 to 2009 by 3.61 mmHg [95% confidence interval (CI): -4.26 to -2.96], and the DBP was reduced significantly by 1.99 mmHg (95% CI: -2.37 to -1.61). There was no additional impact in either of the intervention groups. CONCLUSION: There was no impact of the moderate intervention and no additional impact of the intensive intervention on BP.",
author = "Reuther, {Lene {\O}rskov} and Paulsen, {Maja Skov} and Morten Andersen and Peter Schultz-Larsen and Christensen, {Hanne Rolighed} and Anders Munck and Larsen, {Pia Veldt} and Damsgaard, {Jens Kristian} and Lars Poulsen and Hansen, {Dorte Gils{\aa}} and Christensen, {Bo Alles{\o}e} and S{\o}ndergaard, {Jens Foged} and Morten Andersen and Lars Poulsen",
year = "2012",
doi = "10.1093/fampra/cms031",
language = "English",
volume = "29",
pages = "626--632",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "6",

}

RIS

TY - JOUR

T1 - Is a targeted intensive intervention effective for improvements in hypertension control?

T2 - A randomized controlled trial

AU - Reuther, Lene Ørskov

AU - Paulsen, Maja Skov

AU - Andersen, Morten

AU - Schultz-Larsen, Peter

AU - Christensen, Hanne Rolighed

AU - Munck, Anders

AU - Larsen, Pia Veldt

AU - Damsgaard, Jens Kristian

AU - Poulsen, Lars

AU - Hansen, Dorte Gilså

AU - Christensen, Bo Allesøe

AU - Søndergaard, Jens Foged

AU - Andersen, Morten

AU - Poulsen, Lars

PY - 2012

Y1 - 2012

N2 - BACKGROUND: High blood pressure (BP) is one of the most important risk factors for stroke, and antihypertensive therapy significantly reduces the risk of cardiovascular morbidity and mortality. However, achieving a regulated BP in hypertensive patients is still a challenge. OBJECTIVE: To evaluate the impact of an intervention targeting GPs' management of hypertension. METHODS: A cluster randomized trial comprising 124 practices and 2646 patients with hypertension. In the Capital Region of Denmark, the participating GPs were randomized to an intensive or to a moderately intensive intervention group or to a control group and in Region Zealand and Region of Southern Denmark, practices were randomized into a moderately intensive intervention and to a control group. The main outcome measures were change in proportion of patients with high BP and change in systolic BP (SBP) and diastolic BP (DBP) from the first to the second registration. RESULTS: The proportion of patients with high BP in 2007 was reduced in 2009 by ~9% points. The mean SBP was reduced significantly from 2007 to 2009 by 3.61 mmHg [95% confidence interval (CI): -4.26 to -2.96], and the DBP was reduced significantly by 1.99 mmHg (95% CI: -2.37 to -1.61). There was no additional impact in either of the intervention groups. CONCLUSION: There was no impact of the moderate intervention and no additional impact of the intensive intervention on BP.

AB - BACKGROUND: High blood pressure (BP) is one of the most important risk factors for stroke, and antihypertensive therapy significantly reduces the risk of cardiovascular morbidity and mortality. However, achieving a regulated BP in hypertensive patients is still a challenge. OBJECTIVE: To evaluate the impact of an intervention targeting GPs' management of hypertension. METHODS: A cluster randomized trial comprising 124 practices and 2646 patients with hypertension. In the Capital Region of Denmark, the participating GPs were randomized to an intensive or to a moderately intensive intervention group or to a control group and in Region Zealand and Region of Southern Denmark, practices were randomized into a moderately intensive intervention and to a control group. The main outcome measures were change in proportion of patients with high BP and change in systolic BP (SBP) and diastolic BP (DBP) from the first to the second registration. RESULTS: The proportion of patients with high BP in 2007 was reduced in 2009 by ~9% points. The mean SBP was reduced significantly from 2007 to 2009 by 3.61 mmHg [95% confidence interval (CI): -4.26 to -2.96], and the DBP was reduced significantly by 1.99 mmHg (95% CI: -2.37 to -1.61). There was no additional impact in either of the intervention groups. CONCLUSION: There was no impact of the moderate intervention and no additional impact of the intensive intervention on BP.

U2 - 10.1093/fampra/cms031

DO - 10.1093/fampra/cms031

M3 - Journal article

C2 - 22565110

VL - 29

SP - 626

EP - 632

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 6

ER -

ID: 40190067