Cross-sectional survey of hypertension management in clinical practice in Japan: the Kanagawa Hypertension Study 2021 conducted in collaboration with Japan Medical Association Database of Clinical Medicine.

Autor: Kobayashi K; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan. k-taishi@xc4.so-net.ne.jp.; Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan. k-taishi@xc4.so-net.ne.jp., Chin K; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan., Hatori N; Kobayashi Hospital, Odawara, Japan., Furuki T; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan., Sakai H; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan., Miyakawa M; Japan Medical Association, Tokyo, Japan., Asayama K; Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan., Eguchi N; Japan Medical Association Research Institute, Tokyo, Japan., Katsuya T; Katsuya Clinic, Hyogo, Japan., Tamura K; Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan., Sato K; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan., Kanamori A; Committee of Hypertension and Kidney Disease, Kanagawa Physicians Association, Yokohama, Japan.
Jazyk: angličtina
Zdroj: Hypertension research : official journal of the Japanese Society of Hypertension [Hypertens Res] 2023 Nov; Vol. 46 (11), pp. 2447-2459. Date of Electronic Publication: 2023 Aug 02.
DOI: 10.1038/s41440-023-01366-z
Abstrakt: We aim to assess the data of patients with hypertension in Kanagawa Prefecture, Japan, collected in 2021 that were provided by the Japan Medical Association Database of Clinical Medicine. Data collected in 2011 and 2014 by the Kanagawa Physicians Association were used for comparative analysis. The target blood pressure (BP) achievement rates for patients whose target office and home BP were <140/90 mmHg and <135/85 mmHg, respectively, were 72.5% and 75.8% in 2011, 66.0% and 68.5% in 2014, and 46.7% and 83.3% in 2021, respectively. The target office BP achievement rate in 2021 was significantly lower than those in 2011 and 2014 (p ≤ 0.009). In contrast, there was no significant difference and improvement of the achievement rates for patients whose target office and home BP were <130/80 mmHg and <125/75 mmHg, respectively, among the three surveys. After the Japanese Society of Hypertension 2019 Guidelines were released, the achievement rates for patients whose target BP was tightened were significantly lower than those for patients with unchanged target BP (office/home, p < 0.001/0.04). The proportion of the patients who achieved their office and home target BP using more than three drugs was 38.5% and 20.0%, respectively. In the present analysis, we unveiled the current problems encountered in the clinical management of hypertension in Japan. In particular, efforts should be focused on the management of patients that require strict BP control.
(© 2023. The Author(s), under exclusive licence to The Japanese Society of Hypertension.)
Databáze: MEDLINE
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