Towards new recommendations to reduce the burden of alcohol-induced hypertension in the European Union
| Autor: | Bernd Schulte, Nuria Bastida Bastus, Lidia Segura-García, Gerrit Gmel, Carlos Brotons, Robyn Burton, Joan Colom, Jose Angel Arbesu Prieto, Lars Møller, Iain Armstrong, Jakob Manthey, Michael Bachmann, Cristina Sierra, Manuel Cardoso, Emanuele Scafato, Peter J. Anderson, Daniel A. Duprez, Henri-Jean Aubin, Jürgen Rehm, Kevin D. Shield, Reinhold Kreutz, Konstantin Vyshinskiy, Ľubomír Okruhlica, Marcin Wojnar, Ludwig Kraus, Helena Liira, José Zarco, Antoni Gual, Michael Roerecke |
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| Přispěvatelé: | Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Universitat de Barcelona, [Rehm J] Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada. Addiction Policy, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Institute of Medical Science, University of Toronto, Faculty of Medicine, Medical Sciences Building, Toronto, Canada. Department of Psychiatry, University of Toronto, Toronto, Canada. Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. [Anderson P] Substance Use, Policy and Practice, Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK. Alcohol and Health, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands. [Arbesu Prieto JA] Primary Care Center La Eria, Oviedo, Spain. Primary Care Spanish Society SEMERGEN, Madrid, Spain. [Armstrong I] Health and Wellbeing Directorate, Public Health England, London, UK. [Aubin HJ] CESP, University Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, APHP, Hôpitaux Universitaires Paris-Sud, Villejuif, France. [Bachmann M] Copentown Healthcare Consultants, Cape Town, South Africa. [Colom J, Segura-Garcia L] Programa d’Abús de Substàncies, Agència Pública de Salut de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain, Departament de Salut, Clinicum, Department of General Practice and Primary Health Care, University of Helsinki |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Otros calificadores::Otros calificadores::/prevención & control [Otros calificadores]
Cost effectiveness Psychological intervention lcsh:Medicine SYSTEMIC HYPERTENSION Disease Guideline 030204 cardiovascular system & hematology Recommendations 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit Environmental Health::Health::Health Services::Primary Health Care [PUBLIC HEALTH] RESISTANT HYPERTENSION COST-EFFECTIVENESS 0302 clinical medicine Risk Factors Alcoholisme - Estudi de casos Medicine 030212 general & internal medicine media_common Public health European Union countries HIGH BLOOD-PRESSURE General Medicine GENERAL-PRACTITIONERS 3. Good health Management Substance abuse Europe Alcoholism SERVICES TASK-FORCE Atenció primària - Unió Europea Systematic review DIFFERENT DIMENSIONS Alcoholisme Hypertension Hipertensió - Estudi de casos Blood pressure Screening Hipertensió Chemically-Induced Disorders::Substance-Related Disorders::Alcohol-Related Disorders::Alcoholism [DISEASES] Alcohol use enfermedades cardiovasculares::enfermedades vasculares::hipertensión [ENFERMEDADES] medicine.medical_specialty Alcohol Drinking PRIMARY-HEALTH-CARE Guidelines as Topic Cardiovascular Diseases::Vascular Diseases::Hypertension [DISEASES] Països de la Unió Europea Other subheadings::Other subheadings::/prevention & control [Other subheadings] 03 medical and health sciences Unión Europea USE DISORDERS trastornos inducidos químicamente::trastornos relacionados con sustancias::trastornos relacionados con el alcohol::alcoholismo [ENFERMEDADES] Environmental health Humans media_common.cataloged_instance European Union European union BRIEF INTERVENTIONS business.industry lcsh:R Blood Pressure Determination medicine.disease Salut pública 3121 General medicine internal medicine and other clinical medicine Economic evaluation Physical therapy salud ambiental::salud::servicios de salud::atención primaria de la salud [SALUD PÚBLICA] business Primary healthcare |
| Zdroj: | BMC Medicine, 15:173. BioMed Central Ltd Recercat. Dipósit de la Recerca de Catalunya instname Dipòsit Digital de la UB Universidad de Barcelona BMC Medicine r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau Scientia BMC Medicine, Vol 15, Iss 1, Pp 1-10 (2017) |
| ISSN: | 1741-7015 |
| Popis: | Consumo de alcohol; Presión sanguínea; Atención primaria; Recomendaciones Consum d'alcohol; Pressió sanguínea; Atenció primària; Recomanacions Alcohol use; Blood pressure; Primary healthcare; Recommendations Background: Hazardous and harmful alcohol use and high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both risk factors has been suggested as a route to reach the global NCD targets. This study aims to highlight that screening and interventions for hypertension and hazardous and harmful alcohol use in primary healthcare can contribute substantially to achieving the NCD targets. Methods: A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental studies, and statistical modelling which had been presented and discussed in five preparatory meetings, was undertaken. Specifically, we modelled changes in blood pressure distributions and potential lives saved for the five largest European countries if screening and appropriate intervention rates in primary healthcare settings were increased. Recommendations to handle alcohol-induced hypertension in primary healthcare settings were derived at the conference, and their degree of evidence was graded. Results: Screening and appropriate interventions for hazardous alcohol use and use disorders could lower blood pressure levels, but there is a lack in implementing these measures in European primary healthcare. Recommendations included (1) an increase in screening for hypertension (evidence grade: high), (2) an increase in screening and brief advice on hazardous and harmful drinking for people with newly detected hypertension by physicians, nurses, and other healthcare professionals (evidence grade: high), (3) the conduct of clinical management of less severe alcohol use disorders for incident people with hypertension in primary healthcare (evidence grade: moderate), and (4) screening for alcohol use in hypertension that is not well controlled (evidence grade: moderate). The first three measures were estimated to result in a decreased hypertension prevalence and hundreds of saved lives annually in the examined countries. Conclusions: The implementation of the outlined recommendations could contribute to reducing the burden associated with hypertension and hazardous and harmful alcohol use and thus to achievement of the NCD targets. Implementation should be conducted in controlled settings with evaluation, including, but not limited to, economic evaluation. The workshop entitled “Screening and intervention for harmful alcohol use as a tool to improve the management of hypertension in primary care”, held on November 12, 2015, in Barcelona, Spain, was financially supported by Lundbeck (in providing travel allowances for some participants). An agenda of the workshop can be found in Additional file 1: Appendix 1. |
| Databáze: | OpenAIRE |
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