Blood pressure and cholesterol measurements in primary care: cross-sectional analyses in a dynamic cohort

Autor: Annemarijn R de Boer, Monika Hollander, Ineke van Dis, Frank LJ Visseren, Michiel L Bots, Ilonca Vaartjes
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BJGP Open, Vol 6, Iss 2 (2022)
Druh dokumentu: article
ISSN: 2398-3795
DOI: 10.3399/BJGPO.2021.0131
Popis: Background: Guidelines on cardiovascular risk management (CVRM) recommend blood pressure (BP) and cholesterol measurements every 5 years in men aged ≥40 years and (post-menopausal) women aged ≥50 years. Aim: To evaluate CVRM guideline implementation. Design & setting: Cross-sectional analyses in a dynamic cohort using primary care electronic health record (EHR) data from the Julius General Practitioners’ Network (JGPN) (n = 388 929). Method: Trends (2008–2018) were assessed in the proportion of patients with at least one measurement (BP and cholesterol) every 1, 2, and 5 years, in those with: 1. a history of cardiovascular disease (CVD) and diabetes mellitus (DM); 2. a history of DM only; 3. a history of CVD only; 4. a cardiovascular risk assessment (CRA) indication based on other medical history, or; 5. no CRA indication. Trends were evaluated over time using logistic regression mixed-model analyses. Results: Trends in annual BP and cholesterol measurement increased for patients with a history of CVD from 37.0% to 48.4% (P
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