Adherence in Hypertension.

Details

Serval ID
serval:BIB_5F4B78174CE8
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Adherence in Hypertension.
Journal
Circulation research
Author(s)
Burnier M., Egan B.M.
ISSN
1524-4571 (Electronic)
ISSN-L
0009-7330
Publication state
Published
Issued date
29/03/2019
Peer-reviewed
Oui
Volume
124
Number
7
Pages
1124-1140
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The global epidemic of hypertension is largely uncontrolled and hypertension remains the leading cause of noncommunicable disease deaths worldwide. Suboptimal adherence, which includes failure to initiate pharmacotherapy, to take medications as often as prescribed, and to persist on therapy long-term, is a well-recognized factor contributing to the poor control of blood pressure in hypertension. Several categories of factors including demographic, socioeconomic, concomitant medical-behavioral conditions, therapy-related, healthcare team and system-related factors, and patient factors are associated with nonadherence. Understanding the categories of factors contributing to nonadherence is useful in managing nonadherence. In patients at high risk for major adverse cardiovascular outcomes, electronic and biochemical monitoring are useful for detecting nonadherence and for improving adherence. Increasing the availability and affordability of these more precise measures of adherence represent a future opportunity to realize more of the proven benefits of evidence-based medications. In the absence of new antihypertensive drugs, it is important that healthcare providers focus their attention on how to do better with the drugs they have. This is the reason why recent guidelines have emphasize the important need to address drug adherence as a major issue in hypertension management.
Keywords
Antihypertensive Agents/adverse effects, Antihypertensive Agents/therapeutic use, Blood Pressure/drug effects, Guideline Adherence/standards, Humans, Hypertension/diagnosis, Hypertension/drug therapy, Hypertension/epidemiology, Hypertension/physiopathology, Medication Adherence, Practice Guidelines as Topic/standards, Practice Patterns, Physicians'/standards, Risk Factors, Treatment Outcome, blood pressure, cardiovascular diseases, drug monitoring, hypertension, prevalence, resistant hypertension
Pubmed
Web of science
Open Access
Yes
Create date
15/04/2019 10:43
Last modification date
23/01/2020 7:19
Usage data