Population impact of the 2017 ACC/AHA guidelines compared with the 2013 ESH/ESC guidelines for hypertension management.

Details

Ressource 1Download: 29637794AM.pdf (622.72 [Ko])
State: Public
Version: Author's accepted manuscript
License: Not specified
Serval ID
serval:BIB_63DBC7BAC66E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Population impact of the 2017 ACC/AHA guidelines compared with the 2013 ESH/ESC guidelines for hypertension management.
Journal
European journal of preventive cardiology
Author(s)
Vaucher J., Marques-Vidal P., Waeber G., Vollenweider P.
ISSN
2047-4881 (Electronic)
ISSN-L
2047-4873
Publication state
Published
Issued date
07/2018
Peer-reviewed
Oui
Volume
25
Number
10
Pages
1111-1113
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Background The 2017 ACC/AHA guidelines on hypertension management recommend the introduction of antihypertensive treatment for patients with new stage 1 hypertension thresholds (130-139/80-89 mm Hg) and with a cardiovascular disease or related condition. We compared the Swiss population and economic impact of antihypertensive treatment of the 2017 ACC/AHA guidelines with the 2013 European guidelines. Methods Analyses were based on 4438 participants (aged 45-85 years; 2448 women) of the CoLaus|PsyCoLaus study recruited between 2014-2017. Participants eligible for antihypertensive treatment according to the 2017 ACC/AHA and 2013 European guidelines were sex and age standardised using the Swiss population for 2016. In addition, we estimated the population-wide annual costs of antihypertensive treatment. Results Individuals eligible for antihypertensive treatment were 40.3% (95% confidence interval 38.5-42.1) and 31.3% (29.7-32.9) according to the 2017 ACC/AHA and 2013 European guidelines, respectively. That difference would translate into approximately 250,000 additional individuals eligible for antihypertensive treatment, corresponding to an additional annual cost of 72.5 million CHF (63.0 million EUR). Conclusion The 2017 ACC/AHA guidelines on the management of hypertension substantially increase the number of individuals eligible for antihypertensive treatment compared to the 2013 European guidelines. While implementation of the 2017 ACC/AHA guidelines is expected to lead to cost reduction by preventing cardiovascular diseases, that reduction might be mitigated by the costs incurred by antihypertensive treatments in a larger proportion of the population.
Keywords
Aged, Aged, 80 and over, Antihypertensive Agents/economics, Antihypertensive Agents/therapeutic use, Blood Pressure/drug effects, Clinical Decision-Making, Cost-Benefit Analysis, Drug Costs, Female, Guideline Adherence/economics, Guideline Adherence/standards, Humans, Hypertension/drug therapy, Hypertension/economics, Hypertension/epidemiology, Hypertension/physiopathology, Male, Middle Aged, Patient Selection, Practice Guidelines as Topic/standards, Practice Patterns, Physicians'/economics, Practice Patterns, Physicians'/standards, Switzerland, Time Factors, Treatment Outcome, Hypertension, guidelines, prevention
Pubmed
Web of science
Open Access
Yes
Create date
12/04/2018 13:21
Last modification date
24/09/2019 6:11
Usage data