• Je něco špatně v tomto záznamu ?

Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic

B. Berka, M. Lustigová, J. Urbanová, P. Krollová, O. Hloch, A. Romanová, J. Michalec, A. Taniwall, K. Žejglicová, J. Malinovská, M. Jenšovský, V. Vejtasová, JP. González-Rivas, GA. Maranhao Neto, I. Pavlovska, J. Brož

. 2024 ; 19 (4) : e0301202. [pub] 20240425

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc24014254

BACKGROUND: Despite accessible diagnostics and treatment of hypertension, a high proportion of patients worldwide remain unaware of their diagnosis, and even more remain untreated. Several studies suggest that absence of comorbidities is a predictive factor for unawareness and consequently non-treatment of hypertension. There are only a few studies that have assessed the hypertension prevalence and management among apparently healthy individuals. OBJECTIVE: The aim of the study was to assess and compare hypertension prevalence, awareness, treatment and control among apparently healthy individuals, patients with internal diseases, and patients with non-internal diseases. METHODS: Data from standardised blood pressure measurements conducted during the Czech European Health Examination Survey 2014 and information on health status and health care use collected during the Czech European Health Interview Survey 2014 were analyzed. We focused on participants aged 25-64. Data were weighted on sex and age to ensure an appropriate sex and age structure of the population. The χ2-test and binary logistic regression analyses were used to compare distribution of cascade of care for hypertension between the health-status groups of respondents. RESULTS: The final eligible sample consisted of 1121 participants. The prevalence of hypertension was 32.8% in the healthy group, 29.8% in the non-internal disease group and 52.4% in the internal disease group, (p < 0.001). Awareness was 54.1%, 59.1% and 85.2% respectively, (p < 0.001). Treatment was 44.2%, 52.6% and 86.4%, respectively, (p < 0.001). Among apparently healthy respondents 62.6% had their blood pressure measured by a medical professional in the last year, compared to 71.1% in the non-internal disease group and 91.7% in the internal disease group, (p < 0.001). Differences in hypertension control were not statistically significant. CONCLUSIONS: Generally, our data show a discordance in hypertension management within the Czech population. Apparently healthy individuals are the least aware of their diagnosis and the highest proportion of them remain untreated.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc24014254
003      
CZ-PrNML
005      
20240905134150.0
007      
ta
008      
240725s2024 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.1371/journal.pone.0301202 $2 doi
035    __
$a (PubMed)38662802
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Berka, Barbora $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
245    10
$a Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic / $c B. Berka, M. Lustigová, J. Urbanová, P. Krollová, O. Hloch, A. Romanová, J. Michalec, A. Taniwall, K. Žejglicová, J. Malinovská, M. Jenšovský, V. Vejtasová, JP. González-Rivas, GA. Maranhao Neto, I. Pavlovska, J. Brož
520    9_
$a BACKGROUND: Despite accessible diagnostics and treatment of hypertension, a high proportion of patients worldwide remain unaware of their diagnosis, and even more remain untreated. Several studies suggest that absence of comorbidities is a predictive factor for unawareness and consequently non-treatment of hypertension. There are only a few studies that have assessed the hypertension prevalence and management among apparently healthy individuals. OBJECTIVE: The aim of the study was to assess and compare hypertension prevalence, awareness, treatment and control among apparently healthy individuals, patients with internal diseases, and patients with non-internal diseases. METHODS: Data from standardised blood pressure measurements conducted during the Czech European Health Examination Survey 2014 and information on health status and health care use collected during the Czech European Health Interview Survey 2014 were analyzed. We focused on participants aged 25-64. Data were weighted on sex and age to ensure an appropriate sex and age structure of the population. The χ2-test and binary logistic regression analyses were used to compare distribution of cascade of care for hypertension between the health-status groups of respondents. RESULTS: The final eligible sample consisted of 1121 participants. The prevalence of hypertension was 32.8% in the healthy group, 29.8% in the non-internal disease group and 52.4% in the internal disease group, (p < 0.001). Awareness was 54.1%, 59.1% and 85.2% respectively, (p < 0.001). Treatment was 44.2%, 52.6% and 86.4%, respectively, (p < 0.001). Among apparently healthy respondents 62.6% had their blood pressure measured by a medical professional in the last year, compared to 71.1% in the non-internal disease group and 91.7% in the internal disease group, (p < 0.001). Differences in hypertension control were not statistically significant. CONCLUSIONS: Generally, our data show a discordance in hypertension management within the Czech population. Apparently healthy individuals are the least aware of their diagnosis and the highest proportion of them remain untreated.
650    _2
$a lidé $7 D006801
650    12
$a hypertenze $x epidemiologie $x terapie $x diagnóza $7 D006973
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé středního věku $7 D008875
650    _2
$a dospělí $7 D000328
650    _2
$a prevalence $7 D015995
650    _2
$a krevní tlak $7 D001794
650    _2
$a zdravotnické přehledy $7 D006306
650    _2
$a zdraví - znalosti, postoje, praxe $7 D007722
651    _2
$a Česká republika $x epidemiologie $7 D018153
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Lustigová, Michala $u Department of Social Geography and Regional Development, Faculty of Science, Charles University, Prague, Czech Republic $u National Institute of Public Health, Prague, Czech Republic $1 https://orcid.org/0000000252351932 $7 xx0135529
700    1_
$a Urbanová, Jana $u Department of Internal Medicine, University Hospital Královské Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Krollová, Pavlína $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Hloch, Ondřej $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Romanová, Alexandra $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Michalec, Juraj $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Taniwall, Arian $u Department of Internal Medicine, University Hospital Královské Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Žejglicová, Kristýna $u National Institute of Public Health, Prague, Czech Republic
700    1_
$a Malinovská, Jana $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Jenšovský, Michael $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Vejtasová, Veronika $u Department of Cardiology, University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a González-Rivas, Juan P $u International Clinical Research Centre (ICRC), St Anne's University Hospital Brno (FNUSA), Brno, Czech Republic $u Departments of Global Health and Population and Epidemiology, Harvard TH Chan School of Public Health, Harvard University, Boston, Massachusetts, United States of America $u Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela
700    1_
$a Maranhao Neto, Geraldo A $u International Clinical Research Centre (ICRC), St Anne's University Hospital Brno (FNUSA), Brno, Czech Republic $1 https://orcid.org/0000000162012080 $7 xx0305462
700    1_
$a Pavlovska, Iuliia $u International Clinical Research Centre (ICRC), St Anne's University Hospital Brno (FNUSA), Brno, Czech Republic $u Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic
700    1_
$a Brož, Jan $u Department of Internal Medicine University Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic
773    0_
$w MED00180950 $t PloS one $x 1932-6203 $g Roč. 19, č. 4 (2024), s. e0301202
856    41
$u https://pubmed.ncbi.nlm.nih.gov/38662802 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20240725 $b ABA008
991    __
$a 20240905134143 $b ABA008
999    __
$a ok $b bmc $g 2143818 $s 1226120
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2024 $b 19 $c 4 $d e0301202 $e 20240425 $i 1932-6203 $m PloS one $n PLoS One $x MED00180950
LZP    __
$a Pubmed-20240725

Najít záznam

Citační ukazatele

Možnosti archivace