 |
|
Hypertension Continuation AdherenceNatural History and Role as an Indicator Condition
Peter Rudd, MD;
Viviana Tul;
Katie Brown;
Stephen M. Davidson, PhD;
Gerald J. Bostwick, Jr, MSW
Arch Intern Med. 1979;139(5):545-549.
Abstract
We analyzed a random sample of general medicine clinic patients to determine the natural history of newly treated hypertensive (NH) patients: discontinuation patterns, critical intervention periods, and hypertension's (HBP) utility as an indicator condition. The NH patients exhibited a 48% dropout rate in the first year and better continuation adherence than new nonhypertensive (NNH) patients. Patients with HBP and other chronic diseases had better continuation adherence than those with HBP alone, although no predictive patterns emerged. New patients displayed rapid early discontinuation, with further linear decline by four months for NNH and by eight months for NH patients. All patients showed similar subsequent falloff: linear annual decline at 13% to 36%. We conclude that discontinuation rates are unacceptably high, that interventions must be continued throughout treatment, and that HBP has limited utility as an indicator chronic disease.
(Arch Intern Med 139:545-549, 1979)
Author Affiliations
From the Department of Medicine (Drs Rudd and Davidson and Ms Tul) and School of Social Service Administration (Dr Davidson and Mr Bostwick), University of Chicago. Dr Rudd and Ms Tul are now with Stanford (Calif) University Medical Center.
Footnotes
Accepted for publication Nov 15, 1978.
Read in part at the National Conference on High Blood Pressure Control, Los Angeles, April 3, 1978.
Reprint requests to Room S-169, Stanford University Medical Center, Stanford, CA 94305 (Dr Rudd).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Discrepancies in the Use of Medications: Their Extent and Predictors in an Outpatient Practice
Bedell et al.
Arch Intern Med 2000;160:2129-2134.
ABSTRACT
| FULL TEXT
Continuity of Care in Hypertension: An Important Correlate of Blood Pressure Control Among Aware Hypertensives
McClellan et al.
Arch Intern Med 1988;148:525-528.
ABSTRACT
Understanding and Improving Patient Compliance
ERAKER et al.
ANN INTERN MED 1984;100:258-268.
ABSTRACT
|
