LeRoi S. Hicks|David G. Fairchild|Mark S. Horng|E. John Orav|David W. Bates|John Z. Ayanian
Determinants of JNC VI Guideline Adherence, Intensity of Drug Therapy, and Blood Pressure Control by Race and Ethnicity
Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Faulkner Hospital|Tufts Medical Center|Brigham and Women's Hospital|Harvard University
relationship blood pressure control racial differences processes hypertension care well examined reviewed medical records 15 768 visits 12 general internal medicine clinics july 1 2001 june 30 2002 determine whether visits adherent sixth report joint national committee prevention detection evaluation treatment high blood pressure jnc vi identifying medications selected hypertension therapy compared jnc adherence blood pressure control intensification therapy patient characteristics using repeated measures logistic regression determined adjusted odds obtaining blood pressure control therapy intensified visit tested interaction intensification therapy patient raceethnicity predicting blood pressure control jnc adherence frequent among blacks 837 hispanics 83 whites 784 p0001 blood pressure controlled often among whites 387 versus 348 blacks 333 hispanics p0001 blacks 815 whites 809 likely hispanics 708 therapy intensified p002 adjustment baseline blood pressure intensifying therapy associated higher odds subsequent blood pressure control odds ratio 155 p0001 significant interactions raceethnicity intensification predicting control found therapy intensification associated subsequent blood pressure control racialethnic groups hispanics least likely therapy intensified interventions reduce disparities cardiovascular outcomes consider need intensify drug therapy aggressively among highrisk populations