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Treatment of hypertension - answers of Brazilian physicians to a survey

Mion, Jr, D ; Pierin, A M ; Guimarães, A

Revista da Associação Médica Brasileira (1992), 2001-07, Vol.47 (3), p.249-254 [Periódico revisado por pares]

Brazil

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  • Título:
    Treatment of hypertension - answers of Brazilian physicians to a survey
  • Autor: Mion, Jr, D ; Pierin, A M ; Guimarães, A
  • Assuntos: Brazil ; Female ; Health Care Surveys ; Humans ; Hypertension - drug therapy ; Hypertension - therapy ; Male ; Patient Acceptance of Health Care ; Physicians
  • É parte de: Revista da Associação Médica Brasileira (1992), 2001-07, Vol.47 (3), p.249-254
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    content type line 23
  • Descrição: The third Brazilian Consensus of Hypertension recomends the usage of pharmacological (PT) and non-pharmacological treatment (NPT). In Brazil, we don't know how if this recommedation has been followet by doctors. a) to characterize NPT regarding prescription and acceptability by hypertensive patients; b) characterize PT concerning the criterion used for choosing medication and medication prescribed; and c) identify doctors' opinions about patients' degree of acceptability to PT and NPT. 37904 questionnaires with reply-paid envelopes were sent to Brazilian doctors and 2519 of those were replied (57% from the Southeast region, 41% were cardiologists, and 26% clinicians). 1- 62% of doctors recommend NPT to 25% of their patients. 2 - The most recommended NP treatments are: hyposodic diet (55%), weight reduction (29%) and physical exercises (8%), considering that doctors believe that 50% of their patients follow a hyposodic diet, 20% do physical exercises and 19% lose weight. 3 - Only one medication is prescribed at the beginning of a PT (88%) and when blood pressure isn't under control, 55% of the doctors associate other medications with it whereas 33% of them increase the dose. 4 - The most prescribed medications are: diuretics (53%) and ECA inhibitors (24%). 5 - The main criteria for choosing medication are: personal experience (32%) and characteristics of patients (31%). 6 - Doctors (60%) believe that acceptability to PT is better. The recommendations of the Third Brazilian Consensus of Hypertension have been followed partially concerning NPT and as expected regarding PT.
  • Editor: Brazil
  • Idioma: Português
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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