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Clinical inertia in poorly controlled elderly hypertensive patients: a cross-sectional study in Spanish physicians to ascertain reasons for not intensifying treatment

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Clinical inertia in poorly controlled elderly hypertensive patients: a cross-sectional study in Spanish physicians to ascertain reasons for not intensifying treatment

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Gil Guillén, Vicente F.; Orozco Beltrán, Domingo; Carratalá Munuera, Concepción; Márquez Contreras, Emilio; Durazo Arvizu, Ramón; Cooper, Richard; Pertusa Martínez, Salvador; Pita Fernandez, Salvador; González Segura, Diego; Martin de Pablo, José Luis; Pallarés, Vicente; Fernández, Antonio; Redón i Más, Josep

Aquest document és un/a article, creat/da en: 2013

Background Clinical inertia, the failure of physicians to initiate or intensify therapy when indicated, is a major problem in the management of hypertension and may be more prevalent in elderly patients. Overcoming clinical inertia requires understanding its causes and evaluating certain factors, particularly those related to physicians. Objective The objective of our study was to determine the rate of clinical inertia and the physician-reported rea- sons for it. Conclusion Physicians provided reasons for not intensi- fying treatment in poorly controlled patients in only 30 % of instances. Main reasons for not intensifying treatment were borderline BP values, co-morbidity, suspected white coat effect, or perceived difficulty achieving target. nJCI was associated with high borderline BP values and car- diovascular disease

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