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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

dc.contributor.author	Gil Guillén, Vicente F.
dc.contributor.author	Orozco Beltrán, Domingo
dc.contributor.author	Carratalá Munuera, Concepción
dc.contributor.author	Márquez Contreras, Emilio
dc.contributor.author	Durazo Arvizu, Ramón
dc.contributor.author	Cooper, Richard
dc.contributor.author	Pertusa Martínez, Salvador
dc.contributor.author	Pita Fernandez, Salvador
dc.contributor.author	González Segura, Diego
dc.contributor.author	Martin de Pablo, José Luis
dc.contributor.author	Pallarés, Vicente
dc.contributor.author	Fernández, Antonio
dc.contributor.author	Redón i Más, Josep
dc.date.accessioned	2014-10-15T12:48:55Z
dc.date.available	2014-10-15T12:48:55Z
dc.date.issued	2013
dc.identifier.citation	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 Mas, Josep (2013) Clinical inertia in poorly controlled elderly hypertensive patients: a cross-sectional study in Spanish physicians to ascertain reasons for not intensifying treatment American Journal Of Cardiovascular Drugs 13 3 213 219
dc.identifier.uri	http://hdl.handle.net/10550/39201
dc.description.abstract	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
dc.language.iso	eng
dc.relation.ispartof	American Journal Of Cardiovascular Drugs, 2013, vol. 13, num. 3, p. 213-219
dc.subject	Medicina
dc.subject	Cor
dc.title	Clinical inertia in poorly controlled elderly hypertensive patients: a cross-sectional study in Spanish physicians to ascertain reasons for not intensifying treatment
dc.type	journal article	es_ES
dc.date.updated	2014-10-15T12:48:55Z
dc.identifier.doi	10.1007/s40256-013-0025-4
dc.identifier.idgrec	097225
dc.rights.accessRights	open access	es_ES