PMID- 17656729
OWN - NLM
STAT- MEDLINE
DCOM- 20070831
LR  - 20071115
IS  - 1062-8606 (Print)
IS  - 1062-8606 (Linking)
VI  - 22
IP  - 4
DP  - 2007 Jul-Aug
TI  - Compliance with Joint National Committee 7 guidelines in hypertension management 
      in a teaching institution.
PG  - 251-8
AB  - AIM: To assess compliance with Joint National Committee 7 (JNC 7) guidelines and 
      evaluate target blood pressure (BP) goals among patients with hypertension. 
      RESULTS: Basic laboratory workup was completed on 75% of patients, and 71% 
      received smoking cessation counseling. Overall BP goal achievement was 45.6%; it 
      was 27.6% and 21.1% among diabetes and chronic kidney disease (CKD) patients, 
      respectively. An average of 2.6 antihypertensive medications were prescribed per 
      patient, with beta-blockers being the most frequently used, followed by thiazide 
      diuretics and angiotensin-converting enzyme inhibitors (ACEIS). ACEIS or 
      angiotensin receptor blockers (ARBs) were not prescribed for 16% of diabetics, 
      26% of chronic renal failure patients, or 41% of those with history of stroke. 
      Among heart failure patients, 24.1% were not on ACEI or ARBs, and 20.7% were not 
      receiving beta-blockers. CONCLUSIONS: Certain aspects of JNC 7 are not well 
      incorporated into clinical practice, especially among patients with coexisting 
      diabetes and/or CKD.
FAU - Jami, Prasuna
AU  - Jami P
AD  - Department of Internal Medicine, West Virginia University, Charleston, USA.
FAU - Smith, Pamela
AU  - Smith P
FAU - Moningi, Shalini
AU  - Moningi S
FAU - Moningi, Venkata
AU  - Moningi V
FAU - Martin, Shelda A
AU  - Martin SA
FAU - Rosencrance, Gregory
AU  - Rosencrance G
FAU - Reyes, Bernardo J
AU  - Reyes BJ
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Am J Med Qual
JT  - American journal of medical quality : the official journal of the American 
      College of Medical Quality
JID - 9300756
RN  - 0 (Antihypertensive Agents)
SB  - IM
MH  - Alcohol Drinking
MH  - Antihypertensive Agents/*therapeutic use
MH  - Blood Pressure
MH  - Comorbidity
MH  - Female
MH  - Guideline Adherence/*statistics & numerical data
MH  - Hospitals, Teaching
MH  - Humans
MH  - Hypertension/*drug therapy/therapy
MH  - Male
MH  - Middle Aged
MH  - Physical Fitness
MH  - *Practice Guidelines as Topic
MH  - Retrospective Studies
MH  - Smoking Cessation
EDAT- 2007/07/28 09:00
MHDA- 2007/09/01 09:00
CRDT- 2007/07/28 09:00
PHST- 2007/07/28 09:00 [pubmed]
PHST- 2007/09/01 09:00 [medline]
PHST- 2007/07/28 09:00 [entrez]
AID - 22/4/251 [pii]
AID - 10.1177/1062860607303293 [doi]
PST - ppublish
SO  - Am J Med Qual. 2007 Jul-Aug;22(4):251-8. doi: 10.1177/1062860607303293.