PMID- 30704854
OWN - NLM
STAT- MEDLINE
DCOM- 20200226
LR  - 20221207
IS  - 1878-0210 (Electronic)
IS  - 1878-0210 (Linking)
VI  - 13
IP  - 3
DP  - 2019 Jun
TI  - Managing hypertension in people of African origin with diabetes: Evaluation of 
      adherence to NICE Guidelines.
PG  - 266-271
LID - S1751-9918(18)30185-2 [pii]
LID - 10.1016/j.pcd.2018.12.007 [doi]
AB  - BACKGROUND: The pathophysiology of hypertension in people of African origin 
      differs from other ethnicities. This effect may be exacerbated in people with 
      type 2 diabetes mellitus (T2DM), hence control of hypertension is particularly 
      important in this population. AIMS: The primary aim was to evaluate the adherence 
      to National Institute of Clinical Excellence (NICE) guidance (National Guidelines 
      NG28) for hypertension management in African origin patients with T2DM. METHODS: 
      This study was done using electronic health records at a large primary care 
      centre based in Birmingham, UK. Strict exclusion criteria were applied to 
      identify individuals with T2DM, African origin patients and a diagnosis of 
      hypertension. Retrospectively participants were identified, and NICE guideline 
      adherence was assessed using descriptive statistics. RESULTS: 78 patients were 
      included in the study of which 28 (36%) were on the NICE recommended combination 
      of antihypertensives, suggesting poor adherence to the guidance in primary care 
      prescribing. The blood pressure control of 35 (44.9%) patients was suboptimal, 
      although this group received more frequent blood pressure monitoring. 
      Microalbuminuria remains a problem in the suboptimal group. CONCLUSION: This 
      study provides insight into adherence to NICE guidance for managing hypertension 
      in African origin patients with diabetes. Further work should be done to explore 
      the effects of hypertension in this ethnic group and if there is a need for a 
      more refined management guideline.
CI  - Crown Copyright (c) 2019. Published by Elsevier Ltd. All rights reserved.
FAU - Kempegowda, Punith
AU  - Kempegowda P
AD  - Diabetes, Endocrinology and General Internal Medicine, Health Education West 
      Midlands, Birmingham, UK; Institute of Metabolism and Systems Research, 
      University of Birmingham, UK. Electronic address: P.kempegowda@nhs.net.
FAU - Chandan, Joht Singh
AU  - Chandan JS
AD  - Institute of Applied Health Research, University of Birmingham, UK. Electronic 
      address: Joht.chandan@nhs.net.
FAU - Abdulrahman, Sahar
AU  - Abdulrahman S
AD  - University of Birmingham Medical School, UK. Electronic address: 
      sahar.abdulrahman@nhs.net.
FAU - Chauhan, Aneela
AU  - Chauhan A
AD  - University of Birmingham Medical School, UK. Electronic address: 
      aneela.chauhan@nhs.net.
FAU - Saeed, Mujahid Ahmad
AU  - Saeed MA
AD  - Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS 
      Foundation Trust, Birmingham, UK; Institute of Clinical Sciences, University of 
      Birmingham, UK. Electronic address: Mujahid.Saeed@uhb.nhs.uk.
LA  - eng
PT  - Journal Article
DEP - 20190128
PL  - England
TA  - Prim Care Diabetes
JT  - Primary care diabetes
JID - 101463825
RN  - 0 (Antihypertensive Agents)
SB  - IM
MH  - Aged
MH  - Antihypertensive Agents/*therapeutic use
MH  - Black People
MH  - Blood Pressure/*drug effects
MH  - Culturally Competent Care/standards
MH  - Diabetes Mellitus, Type 2/diagnosis/ethnology/*therapy
MH  - Electronic Health Records
MH  - Female
MH  - Guideline Adherence/*standards
MH  - Humans
MH  - Hypertension/diagnosis/*drug therapy/ethnology/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Practice Guidelines as Topic/*standards
MH  - Practice Patterns, Physicians'/*standards
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - United Kingdom/epidemiology
OTO - NOTNLM
OT  - African origin
OT  - Diabetes mellitus
OT  - Hypertension
OT  - Oral therapies
EDAT- 2019/02/02 06:00
MHDA- 2020/02/27 06:00
CRDT- 2019/02/02 06:00
PHST- 2018/06/29 00:00 [received]
PHST- 2018/12/16 00:00 [revised]
PHST- 2018/12/28 00:00 [accepted]
PHST- 2019/02/02 06:00 [pubmed]
PHST- 2020/02/27 06:00 [medline]
PHST- 2019/02/02 06:00 [entrez]
AID - S1751-9918(18)30185-2 [pii]
AID - 10.1016/j.pcd.2018.12.007 [doi]
PST - ppublish
SO  - Prim Care Diabetes. 2019 Jun;13(3):266-271. doi: 10.1016/j.pcd.2018.12.007. Epub 
      2019 Jan 28.