May Measure Month 2022 in Italy: A Focus on Fixed-dose Combination, Therapeutic Adherence, and Medical Inertia in a Nationwide Survey.

Blood pressure Hypertension Prevention campaigns Therapeutic inertia

Journal

High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
ISSN: 1179-1985
Titre abrégé: High Blood Press Cardiovasc Prev
Pays: New Zealand
ID NLM: 9421087

Informations de publication

Date de publication:
03 Jun 2024
Historique:
received: 29 02 2024
accepted: 04 04 2024
medline: 3 6 2024
pubmed: 3 6 2024
entrez: 2 6 2024
Statut: aheadofprint

Résumé

Hypertension is the main risk factor for cardiovascular diseases (CVD). Notably, only about half of hypertensive patients manage to achieve the recommended blood pressure (BP) control. Main reasons for the persistence of uncontrolled BP during treatment are lack of compliance on the patients' side, and therapeutic inertia on physicians' side. During the global BP screening campaign "May Measure Month" (MMM) (May 1st to July 31st, 2022), a nationwide, cross-sectional, opportunistic study endorsed by the Italian Society of Hypertension was conducted on volunteer adults ≥ 18 years to raise awareness of the health issues surrounding high BP. A questionnaire on demographic/clinical features and questions on the use of fixed-dose single-pills for the treatment of hypertension was administered. BP was measured with standard procedures. A total of 1612 participants (mean age 60.0±15.41 years; 44.7% women) were enrolled. Their mean BP was 128.5±18.1/77.1±10.4 mmHg. About half of participants were sedentary, or overweight/obese, or hypertensive. 55.5% individuals with complete BP assessment had uncontrolled hypertension. Most were not on a fixed-dose combination of antihypertensive drugs and did not regularly measure BP at home. Self-reported adherence to BP medications was similar between individuals with controlled and uncontrolled BP (95% vs 95.5%). This survey identified a remarkable degree of therapeutic inertia and poor patients' involvement in the therapeutic process and its monitoring in the examined population, underlining the importance of prevention campaigns to identify areas of unsatisfactory management of hypertension, to increase risk factors' awareness in the population with the final purpose of reducing cardiovascular risk.

Identifiants

pubmed: 38825650
doi: 10.1007/s40292-024-00642-4
pii: 10.1007/s40292-024-00642-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Rita Del Pinto (R)

Department of Life, Health and Environmental Sciences, Internal Medicine unit, ESH Excellence Center, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.

Claudia Agabiti Rosei (C)

ESH Excellence Center, University of Brescia, Spedali Riuniti di Brescia, Italy.

Claudio Borghi (C)

ESH Excellence Center, Sant'Orsola-Malpighi University Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Franco Cipollini (F)

San Jacopo Hospital, PIOT San Marcello Pistoiese, Pistoia, Italy.

Santina Cottone (S)

ESH Excellence Center, P. Giaccone Hospital, University of Palermo, Palermo, Italy.

Giuseppe Antonio De Giorgi (GA)

Outpatients Hypertension clinic, Lecce, Italy.

Antonino Di Guardo (A)

Outpatients Hypertension clinic, Catania, Italy.

Maurizio Dugnani (M)

Outpatients Hypertension clinic, Novara, Italy.

Bruno Fabris (B)

Cattinara Hospital, University of Trieste, Trieste, Italy.

Cristina Giannattasio (C)

ESH Excellence Center, Niguarda Hospital, University of Milano-Bicocca, Milan, Italy.

Gilberta Giacchetti (G)

Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.

Pietro Minuz (P)

ESH Excellence Center, Policlinico G.B. Rossi, University of Verona, Verona, Italy.

Giuseppe Mulè (G)

ESH Excellence Center, P. Giaccone Hospital, University of Palermo, Palermo, Italy.

Pietro Nazzaro (P)

Hypertension clinic A.M.Pirrelli, University of Bari, Bari, Italy.

Gianfranco Parati (G)

Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Istituto Auxologico Italiano, IRCCS, St. Luke Hospital, Milan, Italy.

Marcello Rattazzi (M)

Hypertension clinic, Cà Foncello Hospital, University of Padua, Treviso, Italy.

Francesca Saladini (F)

Hypertension clinic, Cittadella Hospital, Padua, Italy.

Massimo Salvetti (M)

Department of Medical and Surgical Sciences, Spedali Civili, University of Brescia, Brescia, Italy.

Riccardo Sarzani (R)

ESH Excellence Center, IRCCS-INRCA, Università Politecnica delle Marche, Ancona, Italy.

Carmine Savoia (C)

Clinical and Molecular Medicine Department, Sapienza University, Rome, Italy.

Giuliano Tocci (G)

Clinical and Molecular Medicine Department, Sapienza University, Rome, Italy.

Franco Veglio (F)

Department Medical Sciences, ESH Excellence Center, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Massimo Volpe (M)

IRCCS San Raffaele, Rome, Italy.

Vito Vulpis (V)

Emergency Medicine, Hypertension and Cardiovascular Risk Unit-Policlinico Hospital, Bari, Italy.

Gianluca Baldini (G)

Department of Life, Health and Environmental Sciences, Internal Medicine unit, ESH Excellence Center, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.

Claudio Ferri (C)

Department of Life, Health and Environmental Sciences, Internal Medicine unit, ESH Excellence Center, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy. claudio.ferri@univaq.it.

Maria Lorenza Muiesan (ML)

ESH Excellence Center, University of Brescia, Spedali Riuniti di Brescia, Italy.

Classifications MeSH