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- Title
Association of continuity of care with blood pressure control in patients with chronic kidney disease and hypertension.
- Authors
Khanam, Masuma A.; Kitsos, Alex; Stankovich, Jim; Castelino, Ronald; Jose, Matthew; Peterson, Gregory M.; Wimmer, Barbara; Zaidi, Tabish Razi; Radford, Jan
- Abstract
Background and objective Hypertension frequently co-exists with chronic kidney disease (CKD). The objective of this study was to investigate blood pressure (BP) control among general practice patients with CKD and hypertension, and whether control was related to continuity of care. Methods We analysed data from NPS MedicineWise MedicineInsight, examining the achievement of guideline-recommended BP levels in patients with CKD and hypertension, and the relationship with sociodemographic, clinical and healthsystem variables, including continuity of care (CoC) in general practice. Results Of 37,425 patients in the cohort, 46.7% had achieved the recommended BP targets. Patients with higher relational CoC and more general practitioner (GP) visits were more likely to achieve BP targets, while this was less likely when the target was lowered by concomitant diabetes or cardiovascular disease. Discussion Reaching BP targets in patients with CKD is a challenge, especially when the target is lower because of co-existing risk factors. Greater CoC from the same GP increased the likelihood of achieving target BP values.
- Subjects
HYPERTENSION; CHRONIC kidney failure; BLOOD pressure measurement; CONTINUUM of care; GENERAL practitioners
- Publication
Australian Journal of General Practice, 2019, Vol 48, Issue 5, p300
- ISSN
2208-794X
- Publication type
Article
- DOI
10.31128/ajgp-05-18-4592