Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations

ABSTRACT We aimed to study trends in achieving blood pressure (BP) goals, antihypertensive prescribing, and whether clinician behavior changed in temporal relationship to the JNC‐8 (October 1, 2014), SPRINT results (November 9, 2015), and the 2017 hypertension guideline (November 13, 2017). We used...

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Main Authors: Eric J. Brandt, Craig J. Beavers, Zhuxuan Fu, Erica S. Spatz, Philip G. Jones, Suzanne V. Arnold, Nihar R. Desai
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.70030
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author Eric J. Brandt
Craig J. Beavers
Zhuxuan Fu
Erica S. Spatz
Philip G. Jones
Suzanne V. Arnold
Nihar R. Desai
author_facet Eric J. Brandt
Craig J. Beavers
Zhuxuan Fu
Erica S. Spatz
Philip G. Jones
Suzanne V. Arnold
Nihar R. Desai
author_sort Eric J. Brandt
collection DOAJ
description ABSTRACT We aimed to study trends in achieving blood pressure (BP) goals, antihypertensive prescribing, and whether clinician behavior changed in temporal relationship to the JNC‐8 (October 1, 2014), SPRINT results (November 9, 2015), and the 2017 hypertension guideline (November 13, 2017). We used the National Cardiovascular Data Registry (NCDR) Practice INNovation and CLinical Excellence (PINNACLE) registry and studied patients with hypertension aged >65 years (n = 3 678 774). We found a statistically significant, albeit small and minimally relevant, increase from 2013 to 2018 in achieving office‐based SBP.
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institution Kabale University
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publishDate 2025-03-01
publisher Wiley
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series The Journal of Clinical Hypertension
spelling doaj-art-178e0a569f1d445c8b0ccf54704a526e2025-08-20T03:44:02ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-03-01273n/an/a10.1111/jch.70030Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline RecommendationsEric J. Brandt0Craig J. Beavers1Zhuxuan Fu2Erica S. Spatz3Philip G. Jones4Suzanne V. Arnold5Nihar R. Desai6Institute for Healthcare Policy and Innovation University of Michigan Ann Arbor Michigan USAUniversity of Kentucky College of Pharmacy Lexington Kentucky USAUniversity of Missouri‐Kansas City's Healthcare Institute for Innovations in Quality and Saint Luke's Mid America Heart Institute Kansas City Missouri USADepartment of Internal Medicine Section of Cardiovascular Medicine Yale School of Medicine New Haven Connecticut USAUniversity of Missouri‐Kansas City's Healthcare Institute for Innovations in Quality and Saint Luke's Mid America Heart Institute Kansas City Missouri USAUniversity of Missouri‐Kansas City's Healthcare Institute for Innovations in Quality and Saint Luke's Mid America Heart Institute Kansas City Missouri USADepartment of Internal Medicine Section of Cardiovascular Medicine Yale School of Medicine New Haven Connecticut USAABSTRACT We aimed to study trends in achieving blood pressure (BP) goals, antihypertensive prescribing, and whether clinician behavior changed in temporal relationship to the JNC‐8 (October 1, 2014), SPRINT results (November 9, 2015), and the 2017 hypertension guideline (November 13, 2017). We used the National Cardiovascular Data Registry (NCDR) Practice INNovation and CLinical Excellence (PINNACLE) registry and studied patients with hypertension aged >65 years (n = 3 678 774). We found a statistically significant, albeit small and minimally relevant, increase from 2013 to 2018 in achieving office‐based SBP.https://doi.org/10.1111/jch.70030clinical management of high blood pressure (HBP)epidemiologyhypertension—generaloutcomes of caretreatment and diagnosis/guidelines
spellingShingle Eric J. Brandt
Craig J. Beavers
Zhuxuan Fu
Erica S. Spatz
Philip G. Jones
Suzanne V. Arnold
Nihar R. Desai
Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
The Journal of Clinical Hypertension
clinical management of high blood pressure (HBP)
epidemiology
hypertension—general
outcomes of care
treatment and diagnosis/guidelines
title Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
title_full Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
title_fullStr Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
title_full_unstemmed Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
title_short Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations
title_sort temporal patterns in blood pressure management before and after recent clinical trials and guideline recommendations
topic clinical management of high blood pressure (HBP)
epidemiology
hypertension—general
outcomes of care
treatment and diagnosis/guidelines
url https://doi.org/10.1111/jch.70030
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