Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study
ABSTRACT Background and Aims Catheter‐based renal denervation (RDN) is a safe and effective alternative treatment for hypertension. However, data on patient preferences are limited. This study sought to delineate preferences for RDN among Veterans with difficult‐to‐control hypertension at an urban V...
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Wiley
2025-03-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70549 |
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| author | Benjamin L. Magod Peter A. Glynn Wesley J. Manz Pal V. Shah Mladen I. Vidovich |
| author_facet | Benjamin L. Magod Peter A. Glynn Wesley J. Manz Pal V. Shah Mladen I. Vidovich |
| author_sort | Benjamin L. Magod |
| collection | DOAJ |
| description | ABSTRACT Background and Aims Catheter‐based renal denervation (RDN) is a safe and effective alternative treatment for hypertension. However, data on patient preferences are limited. This study sought to delineate preferences for RDN among Veterans with difficult‐to‐control hypertension at an urban VA Medical Center with the goal of optimizing management and referral practices in hypertensive Veterans. Methods Patients on 3+ antihypertensive medications and a measured creatinine < 2.5 mg/dL were identified from the pharmacy database. A total of 100 randomly selected patients were telephoned for the administration of a survey assessing patient preferences for RDN, expectations for RDN, as well as medication adherence using the Medication Adherence Report Scale (MARS‐5). Additional chart review was performed to gather demographic and clinical data of survey respondents. Results A total of 51 Veterans completed the survey. While 29 (56.9%) Veterans indicated a preference against RDN, 22 (43.1%) indicated a preference for this procedure, and 33 (64.7%) expressed that if their blood pressure were uncontrolled, they would prefer RDN over additional medication. A history of congestive heart failure (p = 0.017) and lower MARS‐5 score (p = 0.007) were associated with a preference for RDN. Age, reported medication side effects, and hypertension treatment satisfaction ratings were not associated with preference for or against RDN. Conclusions A considerable portion of Veterans with difficult‐to‐control hypertension at an urban VA Medical Center expressed a preference for RDN if their blood pressure were to be uncontrolled or if recommended by their doctor. These survey results should be considered in shared decision‐making discussions for hypertension management in this population. |
| format | Article |
| id | doaj-art-4dc95892eefd4b7b8e5db6905fcecfac |
| institution | DOAJ |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-4dc95892eefd4b7b8e5db6905fcecfac2025-08-20T02:54:10ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70549Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey StudyBenjamin L. Magod0Peter A. Glynn1Wesley J. Manz2Pal V. Shah3Mladen I. Vidovich4Department of Medicine Northwestern University Chicago Illinois USADivision of Cardiology University of Illinois Chicago Chicago Illinois USAEmory University School of Medicine Atlanta Georgia USADivision of Cardiology University of Illinois Chicago Chicago Illinois USADivision of Cardiology University of Illinois Chicago Chicago Illinois USAABSTRACT Background and Aims Catheter‐based renal denervation (RDN) is a safe and effective alternative treatment for hypertension. However, data on patient preferences are limited. This study sought to delineate preferences for RDN among Veterans with difficult‐to‐control hypertension at an urban VA Medical Center with the goal of optimizing management and referral practices in hypertensive Veterans. Methods Patients on 3+ antihypertensive medications and a measured creatinine < 2.5 mg/dL were identified from the pharmacy database. A total of 100 randomly selected patients were telephoned for the administration of a survey assessing patient preferences for RDN, expectations for RDN, as well as medication adherence using the Medication Adherence Report Scale (MARS‐5). Additional chart review was performed to gather demographic and clinical data of survey respondents. Results A total of 51 Veterans completed the survey. While 29 (56.9%) Veterans indicated a preference against RDN, 22 (43.1%) indicated a preference for this procedure, and 33 (64.7%) expressed that if their blood pressure were uncontrolled, they would prefer RDN over additional medication. A history of congestive heart failure (p = 0.017) and lower MARS‐5 score (p = 0.007) were associated with a preference for RDN. Age, reported medication side effects, and hypertension treatment satisfaction ratings were not associated with preference for or against RDN. Conclusions A considerable portion of Veterans with difficult‐to‐control hypertension at an urban VA Medical Center expressed a preference for RDN if their blood pressure were to be uncontrolled or if recommended by their doctor. These survey results should be considered in shared decision‐making discussions for hypertension management in this population.https://doi.org/10.1002/hsr2.70549hypertensionrenal denervationVeterans |
| spellingShingle | Benjamin L. Magod Peter A. Glynn Wesley J. Manz Pal V. Shah Mladen I. Vidovich Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study Health Science Reports hypertension renal denervation Veterans |
| title | Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study |
| title_full | Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study |
| title_fullStr | Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study |
| title_full_unstemmed | Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study |
| title_short | Evaluating Veterans' Preferences for Renal Denervation for Treatment of Difficult‐to‐Control Hypertension: A Single‐Center Survey Study |
| title_sort | evaluating veterans preferences for renal denervation for treatment of difficult to control hypertension a single center survey study |
| topic | hypertension renal denervation Veterans |
| url | https://doi.org/10.1002/hsr2.70549 |
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