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Burden of cardiovascular disease across 29 countries and GPs’ decision to treat hypertension in oldest-old

Streit, Sven
Gussekloo, Jacobijn
Burman, Robert A.
Collins, Claire
Kitanovska, Biljana Gerasimovska
Gintere, Sandra
Gómez Bravo, Raquel
Hoffmann, Kathryn
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Published in Scandinavian Journal of Primary Health Care. 2018, vol. 36, no. 1, p. 89-98
Abstract Objectives: We previously found large variations in general practitioner (GP) hypertension treatment probability in oldest-old (>80 years) between countries. We wanted to explore whether differences in country-specific cardiovascular disease (CVD) burden and life expectancy could explain the differences. Design: This is a survey study using case-vignettes of oldest-old patients with different comorbidities and blood pressure levels. An ecological multilevel model analysis was performed. Setting: GP respondents from European General Practice Research Network (EGPRN) countries, Brazil and New Zeeland. Subjects: This study included 2543 GPs from 29 countries. Main outcome measures: GP treatment probability to start or not start antihypertensive treatment based on responses to case-vignettes; either low (<50% started treatment) or high (!50% started treatment). CVD burden is defined as ratio of disability-adjusted life years (DALYs) lost
PMID: 29366388
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Research group Médecine interne générale et pédiatrie ambulatoires (968)
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STREIT, Sven et al. Burden of cardiovascular disease across 29 countries and GPs’ decision to treat hypertension in oldest-old. In: Scandinavian Journal of Primary Health Care, 2018, vol. 36, n° 1, p. 89-98. https://archive-ouverte.unige.ch/unige:102585

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Deposited on : 2018-02-28

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