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Uptake of angiotensin II receptor blockers in the treatment of hypertension.
- Source :
-
European journal of clinical pharmacology [Eur J Clin Pharmacol] 2005 Jul; Vol. 61 (5-6), pp. 461-6. Date of Electronic Publication: 2005 May 24. - Publication Year :
- 2005
-
Abstract
- Objective: To examine trends in prescribing of angiotensin II receptor blockers (ARBs) as initial and second-line treatment of hypertension.<br />Methods: We performed a cohort study in the Integrated Primary Care Information database, a general practice research database in The Netherlands. We included hypertensive patients who were newly treated with antihypertensive drugs between 1996 and 1999. Initial treatment was defined as the first prescribed antihypertensive drug after diagnosis of hypertension. As second-line treatment, we considered prescriptions of a second antihypertensive drug class, either as switch or addition. We used logistic regression and Cox proportional hazard analysis to estimate time trends in use of ARBs as initial or second-line treatment.<br />Results: In total, 8% of the 3,102 newly treated hypertensive patients received ARBs as initial treatment. Initial ARB use increased significantly from 4% to 10% during the period 1996-1999, whereas calcium channel blocker and angiotensin-converting enzyme inhibitor (ACE-I) use decreased. ARBs were used as second-line treatment in less than 4% of 2,544 patients who were initially treated with an antihypertensive drug other than an ARB: 2% switched to an ARB (mostly from ACE-Is) and 1% received ARBs as add-on treatment. Diuretics and beta-blockers were used five to ten times more often as add-on treatment than ARBs.<br />Conclusion: ARBs achieved a position in the treatment of hypertension as initial rather than second-line therapy.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cohort Studies
Databases, Factual
Female
Humans
Male
Middle Aged
Netherlands
Practice Guidelines as Topic
Angiotensin II Type 1 Receptor Blockers therapeutic use
Antihypertensive Agents therapeutic use
Hypertension drug therapy
Practice Patterns, Physicians'
Subjects
Details
- Language :
- English
- ISSN :
- 0031-6970
- Volume :
- 61
- Issue :
- 5-6
- Database :
- MEDLINE
- Journal :
- European journal of clinical pharmacology
- Publication Type :
- Academic Journal
- Accession number :
- 15912393
- Full Text :
- https://doi.org/10.1007/s00228-005-0924-7