106 lines
3.2 KiB
YAML
106 lines
3.2 KiB
YAML
abstract: 'Objective Assess capacity of health-care facilities in a low-resource
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setting to implement the absolute risk approach for assessment of
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cardiovascular risk in hypertensive patients and effective management of
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hypertension
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Design and setting A descriptive cross-sectional study in Egbeda and
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Oluyole local government areas of Oyo State in Nigeria in 56 randomly
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selected primary- (n = 42) and secondary-level (n = 2) health-care and
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private health-care (n = 12) facilities.
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Participants One thousand consecutive, known hypertensives attending the
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selected facilities for follow-up, and health-care providers working in
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the above randomly selected facilities, were interviewed.
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Results About two-thirds of hypertensives utilized primary-care centers
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both for diagnosis and for follow-up. Laboratory and other
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investigations to exclude secondary hypertension or to assess target
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organ damage were not available in the majority of facilities,
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particularly in primary care. A considerable knowledge and awareness gap
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related to hypertension and its complications was found, both among
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patients and health-care providers. Blood pressure control rates were
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poor {[}28\% with systolic blood pressure (SBP) < 140 mmHg and diastolic
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blood pressure (DBP) < 90 mmHg] and drug prescription patterns were not
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evidence based and cost effective. The majority of patients (73\%) in
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this low socio-economic group (mean monthly income US\$73) had to pay
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fully, out of their own pocket, for consultations and medications.
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Conclusions If the absolute risk approach for assessment of risk and
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effective management of hypertension is to be implemented in
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low-resource settings, appropriate policy measures need to be taken to
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improve the competency of health-care providers, to provide basic
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laboratory facilities and to develop affordable financing mechanisms.
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(C) 2004 Lippincott Williams Wilkins.'
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affiliation: 'Mendis, S (Corresponding Author), WHO, Bur 4034, 20 Ave Appia, CH-1211
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Geneva, Switzerland.
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WHO, Bur 4034, CH-1211 Geneva, Switzerland.'
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author: Mendis, S and Abegunde, D and Oladapo, O and Celletti, F and Nordet, P
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author-email: mendiss@who.int
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author_list:
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- family: Mendis
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given: S
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- family: Abegunde
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given: D
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- family: Oladapo
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given: O
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- family: Celletti
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given: F
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- family: Nordet
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given: P
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da: '2023-09-28'
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doi: 10.1097/00004872-200401000-00013
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eissn: 1473-5598
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files: []
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issn: 0263-6352
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journal: JOURNAL OF HYPERTENSION
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keywords: hypertension; cardiovascular risk; absolute risk; low-resource settings
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keywords-plus: 'GENERAL-PRACTICE; BLOOD-PRESSURE; NATIONAL-SURVEY; HEALTH; POPULATION;
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CARE'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '23'
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orcid-numbers: mendis, shanthi/0000-0002-8959-5738
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pages: 59-64
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papis_id: 41f7e6ac92213a09ff69a62fecab4d65
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ref: Mendis2004barriersmanagement
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researcherid-numbers: 'Mendis, Shanthi/GLT-0465-2022
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'
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times-cited: '56'
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title: Barriers to management of cardiovascular risk in a low-resource setting using
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hypertension as an entry point
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type: Article
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unique-id: WOS:000222672400012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '22'
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web-of-science-categories: Peripheral Vascular Disease
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year: '2004'
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