Control of Hypertension with Medication: A Comparative Analysis of National Surveys in 20 countries/Controle De L'hypertension Sous Medication: Une Analyse Comparative Des Enquetes Nationales Dans 20 pays/El Control De la Hipertension Con Medicamentos: Un Analisis Comparativo De Las Encuestas Nacionales En 20 Paises

By Ikeda, Nayu; Sapienza, David et al. | Bulletin of the World Health Organization, January 2014 | Go to article overview

Control of Hypertension with Medication: A Comparative Analysis of National Surveys in 20 countries/Controle De L'hypertension Sous Medication: Une Analyse Comparative Des Enquetes Nationales Dans 20 pays/El Control De la Hipertension Con Medicamentos: Un Analisis Comparativo De Las Encuestas Nacionales En 20 Paises


Ikeda, Nayu, Sapienza, David, Guerrero, Ramiro, Aekplakorn, Wichai, Naghavi, Mohsen, Mokdad, Ali H., Lozano, Rafael, Murray, Christopher J. L., Lim, Stephen S., Bulletin of the World Health Organization


Objective To examine hypertension management across countries and over time using consistent and comparable methods.

Methods A systematic search identified nationally representative health examination surveys from 20 countries containing data from 1980 to 2011 on blood pressure measurements, the diagnosis and treatment of hypertension and its control with antihypertensive drugs. For each country, the prevalence of hypertension (i.e. systolic blood pressure [greater than or equal to] 140 mmHg or antihypertensive use) and the proportion of hypertensive individuals whose condition was diagnosed, treated or controlled with medications (i.e. systolic pressure < 140 mmHg) were estimated.

Findings The age-standardized prevalence of hypertension varied between countries: for individuals aged 35 to 49 years, it ranged from around 12% in Bangladesh, Egypt and Thailand to around 30% in Armenia, Lesotho and Ukraine; for those aged 35 to 84 years, it ranged from 20% in Bangladesh to more than 40% in Germany, the Russian Federation and Turkey. The age-standardized percentage of hypertensive individuals whose condition was diagnosed, treated or controlled was highest in the United States of America: for those aged 3.5 to 49 years, it was 84%, 77% and 56%, respectively. Percentages were especially low in Albania, Armenia, the Islamic Republic of Iran and Turkey. Although recent trends in prevalence differed in England, Japan and the United States, treatment coverage and hypertension control improved over time, particularly in England.

Conclusion Globally the proportion of hypertensive individuals whose condition is treated or controlled with medication remains low. Greater efforts are needed to improve hypertension control, which would reduce the burden of noncommunicable diseases.

Resume

Objectif Examiner la gestion de l'hypertension dans differents pays et au fil du temps en utilisant des methodes coherentes et comparables.

Methodes Une recherche systematique a identifie des enquetes sur les examens de sante representatifs a l'echelle nationale dans 20 pays, contenant des donnees de 1980 a 2011 sur les mesures de la tension, le diagnostic et le traitement de l'hypertension et son controle avec des medicaments antihypertenseurs. Pour chaque pays, on a esime la prevalence de l'hypertension (tension arterielle systolique [greater than or equal to] 40 mmHg ou utilisation d'antihypertenseurs) et la proportion de patients souffrant d'hypertension, dont la maladie a ete diagnostiquee, traitee ou controlee par des medicaments (tension systolique < 140 mmHg).

Resultats La prevalence de l'hypertension normalisee selon l'age variait entre les pays: pour les individus ages de 35 a 49 ans, elle variait de 12% au Bangladesh, en Egypte et en Thailande a environ 30% en Armenie, au Lesotho et en Ukraine; pour les individus ages de 35 a 84 ans, elle variait de 20% au Bangladesh a plus de 40% en Allemagne, en Turquie et dans la Federation de Russie. C'est aux Etats-Unis d'Amerique que le pourcentage normalise selon rage des individus souffrant d'hypertension dont la maladie a ete diagnostiquee, traitee ou controlee etait le plus eleve: pour les individus ages de 35 a 49 ans, il atteignait 84%, 77% et 56%, respectivement. Ces pourcentages ont ete particulierement faibles en Albanie, en Armenie, en Turquie et pour la Republique islamique d'lran. Bien que les tendances recentes de la prevalence different en Angleterre, au Japon et aux Etats-Unis, la couverture du traitement et le controle de l'hypertension arterielle se sont ameliores au fil du temps, notamment en Angleterre.

Conclusion Globalement, la proportion de patients souffrant d'hypertension dont la maladie a ete diagnostiquee, traitee ou controlee par des medicaments reste faible. Des efforts supplementaires sont necessaires pour ameliorer le controle de l'hypertension, ce qui reduirait la charge que representent les maladies non transmissibles. …

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Control of Hypertension with Medication: A Comparative Analysis of National Surveys in 20 countries/Controle De L'hypertension Sous Medication: Une Analyse Comparative Des Enquetes Nationales Dans 20 pays/El Control De la Hipertension Con Medicamentos: Un Analisis Comparativo De Las Encuestas Nacionales En 20 Paises
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