TY - JOUR T1 - Hypertension treatment and control rates JF - Canadian Family Physician JO - Can Fam Physician SP - 735 LP - 741 VL - 55 IS - 7 AU - Sara J. Houlihan AU - Scot H. Simpson AU - Andrew J. Cave AU - Nigel W. Flook AU - Mary E. Hurlburt AU - Chris J. Lord AU - Linda L. Smith AU - Harvey H. Sternberg Y1 - 2009/07/01 UR - http://www.cfp.ca/content/55/7/735.abstract N2 - OBJECTIVE To characterize hypertension management in an academic family medicine clinic. DESIGN Cross-sectional chart review. SETTING Academic family medicine clinic in Edmonton, Alta. PARTICIPANTS A total of 210 patients with 1 or more visits for hypertension during the previous 3 years. MAIN OUTCOME MEASURES Patient characteristics, current antihypertensive therapies, most recent blood pressure measurements, and compelling indications according to the 2006 Canadian Hypertension Education Program recommendations. RESULTS A total of 185 subjects (88%) were prescribed antihypertensive medications, and 89 (42%) had controlled hypertension. Younger subjects, people with diabetes, and people not receiving antihypertensive medication therapy appeared less likely to have controlled hypertension. There were 76 subjects (36%) prescribed 1 antihypertensive medication, 65 subjects (31%) prescribed 2 antihypertensive medications, and 44 (21%) prescribed 3 or more antihypertensive medications. Angiotensin-converting enzyme inhibitors were prescribed for 51% of the subjects, diuretics for 47%, β-blockers for 27%, calcium channel blockers for 23%, angiotensin receptor blockers for 20%, and α-blockers for 1%. CONCLUSION Hypertension treatment and control rates in this academic family medicine clinic appear to be better than those in the general population. Following the principles of a continuous quality improvement process, this information will serve as an important foundation for identifying areas to improve hypertension management in the clinic. ER -