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Relationship between health-related quality of life and blood pressure control in patients with uncontrolled hypertension

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dc.contributor.author이찬주-
dc.contributor.author하종원-
dc.date.accessioned2021-05-21T17:02:37Z-
dc.date.available2021-05-21T17:02:37Z-
dc.date.issued2020-08-
dc.identifier.issn1524-6175-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182668-
dc.description.abstractWe sought to investigate the psychosocial characteristics of patients with uncontrolled hypertension and examine factors that influence blood pressure (BP) control. A total of 1011 patients with uncontrolled hypertension were enrolled in 13 tertiary hospitals. Uncontrolled hypertension was defined as systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg despite on antihypertensive therapy. Socio-demographics, anthropometrics, behavioral risk factors, medication pattern, adherence, and measures of health-related quality of life (HRQoL; EuroQol 5D visual analog scale [EQ-5D VAS]) were assessed at baseline and during follow-up visits (3 and 6 months). Patients were divided into 2 groups based on BP control status at 6 months (controlled group [n = 532] vs uncontrolled group [n = 367]). There were no differences in clinical characteristics except the proportion of smokers and baseline BP between patients with controlled BP and uncontrolled BP. At 6 months, the adherence of antihypertensive medication did not differ between the groups but the proportion of combination therapy with ≥3 antihypertensives was significantly higher in patients with uncontrolled BP. EQ-5D VAS at follow-up was significantly lower in patients with uncontrolled BP despite similar baseline values. Multivariate logistic regression analysis revealed that EQ-5D VAS at follow-up significantly correlated with BP control. Patients with worse HRQoL had higher Charlson Comorbidity Index and higher proportion of taking ≥3 antihypertensives, but medication adherence was similar to those with better HRQoL. These findings suggest that along with pharmacologic intervention of hypertension, management of comorbid conditions or psychological support might be helpful for optimizing BP control in patients with uncontrolled hypertension.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherWiley Periodicals Inc.-
dc.relation.isPartOfJOURNAL OF CLINICAL HYPERTENSION-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleRelationship between health-related quality of life and blood pressure control in patients with uncontrolled hypertension-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorChan Joo Lee-
dc.contributor.googleauthorWoo Jung Park-
dc.contributor.googleauthorJung-Won Suh-
dc.contributor.googleauthorEue-Keun Choi-
dc.contributor.googleauthorDong Woon Jeon-
dc.contributor.googleauthorSang-Wook Lim-
dc.contributor.googleauthorDae-Hyeok Kim-
dc.contributor.googleauthorKwang Soo Cha-
dc.contributor.googleauthorBong-Ryeol Lee-
dc.contributor.googleauthorNam-Ho Kim-
dc.contributor.googleauthorTae-Soo Kang-
dc.contributor.googleauthorJong-Won Ha-
dc.identifier.doi10.1111/jch.13941-
dc.contributor.localIdA03238-
dc.contributor.localIdA04257-
dc.relation.journalcodeJ01320-
dc.identifier.eissn1751-7176-
dc.identifier.pmid32652901-
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.13941-
dc.subject.keywordadherence-
dc.subject.keywordblood pressure-
dc.subject.keywordhealth-related quality of life-
dc.subject.keywordhypertension-
dc.contributor.alternativeNameLee, Chan Joo-
dc.contributor.affiliatedAuthor이찬주-
dc.contributor.affiliatedAuthor하종원-
dc.citation.volume22-
dc.citation.number8-
dc.citation.startPage1415-
dc.citation.endPage1424-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL HYPERTENSION, Vol.22(8) : 1415-1424, 2020-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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