Prevalence, prescribing and barriers to effective management of hypertension in older populations: a narrative review.

Alhawassi, TM; Krass, I; Pont, LG

Prevalence, prescribing and barriers to effective management of hypertension in older populations: a narrative review.

Alhawassi, TM Krass, I Pont, LG

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: J Pharm Policy Pract, 2015, 8, (1), pp. 24
Issue Date:: 2015

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Field	Value	Language
dc.contributor.author	Alhawassi, TM
dc.contributor.author	Krass, I
dc.contributor.author	Pont, LG
dc.date.accessioned	2022-01-25T01:34:02Z
dc.date.available	2015-09-01
dc.date.available	2022-01-25T01:34:02Z
dc.date.issued	2015
dc.identifier.citation	J Pharm Policy Pract, 2015, 8, (1), pp. 24
dc.identifier.issn	2052-3211
dc.identifier.issn	2052-3211
dc.identifier.uri	http://hdl.handle.net/10453/153541
dc.description.abstract	OBJECTIVES: Hypertension is the leading modifiable cause of mortality worldwide. Unlike many conditions where limited evidence exists for management of older individuals, multiple large, robust trials have provided a solid evidence-base regarding the management of hypertension in older adults. Understanding the impact of age on how the prevalence of hypertension and the role of pharmacotherapy in managing hypertension among older persons is a critical element is the provision of optimal health care for older populations. The aim of this study was to explore how the prevalence of hypertension changes with age, the evidence regarding pharmacological management in older adults and to identify known barriers to the optimal management of hypertension in older patients. METHODS: A review of English language studies published prior to 2013 in Medline, Embase and Google scholar was conducted. Key search terms included hypertension, pharmacotherapy, and aged. RESULTS: The prevalence of hypertension was shown to increase with age, however there is good evidence for the use of a number of pharmacological agents to control blood pressure in older populations. System, physician and patient related barriers to optimal blood pressure control were identified. CONCLUSIONS: Despite good evidence for pharmacological management of hypertension among olderpopulations, under treatment of hypertension is an issue. Concerns regarding adverse effects appearcentral to under treatment of hypertension among older populations.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	J Pharm Policy Pract
dc.relation.isbasedon	10.1186/s40545-015-0042-6
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights	© 2015 Alhawassi et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.title	Prevalence, prescribing and barriers to effective management of hypertension in older populations: a narrative review.
dc.type	Journal Article
utslib.citation.volume	8
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Pharmacy
utslib.copyright.status	recently_added	*
dc.date.updated	2022-01-25T01:33:56Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	8
utslib.citation.issue	1

Abstract:

OBJECTIVES: Hypertension is the leading modifiable cause of mortality worldwide. Unlike many conditions where limited evidence exists for management of older individuals, multiple large, robust trials have provided a solid evidence-base regarding the management of hypertension in older adults. Understanding the impact of age on how the prevalence of hypertension and the role of pharmacotherapy in managing hypertension among older persons is a critical element is the provision of optimal health care for older populations. The aim of this study was to explore how the prevalence of hypertension changes with age, the evidence regarding pharmacological management in older adults and to identify known barriers to the optimal management of hypertension in older patients. METHODS: A review of English language studies published prior to 2013 in Medline, Embase and Google scholar was conducted. Key search terms included hypertension, pharmacotherapy, and aged. RESULTS: The prevalence of hypertension was shown to increase with age, however there is good evidence for the use of a number of pharmacological agents to control blood pressure in older populations. System, physician and patient related barriers to optimal blood pressure control were identified. CONCLUSIONS: Despite good evidence for pharmacological management of hypertension among olderpopulations, under treatment of hypertension is an issue. Concerns regarding adverse effects appearcentral to under treatment of hypertension among older populations.

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http://hdl.handle.net/10453/153541