Tools
Tools
Cai, Li, Yao, Ling, Zhu, Qing, Liu, Shasha, Wang, Duolao 
ORCID: https://orcid.org/0000-0003-2788-2464, Hong, Jing, Heizhati, Muralbek and Li, Nanfang
(2024)
'Abstract P398: The effects of care by hypertension specialists on cardiovascular outcome, blood pressure control and cost-effectiveness among uncontrolled hypertensive patients'. Hypertension, Vol 81, Issue Suppl_1.
Abstract
Background: Studies suggested that physician specialty had an impact on patient outcomes of cardiovascular disease. However, the effects of care by hypertension specialists on clinical outcomes and financial burden among uncontrolled hypertensive patients are unknown. Objective: This study was to assess the effects of care by hypertension specialists on risk of cardiovascular outcomes, blood pressure (BP) control, and cost-effectiveness among patients with uncontrolled hypertension. Methods: A retrospective cohort study was conducted of patients aged 45-79 years who were admitted to the People’s Hospital of Xinjiang Uygur Autonomous Region, China, for uncontrolled hypertension between 2015 and 2019. We assessed the relationship between care by hypertension specialists and major adverse cardiovascular events (MACE), BP control, quality-adjusted life years (QALYs) and incremental cost-effectiveness ratios (ICERs) by the Cox regression, the generalized estimating equations (GEE) model, and the Markov model, respectively. Results: A total of 10680 patients with uncontrolled hypertension were followed up for a median of 4.0 years. Among them, 5646 (52.9%) patients received care by hypertension specialists and had fewer MACE than the non-specialists group (21.5 vs 39.7 per 1000-person-years; hazard ratio 0.67; 95% CI: 0.57 to 0.79) according to multiple Cox regression after stabilized inverse probability of treatment weighting. At 4 years, the odds ratio for BP control between the hypertension specialist group and the non-specialist group was 0.83 (95% CI: 0.79 to 0.86). Odds ratios with declining trend were observed at 1, 2, and 3 years. Over a lifetime horizon, the ICERs of the hypertension specialists group was USD 6295.37 per QALY gained compared with the non-specialists group. Conclusions: This study provided some evidence that care by hypertension specialists was associated with reduced risk of MACE and improved BP control in patients with uncontrolled hypertension, and was cost-effective.
| Item Type: | Article |
|---|---|
| Additional Information: | Abstract only. |
| Subjects: | WG Cardiovascular System > WG 120 Cardiovascular diseases |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1161/hyp.81.suppl_1.p398 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 08 Jan 2025 10:59 |
| Last Modified: | 08 Jan 2025 10:59 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/25805 |
Statistics
Actions (login required)
 |
Edit Item |