Changes in Antihypertensive Prescribing During US Outpatient Visits for Uncomplicated Hypertension Between 1993 and 2004

摘要: Monitoring national patterns of antihypertensive drug therapy is essential to assessing adherence treatment guidelines and the impact major scientific publications on physician prescribing. We analyzed data from 2 US National Ambulatory Care Surveys examine trends between 1993 2004 in prescription classes for uncomplicated hypertension association thiazide β-blocker prescribing patient characteristics. Diuretic prescriptions remained level through 2001 (39%; 95% CI: 34% 44%) but increased 53% (48% 58%) 2003, largely because a 72% increase first quarter 2003 (50%; 40% 59%). However, these increases did not sustain 2004. β-Blocker modestly (24%; 19% 29%) (33%; 28% 39%). Prescription calcium channel blockers angiotensin-converting enzyme inhibitors declined significantly following sixth Joint Committee report, both subsequently rebounded prereport levels. angiotensin II receptor continuously 1% 1995 23% by Polytherapy prescriptions, particularly those involving ≥3 classes, became increasingly prevalent, accounting 60% visits Prescriptions thiazides β-blockers were more likely 1998–2004 (versus 1993–1997). Blacks, women, hospital outpatients receive thiazides. Also, cardiologists prescribe β-blockers. Evidence-based do prescribing, seems be short lived. Future interventions are imperative promoting long-term published guidelines.