Variation in GP decisions on antihypertensive treatment in oldest-old and frail individuals across 29 countries

Streit, Sven; Verschoor, Marjolein; Rodondi, Nicolas; Bonfim, Daiana; Burman, Robert A; Collins, Claire; Gerasimovska Kitanovska Biljana; Gintere, Sandra; Gómez Bravo, Raquel; Hoffmann, Kathryn; Iftode, Claudia; Johansen, Kasper L; Kerse, Ngaire; Koskela, Tuomas H; Peštić, Sanda Kreitmayer; Kurpas, Donata; Mallen, Christian D; Maisoneuve, Hubert; Merlo, Christoph; Mueller, Yolanda

doi:10.1186/s12877-017-0486-4

Variation in GP decisions on antihypertensive treatment in oldest-old and frail individuals across 29 countries

Journal

BMC Geriatrics

Date Issued

2017

Author(s)

Streit, Sven

Verschoor, Marjolein

Rodondi, Nicolas

Bonfim, Daiana

Burman, Robert A

Collins, Claire

Gintere, Sandra

Gómez Bravo, Raquel

Hoffmann, Kathryn

Iftode, Claudia

Johansen, Kasper L

Kerse, Ngaire

Koskela, Tuomas H

Peštić, Sanda Kreitmayer

Kurpas, Donata

Mallen, Christian D

Maisoneuve, Hubert

Merlo, Christoph

Mueller, Yolanda

Muth, Christiane

Šter, Marija Petek

Petrazzuoli, Ferdinando

Rosemann, Thomas

Sattler, Martin

Švadlenková, Zuzana

Tatsioni, Athina

Thulesius, Hans

Tkachenko, Victoria

Torzsa, Peter

Tsopra, Rosy

Canan, Tuz

Viegas, Rita P A

Vinker, Shlomo

de Waal, Margot W M

Zeller, Andreas

Gussekloo, Jacobijn

Poortvliet, Rosalinde K E

DOI

10.1186/s12877-017-0486-4

Abstract

In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack of knowledge has led to inconsistent guidelines, mainly based on systolic blood pressure (SBP), cardiovascular disease (CVD) but not on frailty despite the high prevalence in oldest-old. This may lead to variation how General Practitioners (GPs) treat hypertension. Our aim was to investigate treatment variation of GPs in oldest-olds across countries and to identify the role of frailty in that decision.