Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients
Abstract Hypertension is a chronic disease that requires long‐term follow‐up in many patients, however, optimal visit intervals are not well‐established. This study aimed to evaluate the incidences of major cardiovascular events (MACEs) according to visit intervals. We analyzed data from 9894 hypert...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14698 |
| _version_ | 1827778931791495168 |
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| author | Duon Kim Hyunmook Jeong Suhyun Kim Ho‐Gyun Shin Kyun‐Ik Park Seung‐Pyo Lee Hee‐Sun Lee Ju‐Yeun Lee Kwang‐il Kim Si‐Hyuck Kang Jang Hoon Lee Se Yong Jang Ju‐Hee Lee Kye Hun Kim Jae Yeong Cho Jae‐Hyeong Park Sue K. Park Seungyeon Kim Kwangsoo Kim Hae‐Young Lee |
| author_facet | Duon Kim Hyunmook Jeong Suhyun Kim Ho‐Gyun Shin Kyun‐Ik Park Seung‐Pyo Lee Hee‐Sun Lee Ju‐Yeun Lee Kwang‐il Kim Si‐Hyuck Kang Jang Hoon Lee Se Yong Jang Ju‐Hee Lee Kye Hun Kim Jae Yeong Cho Jae‐Hyeong Park Sue K. Park Seungyeon Kim Kwangsoo Kim Hae‐Young Lee |
| author_sort | Duon Kim |
| collection | DOAJ |
| description | Abstract Hypertension is a chronic disease that requires long‐term follow‐up in many patients, however, optimal visit intervals are not well‐established. This study aimed to evaluate the incidences of major cardiovascular events (MACEs) according to visit intervals. We analyzed data from 9894 hypertensive patients in the Korean Hypertension Cohort, which enrolled and followed up 11,043 patients for over 10 years. Participants were classified into five groups based on their median visit intervals (MVIs) during the 4‐year period and MACEs were compared among the groups. The patients were divided into clinically relevant MVIs of one (1013; 10%), two (1299; 13%), three (2732; 28%), four (2355; 24%), and six months (2515; 25%). The median follow‐up period was 5 years (range: 1745 ± 293 days). The longer visit interval groups did not have an increased cumulative incidence of MACE (12.9%, 11.8%, 6.7%, 5.9%, and 4%, respectively). In the Cox proportional hazards model, those in the longer MVI group had a smaller hazard ratio (HR) for MACEs or all‐cause death: 1.77 (95% confidence interval [CI], 1.45–2.17), 1.7 (95% CI: 1.41–2.05), 0.90 (95% CI: 0.74–1.09) and 0.64 (95% CI: 0.52–0.79), respectively (Reference MVI group of 75–104 days). In conclusion, a follow‐up visits with a longer interval of 3–6 months was not associated with an increased risk of MACE or all‐cause death in hypertensive patients. Therefore, once medication adjustment is stabilized, a longer interval of 3–6 months is reasonable, reducing medical expenses without increasing the risk of cardiovascular outcomes. |
| first_indexed | 2024-03-11T14:43:02Z |
| format | Article |
| id | doaj.art-110628b0dcdf414d9eae6f65d8978c2e |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:02Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-110628b0dcdf414d9eae6f65d8978c2e2023-10-30T13:25:57ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762023-08-0125874875610.1111/jch.14698Association between office visit intervals and long‐term cardiovascular risk in hypertensive patientsDuon Kim0Hyunmook Jeong1Suhyun Kim2Ho‐Gyun Shin3Kyun‐Ik Park4Seung‐Pyo Lee5Hee‐Sun Lee6Ju‐Yeun Lee7Kwang‐il Kim8Si‐Hyuck Kang9Jang Hoon Lee10Se Yong Jang11Ju‐Hee Lee12Kye Hun Kim13Jae Yeong Cho14Jae‐Hyeong Park15Sue K. Park16Seungyeon Kim17Kwangsoo Kim18Hae‐Young Lee19Department of Medicine Seoul National University College of Medicine SeoulSouth KoreaBiomedical Research Institute Seoul National University Hospital SeoulSouth KoreaTransdisciplinary Department of Medicine & Advanced Technology Seoul National University Hospital SeoulSouth KoreaNational Evidence‐based Healthcare Collaborating Agency (NECA) SeoulSouth KoreaNational Evidence‐based Healthcare Collaborating Agency (NECA) SeoulSouth KoreaDepartment of Internal Medicine Seoul National University Hospital SeoulSouth KoreaDepartment of Internal Medicine Seoul National University Hospital SeoulSouth KoreaCollege of Pharmacy Seoul National University SeoulSouth KoreaDepartment of Internal Medicine Seoul National University Bundang Hospital SungnamSouth KoreaDepartment of Internal Medicine Seoul National University Bundang Hospital SungnamSouth KoreaDepartment of Internal Medicine Kyungpook National University Hospital, School of Medicine Kyungpook National University DaeguSouth KoreaDepartment of Internal Medicine Kyungpook National University Hospital, School of Medicine Kyungpook National University DaeguSouth KoreaDivision of Cardiology Department of Internal Medicine Chungbuk National University Hospital Chungbuk National University College of Medicine CheongjuSouth KoreaDepartment of Cardiovascular Medicine Chonnam National University Medical School/Hospital GwangjuSouth KoreaDepartment of Cardiovascular Medicine Chonnam National University Medical School/Hospital GwangjuSouth KoreaDepartment of Internal Medicine Chungnam National University College of Medicine DaejeonSouth KoreaDepartment of Preventive Medicine Seoul National University College of Medicine SeoulSouth KoreaCollege of Pharmacy Dankook University CheonanSouth KoreaTransdisciplinary Department of Medicine & Advanced Technology Seoul National University Hospital SeoulSouth KoreaDepartment of Internal Medicine Seoul National University Hospital SeoulSouth KoreaAbstract Hypertension is a chronic disease that requires long‐term follow‐up in many patients, however, optimal visit intervals are not well‐established. This study aimed to evaluate the incidences of major cardiovascular events (MACEs) according to visit intervals. We analyzed data from 9894 hypertensive patients in the Korean Hypertension Cohort, which enrolled and followed up 11,043 patients for over 10 years. Participants were classified into five groups based on their median visit intervals (MVIs) during the 4‐year period and MACEs were compared among the groups. The patients were divided into clinically relevant MVIs of one (1013; 10%), two (1299; 13%), three (2732; 28%), four (2355; 24%), and six months (2515; 25%). The median follow‐up period was 5 years (range: 1745 ± 293 days). The longer visit interval groups did not have an increased cumulative incidence of MACE (12.9%, 11.8%, 6.7%, 5.9%, and 4%, respectively). In the Cox proportional hazards model, those in the longer MVI group had a smaller hazard ratio (HR) for MACEs or all‐cause death: 1.77 (95% confidence interval [CI], 1.45–2.17), 1.7 (95% CI: 1.41–2.05), 0.90 (95% CI: 0.74–1.09) and 0.64 (95% CI: 0.52–0.79), respectively (Reference MVI group of 75–104 days). In conclusion, a follow‐up visits with a longer interval of 3–6 months was not associated with an increased risk of MACE or all‐cause death in hypertensive patients. Therefore, once medication adjustment is stabilized, a longer interval of 3–6 months is reasonable, reducing medical expenses without increasing the risk of cardiovascular outcomes.https://doi.org/10.1111/jch.14698cardiovascular eventhypertensionvisit intervals |
| spellingShingle | Duon Kim Hyunmook Jeong Suhyun Kim Ho‐Gyun Shin Kyun‐Ik Park Seung‐Pyo Lee Hee‐Sun Lee Ju‐Yeun Lee Kwang‐il Kim Si‐Hyuck Kang Jang Hoon Lee Se Yong Jang Ju‐Hee Lee Kye Hun Kim Jae Yeong Cho Jae‐Hyeong Park Sue K. Park Seungyeon Kim Kwangsoo Kim Hae‐Young Lee Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients The Journal of Clinical Hypertension cardiovascular event hypertension visit intervals |
| title | Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients |
| title_full | Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients |
| title_fullStr | Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients |
| title_full_unstemmed | Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients |
| title_short | Association between office visit intervals and long‐term cardiovascular risk in hypertensive patients |
| title_sort | association between office visit intervals and long term cardiovascular risk in hypertensive patients |
| topic | cardiovascular event hypertension visit intervals |
| url | https://doi.org/10.1111/jch.14698 |
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