Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020

Background: Awareness of hypertension and blood pressure (BP) control rates are still low in India. Home blood pressure monitoring (HBPM) is recognized as a valuable tool to diagnose and support hypertension treatment including the prevention of cardiovascular diseases(CVD) and target organ damage....

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Main Authors: Gurpreet Singh Wander, Ebtehal Salman, Noriko Matsushita, Narsingh Verma
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S001948322300072X
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author Gurpreet Singh Wander
Ebtehal Salman
Noriko Matsushita
Narsingh Verma
author_facet Gurpreet Singh Wander
Ebtehal Salman
Noriko Matsushita
Narsingh Verma
author_sort Gurpreet Singh Wander
collection DOAJ
description Background: Awareness of hypertension and blood pressure (BP) control rates are still low in India. Home blood pressure monitoring (HBPM) is recognized as a valuable tool to diagnose and support hypertension treatment including the prevention of cardiovascular diseases(CVD) and target organ damage. We explored the prevailing knowledge and current recommendation of HBPM in daily practice by physicians in India. Materials and methods: As part of Asia HBPM Survey 2020, a cross-sectional survey was conducted among healthcare providers from India between June 2020 to June 2021. The questionnaire consisted of 37 questions and sub-questions related to HBPM awareness and recommendations to patients. Results: A total of 832 physicians participated in the survey. Almost 83% were male, whereas age, specialty and workplace were well distributed. 31.3% of physicians instruct their patients to measure their BP before taking antihypertensive drugs, while around 30% of physicians gave no instructions. The reference value of hypertension diagnosis amongst the physicians was substantially low based on clinic BP (34.4%) and home BP (15.1%). Among physicians who manage hypertensive patients, nearly 88% recommend HBPM to their patients, however, only 34.9% of their patients own HBPM device and 30.4% of the patients measure their own BP at home. Conclusion: The survey reveals that HBPM instructions to the patients are either lacking or not well aligned with the local hypertension guidelines which may have led to the low HBPM use among patients. Clear and practical educational material and sessions are needed to improve the understanding of HBPM amongst physicians.
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spelling doaj.art-b7980ba16e8a4b7b859a39dd9f4e27652023-06-03T04:21:22ZengElsevierIndian Heart Journal0019-48322023-05-01753169176Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020Gurpreet Singh Wander0Ebtehal Salman1Noriko Matsushita2Narsingh Verma3Dayanand Medical College & Hospital Unit Hero DMC Heart Institute, Ludhiana, 141001, Punjab, India; Corresponding author. Dayanand Medical College & Hospital, Unit Hero DMC Heart Institute, Tagore Nagar, Civil Lines, Ludhiana, 141001, India.Technical Development HQ, Clinical Development Department, Omron Healthcare Co., Ltd., 53, Kunotsubo, Terado-cho, Muko, Kyoto, 617-0002, JapanAsia Pacific Global Medical Affairs, Omron Healthcare Singapore, Pte. Ltd, 438B Alexandra Road #08-01/02, Alexandra TechnoPark, 119968, SingaporeDepartment of Physiology, Officiating Head Department of Family Medicine, King George's Medical University, Lucknow, 226003, IndiaBackground: Awareness of hypertension and blood pressure (BP) control rates are still low in India. Home blood pressure monitoring (HBPM) is recognized as a valuable tool to diagnose and support hypertension treatment including the prevention of cardiovascular diseases(CVD) and target organ damage. We explored the prevailing knowledge and current recommendation of HBPM in daily practice by physicians in India. Materials and methods: As part of Asia HBPM Survey 2020, a cross-sectional survey was conducted among healthcare providers from India between June 2020 to June 2021. The questionnaire consisted of 37 questions and sub-questions related to HBPM awareness and recommendations to patients. Results: A total of 832 physicians participated in the survey. Almost 83% were male, whereas age, specialty and workplace were well distributed. 31.3% of physicians instruct their patients to measure their BP before taking antihypertensive drugs, while around 30% of physicians gave no instructions. The reference value of hypertension diagnosis amongst the physicians was substantially low based on clinic BP (34.4%) and home BP (15.1%). Among physicians who manage hypertensive patients, nearly 88% recommend HBPM to their patients, however, only 34.9% of their patients own HBPM device and 30.4% of the patients measure their own BP at home. Conclusion: The survey reveals that HBPM instructions to the patients are either lacking or not well aligned with the local hypertension guidelines which may have led to the low HBPM use among patients. Clear and practical educational material and sessions are needed to improve the understanding of HBPM amongst physicians.http://www.sciencedirect.com/science/article/pii/S001948322300072XIndiaHome blood pressure monitoringPhysiciansAwarenessSurveyGuidelines
spellingShingle Gurpreet Singh Wander
Ebtehal Salman
Noriko Matsushita
Narsingh Verma
Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
Indian Heart Journal
India
Home blood pressure monitoring
Physicians
Awareness
Survey
Guidelines
title Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
title_full Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
title_fullStr Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
title_full_unstemmed Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
title_short Awareness and recommendation of home blood pressure measurement among physicians in India: Results from Asia HBPM survey 2020
title_sort awareness and recommendation of home blood pressure measurement among physicians in india results from asia hbpm survey 2020
topic India
Home blood pressure monitoring
Physicians
Awareness
Survey
Guidelines
url http://www.sciencedirect.com/science/article/pii/S001948322300072X
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