alexa Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia.
Pharmaceutical Sciences

Pharmaceutical Sciences

Journal of Pharmacogenomics & Pharmacoproteomics

Author(s): Pinilla A, Cano N, Granados C, PaezCanro C, EslavaSchmalbach J

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Abstract OBJECTIVE: Evaluating differences in the suitable prescription of thiazides in hypertense patients, according to affiliation regime. MATERIALS AND METHODS: This was an analytical cross-sectional study. The database from a previous study was used regarding two groups of hypertense patients (subsidised regime and contributory regime) who had attended out-patient consultation between 01-09-2007 and 29-02-2008. Ideal therapy was evaluated in both groups. Univariate and multivariate analysis was carried out. RESULTS: 136 patients (contributory: 41.9 \%; subsidised: 58.1 \%). Subsidised regime patients were older (mean=68.8±10) than those from the contributory regime (mean=64.1±11.1) (t-test, p=0.0110). Prescribing antihypertensive drugs was ideal in 49/136 of the patients (36.0 \%). Ideal prescription accounted for 24/79 (30 \%) of the patients in the subsidised regime and 25/57 (43.8 \%) in the contributory one (OR=1.79; 95 \% CI:0.88-3.64). Older people (aged ≥ 65 yo) were at risk of receiving a non-ideal prescription (OR=2.12; 95 \%CI:1.02-4.38) whilst this was not so in the subsidised regime (OR=1.62; 95 \% CI:0.78-3.35). CONCLUSIONS: Ideal prescription of antihypertensive drugs was low in the population being studied. There were differences regarding age ideal prescription but not concerning affiliation regime. It is suggested that a longitudinal study be carried out in the future.
This article was published in Rev Salud Publica (Bogota) and referenced in Journal of Pharmacogenomics & Pharmacoproteomics

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