Pattern prescription drugs for systemic hypertension in primary health care: systematic review and meta-analysis

Authors

DOI:

https://doi.org/10.17765/2176-9206.2021v14n1.e7743

Keywords:

Prescription of drugs, Primary health care, Practice guideline, Systemic hypertension, Systematic review

Abstract

We investigated scientific publications on the prescription pattern of systemic hypertension drugs and use of guidelines in primary health care by systematic review and meta-analysis. Articles were selected in the PubMed, Web of Science and LILACS databases, according to the PRISMA statements, from 2004 to 2020. The systematic review showed a higher prescription pattern for combination therapy (52,9%). The meta-analysis confirmed the superiority of prescription for combination therapy (OR 1.76, CI 1.29 - 2.41). Was observed higher monotherapy prevalence in the Swedish study (98%) and combined therapy in Nigerian (98%). Higher frequency prescriptive of angiotensin-converting enzyme inhibitors in Trinidad (64%); diuretics (64%), beta blockers (63%), and calcium channel blockers (53%) in Nigeria; and angiotensin-receptor blockers (43%) in Portugal. Regarding the use of guidelines, 50% the studies reported their use for the prescription of antihypertensive in primary health care.

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Author Biographies

Edilson Almeida de Oliveira, State University of Maringá

Doctoral degree. Postgraduate Program in Biosciences and Pathophysiology (PBF), State University of Maringá (UEM). Pharmacist at Policlínica Dr Primo Marcelo Monteschio, UBS Zona Sul, SMS, PMM, Maringá (PR), Brazil.

Iris Heloísa Pereira Guerra, State University of Maringá

Master degree. Postgraduate Program in Biosciences and Physiopathology (PBF), State University of Maringá (UEM), Maringá PR), Brazil.

Débora Canassa Volpato, State University of Maringá

Master degree. Postgraduate Program in Biosciences and Physiopathology (PBF), State University of Maringá (UEM), Maringá PR), Brazil.

Rogério Toshiro Passos Okawa, State University of Maringá

Permanent professor at the Department of Medicine. State University of Maringá (UEM), Maringá PR), Brazil.

Kesia Palma-Rigo , State University of Maringá

Collaborating professor in Postgraduate Program in Biosciences and Pathophysiology (PBF), State University of Maringá (UEM), Maringá (PR), Brazil.

Thaís da Silva Santos, State University of Maringá

Master degree. Postgraduate Program in Biosciences and Physiopathology (PBF), State University of Maringá (UEM), Maringá PR), Brazil.

Jorge Juarez Vieira Teixeira, State University of Maringá

Permanent professor in Postgraduate Program in Biosciences and Pathophysiology (PBF), State University of Maringá (UEM), Maringá (PR), Brazil.

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Additional Files

Published

2021-02-26

How to Cite

Oliveira, E. A. de, Guerra, I. H. P., Volpato, D. C. ., Okawa, R. T. P., Palma-Rigo , K., Santos, T. da S., & Teixeira, J. J. V. (2021). Pattern prescription drugs for systemic hypertension in primary health care: systematic review and meta-analysis. Saúde E Pesquisa, 14(1), 161–173. https://doi.org/10.17765/2176-9206.2021v14n1.e7743

Issue

Vol. 14 No. 1 (2021): jan./mar.

Section

Artigos de Revisão - Promoção da Saúde

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