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dc.contributor.authorPetursson, Halfdan
dc.contributor.authorGetz, Linn
dc.contributor.authorSigurdsson, Johann Agust
dc.contributor.authorHetlevik, Irene
dc.date.accessioned2015-09-29T13:09:09Z
dc.date.accessioned2015-10-16T13:02:43Z
dc.date.available2015-09-29T13:09:09Z
dc.date.available2015-10-16T13:02:43Z
dc.date.issued2009
dc.identifier.citationBMC Family Practice 2009, 10(70)nb_NO
dc.identifier.issn1471-2296
dc.identifier.urihttp://hdl.handle.net/11250/2356387
dc.description.abstractBackground: Previous studies indicate that clinical guidelines using combined risk evaluation for cardiovascular diseases (CVD) may overestimate risk. The aim of this study was to model and discuss implementation of the current (2007) hypertension guidelines in a general Norwegian population. Methods: Implementation of the current European Guidelines for the Management of Arterial Hypertension was modelled on data from a cross-sectional, representative Norwegian population study (The Nord-Trøndelag Health Study 1995-97), comprising 65,028 adults, aged 20-89, of whom 51,066 (79%) were eligible for modelling. Results: Among individuals with blood pressure ≥120/80 mmHg, 93% (74% of the total, adult population) would need regular clinical attention and/or drug treatment, based on their total CVD risk profile. This translates into 296,624 follow-up visits/100,000 adults/year. In the Norwegian healthcare environment, 99 general practitioner (GP) positions would be required in the study region for this task alone. The number of GPs currently serving the adult population in the study area is 87 per 100,000 adults. Conclusion: The potential workload associated with the European hypertension guidelines could destabilise the healthcare system in Norway, one of the world's most long- and healthy-living nations, by international comparison. Large-scale, preventive medical enterprises can hardly be regarded as scientifically sound and ethically justifiable, unless issues of practical feasibility, sustainability and social determinants of health are considered.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.titleCurrent European guidelines for management of arterial hypertension: Are they adequate for use in primary care? Modelling study based on the Norwegian HUNT 2 populationnb_NO
dc.typeJournal articlenb_NO
dc.typePeer revieweden_GB
dc.date.updated2015-09-29T13:09:09Z
dc.source.volume10nb_NO
dc.source.journalBMC Family Practicenb_NO
dc.source.issue70nb_NO
dc.identifier.doi10.1186/1471-2296-10-70
dc.identifier.cristin527523
dc.description.localcode© 2009 Petursson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO


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