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[Preprint]. 2023 Feb 16:2023.02.15.23286003. [Version 1] doi: 10.1101/2023.02.15.23286003

Table 2:

Evidence for Prescribers-Choice Adherence rules and percentage adherence to each rule.

Prescribers-Choice Adherence
Rules*
LOE HTN
Guideline
2006
Secondary
Stroke
Prevention
Guideline
2011
Secondary
Stroke
Prevention
Guideline
2014
Secondary
Stroke
Prevention
Guideline
Threshold % Prescribers-
Choice
Adherence
Use ACEi or ARB in Diabetes A JNC 6 1997 - present 80% 53.4%
AA use of diuretic or CCB A JNC 7 2003-Present Silent Endorses JNC7 Silent Endorses 2011 Primary Stroke Silent Endorses 2011 Primary Stroke 80% 48.5%
Use of diuretic, ACEi/ARB or CCB A JNC 7 2003-Present 80% 74.4%
BB in compelling Cardiac Indication A JNC 6 1997 - present Silent Endorses JNC7 80% 52%
% Failed to avoid BB without Compelling A JNC 6 1997 - present Silent Endorses JNC7 Silent Endorses 2011 Primary Stroke Silent Endorses 2011 Primary Stroke <5% 20%
Any 1 of 5 Rules Combined A 80% 59.7%
GP-Koch Rules
*

This is different from compliance as it focused on the preserver’s choice of antihypertensive agents rather than patient’s ability to consistently take the medication; BP-Choice Adherence: Blood Pressure medication Choice Adherence to Clinical Practice Guidelines as derived from the Sixth Joint National Commission on Hypertension and the ISH 2020 HTN Guidelines; JNC: Joint National Commission on Hypertension; AA: African Americans; ACEi: Angiotensin Enzyme Inhibitors; ARB: Angiotensin Receptor Blockers; BB: Beta Blockers; CCB: Calcium Channel Blockers.