Table 2:
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.