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Published in: Clinical Research in Cardiology 12/2019

01-12-2019 | Neurotomy | Original Paper

Patient preference for therapies in hypertension: a cross-sectional survey of German patients

Authors: Roland E. Schmieder, Karin Högerl, Susanne Jung, Peter Bramlage, Roland Veelken, Christian Ott

Published in: Clinical Research in Cardiology | Issue 12/2019

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Abstract

Background

Hypertension is poorly controlled in numerous patients despite effective medication being available. Catheter-based renal denervation (RDN) has emerged as an alternative treatment option. We aimed to assess how likely patients with elevated blood pressure (BP) are to accept RDN as treatment option.

Methods

A questionnaire-based cross-sectional survey was performed in patients with elevated BP in Germany. Data on patient demographics, clinical characteristics and treatment preferences were collected, anonymized and analyzed.

Results

One thousand and eleven patients completed the survey. Mean age was 66 years (55% male). If not already on medication (n = 172), 38.2% of patients would prefer RDN. Of those already on drug therapy (n = 839), 28.2% would opt for RDN. Patients who were pro-RDN were younger (p < 0.0001) and more often male (p < 0.0001). Nineteen percent would choose RDN if it lowered systolic BP by at least 20 mmHg, more than 40% if they did not have to take any more pills thereafter, and 30% if it would lower BP by at least 10 mmHg. Experiences of side effects and drug adherence were identified as determinants of patient preference. Physicians were the main source of information regarding medical problems (95.5%) and influence patients’ decision regarding therapies (98%).

Conclusions

This survey found that a significant proportion of patients would choose catheter-based RDN over lifelong pharmacotherapy. These patients were younger and more likely to be male but their expectation of the extent of BP decrease with RDN was high. Physicians are key mediators for treatment selection. They need to incorporate patient preferences into shared decision making.
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Metadata
Title
Patient preference for therapies in hypertension: a cross-sectional survey of German patients
Authors
Roland E. Schmieder
Karin Högerl
Susanne Jung
Peter Bramlage
Roland Veelken
Christian Ott
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Research in Cardiology / Issue 12/2019
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI
https://doi.org/10.1007/s00392-019-01468-0

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