Back to Search
Start Over
Towards new recommendations to reduce the burden of alcohol-induced hypertension in the European Union
- Source :
- BMC Medicine, 15:173. BioMed Central Ltd, Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona, BMC Medicine, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, Scientia, BMC Medicine, Vol 15, Iss 1, Pp 1-10 (2017)
- Publication Year :
- 2017
-
Abstract
- Consumo de alcohol; Presión sanguínea; Atención primaria; Recomendaciones Consum d'alcohol; Pressió sanguínea; Atenció primària; Recomanacions Alcohol use; Blood pressure; Primary healthcare; Recommendations Background: Hazardous and harmful alcohol use and high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both risk factors has been suggested as a route to reach the global NCD targets. This study aims to highlight that screening and interventions for hypertension and hazardous and harmful alcohol use in primary healthcare can contribute substantially to achieving the NCD targets. Methods: A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental studies, and statistical modelling which had been presented and discussed in five preparatory meetings, was undertaken. Specifically, we modelled changes in blood pressure distributions and potential lives saved for the five largest European countries if screening and appropriate intervention rates in primary healthcare settings were increased. Recommendations to handle alcohol-induced hypertension in primary healthcare settings were derived at the conference, and their degree of evidence was graded. Results: Screening and appropriate interventions for hazardous alcohol use and use disorders could lower blood pressure levels, but there is a lack in implementing these measures in European primary healthcare. Recommendations included (1) an increase in screening for hypertension (evidence grade: high), (2) an increase in screening and brief advice on hazardous and harmful drinking for people with newly detected hypertension by physicians, nurses, and other healthcare professionals (evidence grade: high), (3) the conduct of clinical management of less severe alcohol use disorders for incident people with hypertension in primary healthcare (evidence grade: moderate), and (4) screening for alcohol use in hypertension that is not well controlled (evidence grade: moderate). The first three measures were estimated to result in a decreased hypertension prevalence and hundreds of saved lives annually in the examined countries. Conclusions: The implementation of the outlined recommendations could contribute to reducing the burden associated with hypertension and hazardous and harmful alcohol use and thus to achievement of the NCD targets. Implementation should be conducted in controlled settings with evaluation, including, but not limited to, economic evaluation. The workshop entitled “Screening and intervention for harmful alcohol use as a tool to improve the management of hypertension in primary care”, held on November 12, 2015, in Barcelona, Spain, was financially supported by Lundbeck (in providing travel allowances for some participants). An agenda of the workshop can be found in Additional file 1: Appendix 1.
- Subjects :
- Otros calificadores::Otros calificadores::/prevención & control [Otros calificadores]
Cost effectiveness
Psychological intervention
lcsh:Medicine
SYSTEMIC HYPERTENSION
Disease
Guideline
030204 cardiovascular system & hematology
Recommendations
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
Environmental Health::Health::Health Services::Primary Health Care [PUBLIC HEALTH]
RESISTANT HYPERTENSION
COST-EFFECTIVENESS
0302 clinical medicine
Risk Factors
Alcoholisme - Estudi de casos
Medicine
030212 general & internal medicine
media_common
Public health
European Union countries
HIGH BLOOD-PRESSURE
General Medicine
GENERAL-PRACTITIONERS
3. Good health
Management
Substance abuse
Europe
Alcoholism
SERVICES TASK-FORCE
Atenció primària - Unió Europea
Systematic review
DIFFERENT DIMENSIONS
Alcoholisme
Hypertension
Hipertensió - Estudi de casos
Blood pressure
Screening
Hipertensió
Chemically-Induced Disorders::Substance-Related Disorders::Alcohol-Related Disorders::Alcoholism [DISEASES]
Alcohol use
enfermedades cardiovasculares::enfermedades vasculares::hipertensión [ENFERMEDADES]
medicine.medical_specialty
Alcohol Drinking
PRIMARY-HEALTH-CARE
Guidelines as Topic
Cardiovascular Diseases::Vascular Diseases::Hypertension [DISEASES]
Països de la Unió Europea
Other subheadings::Other subheadings::/prevention & control [Other subheadings]
03 medical and health sciences
Unión Europea
USE DISORDERS
trastornos inducidos químicamente::trastornos relacionados con sustancias::trastornos relacionados con el alcohol::alcoholismo [ENFERMEDADES]
Environmental health
Humans
media_common.cataloged_instance
European Union
European union
BRIEF INTERVENTIONS
business.industry
lcsh:R
Blood Pressure Determination
medicine.disease
Salut pública
3121 General medicine, internal medicine and other clinical medicine
Economic evaluation
Physical therapy
salud ambiental::salud::servicios de salud::atención primaria de la salud [SALUD PÚBLICA]
business
Primary healthcare
Subjects
Details
- Language :
- English
- ISSN :
- 17417015
- Database :
- OpenAIRE
- Journal :
- BMC Medicine, 15:173. BioMed Central Ltd, Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona, BMC Medicine, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, Scientia, BMC Medicine, Vol 15, Iss 1, Pp 1-10 (2017)
- Accession number :
- edsair.doi.dedup.....5a344faaee86353692ef0e2e732aac76