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Regional and physician specialty-associated variations in the medical management of atherosclerotic renal-artery stenosis.
Folt, David A; Evans, Kaleigh L; Brahmandam, Sravya; He, Wencan; Brewster, Pamela S; Yu, Shipeng; Murphy, Timothy P; Cutlip, Donald E; Dworkin, Lance D; Jamerson, Kenneth; Henrich, William; Kalra, Philip A; Tobe, Sheldon; Thomson, Ken; Holden, Andrew; Rayner, Brian L; Grinfeld, Liliana; Haller, Steven T; Cooper, Christopher J.
Afiliación
  • Folt DA; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • Evans KL; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • Brahmandam S; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • He W; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • Brewster PS; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • Yu S; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
  • Murphy TP; Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Cutlip DE; Department of Medicine, Harvard Clinical Research Institute, Boston, MA, USA.
  • Dworkin LD; Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Jamerson K; Department of Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Henrich W; The University of Texas Health Science Center, San Antonio, TX, USA.
  • Kalra PA; Department of Medicine, Salford Royal Hospital NHS Foundation Trust, Greater Manchester, United Kingdom.
  • Tobe S; Sunnybrook and Women's College Health Sciences Centre, Toronto, Canada.
  • Thomson K; Department of Radiology, Alfred Hospital, Melbourne, Australia.
  • Holden A; Department of Radiology, Auckland City Hospital, Auckland, New Zealand.
  • Rayner BL; Department of Medicine, University of Cape Town/Groote Schuur Hospital, Cape Town, South Africa.
  • Grinfeld L; Department of Medicine, Universidad de Buenos Aires, Buenos Aires, Argentina.
  • Haller ST; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA. Electronic address: Steven.haller@utoledo.edu.
  • Cooper CJ; Department of Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
J Am Soc Hypertens ; 9(6): 443-52, 2015 Jun.
Article en En | MEDLINE | ID: mdl-26051926
For people enrolled in Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL), we sought to examine whether variation exists in the baseline medical therapy of different geographic regions and if any variations in prescribing patterns were associated with physician specialty. Patients were grouped by location within the United States (US) and outside the US (OUS), which includes Canada, South America, Europe, South Africa, New Zealand, and Australia. When comparing US to OUS, participants in the US took fewer anti-hypertensive medications (1.9 ± 1.5 vs. 2.4 ± 1.4; P < .001) and were less likely to be treated with an angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker (46% vs. 62%; P < .001), calcium channel antagonist (37% vs. 58%; P < .001), and statin (64% vs. 75%; P < .05). In CORAL, the identification of variations in baseline medical therapy suggests that substantial opportunities exist to improve the medical management of patients with atherosclerotic renal-artery stenosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción de la Arteria Renal / Aterosclerosis / Hipertensión Renal / Antihipertensivos Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa / America do norte / America do sul / Europa / Oceania Idioma: En Revista: J Am Soc Hypertens Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción de la Arteria Renal / Aterosclerosis / Hipertensión Renal / Antihipertensivos Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa / America do norte / America do sul / Europa / Oceania Idioma: En Revista: J Am Soc Hypertens Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos