National utilization of antihypertensive medications from 2000 to 2006 in the veterans health administration

Focus on thiazide diuretics

Elaine M. Furmaga, Francesca E. Cunningham, William Cushman, Diane Dong, Rong Jiang, Jan Basile, Lois A. Katz, Gale H. Rutan, Dan R. Berlowitz, Vasilios Papademetriou, Peter A. Glassman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The authors sought to determine the prescribing practices of clinicians treating veterans with hypertension. A descriptive analysis was performed using a national pharmacy database of patients with a diagnosis of hypertension receiving antihypertensive medication in the fiscal years 2000 to 2006. Angiotensin-converting enzyme inhibitors were the most frequently prescribed antihypertensive class, with utilization increasing from 56.0% in fiscal year 2000 to 63.2% of patients in 2006. Utilization of thiazide-type diuretics increased from 31.9% of patients in fiscal year 2000 to 42.0% in 2006. When patient comorbidities were taken into consideration, 48.1% of patients defined as having uncomplicated hypertension had at least one prescription for a thiazide diuretic in fiscal year 2006. Utilization by monotherapy and combination therapy were also evaluated. The trends in utilization allowed for identification of areas in which a change in prescribing practices may improve blood pressure control and health outcomes in the Veterans Health Administration.

Original languageEnglish (US)
Pages (from-to)770-778
Number of pages9
JournalJournal of Clinical Hypertension
Volume10
Issue number10
DOIs
StatePublished - Oct 1 2008

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Veterans Health
Sodium Chloride Symporter Inhibitors
United States Department of Veterans Affairs
Antihypertensive Agents
Hypertension
Veterans
Angiotensin-Converting Enzyme Inhibitors
Prescriptions
Comorbidity
Databases
Blood Pressure
Health

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Cite this

National utilization of antihypertensive medications from 2000 to 2006 in the veterans health administration : Focus on thiazide diuretics. / Furmaga, Elaine M.; Cunningham, Francesca E.; Cushman, William; Dong, Diane; Jiang, Rong; Basile, Jan; Katz, Lois A.; Rutan, Gale H.; Berlowitz, Dan R.; Papademetriou, Vasilios; Glassman, Peter A.

In: Journal of Clinical Hypertension, Vol. 10, No. 10, 01.10.2008, p. 770-778.

Research output: Contribution to journalArticle

Furmaga, EM, Cunningham, FE, Cushman, W, Dong, D, Jiang, R, Basile, J, Katz, LA, Rutan, GH, Berlowitz, DR, Papademetriou, V & Glassman, PA 2008, 'National utilization of antihypertensive medications from 2000 to 2006 in the veterans health administration: Focus on thiazide diuretics', Journal of Clinical Hypertension, vol. 10, no. 10, pp. 770-778. https://doi.org/10.1111/j.1751-7176.2008.00019.x
Furmaga, Elaine M. ; Cunningham, Francesca E. ; Cushman, William ; Dong, Diane ; Jiang, Rong ; Basile, Jan ; Katz, Lois A. ; Rutan, Gale H. ; Berlowitz, Dan R. ; Papademetriou, Vasilios ; Glassman, Peter A. / National utilization of antihypertensive medications from 2000 to 2006 in the veterans health administration : Focus on thiazide diuretics. In: Journal of Clinical Hypertension. 2008 ; Vol. 10, No. 10. pp. 770-778.
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