فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: The principal objective of clinical guidelines is to improve the quality of medicalcare. However, standardized evaluation of the adoption into daily practice is missing. The aim of ourstudy was to investigate the implementation of guideline recommendations on the management ofarterial hypertension (AH) in German general practitioner’s (GPs) offices.METHODS: A questionnaire focusing on the implementation of the German guidelines for themanagement of AH was developed and prospectively rolled out in 3.200 GPs and field‑basedspecialists in internal medicine in Germany. Data were interpreted in an explorative way.RESULTS: Data from 689 German physicians that participated in the survey were analyzed.Effectiveness of lifestyle changes in the management of AH was rated as very high or high in 36.6%.When lifestyle changes only will not normalize blood pressure (BP), medical treatment will be initiatedafter 2–6 months by majority of physicians. Decision for mono‑ or combination therapy was drivenby BP and patient’s risk profile. Choice for a specific antihypertensive substance was based on therecommendations of scientific guidelines in the majority of GPs.CONCLUSIONS: Medication treatment algorithms recommended in 2015 by German guidelinesare well accepted by GPs. Lifestyle changes are voted by only slightly more than one‑third as areasonable tool for the management of AH in the setting of the medical office. This might reflect alack of certified medical education regarding this topic. Our study was not designed to register thetime from publication of guidelines to practical implementation.