Showing papers by "Pierre Larochelle published in 2010"
University of Western Ontario1, University of British Columbia2, University of Calgary3, Ottawa Hospital Research Institute4, University of Alberta5, Canadian Stroke Network6, Jewish General Hospital7, University of Ottawa8, Université de Montréal9, Laval University10, University Health Network11, Queen Elizabeth II Health Sciences Centre12, McGill University13, Concordia University14, Lawson Health Research Institute15, Université de Sherbrooke16, University of Saskatchewan17, Hôpital Maisonneuve-Rosemont18, University of Toronto19, St. Michael's Hospital20, Toronto Western Hospital21, University of Manitoba22, Sunnybrook Health Sciences Centre23
TL;DR: The evidence-based recommendations for the prevention and treatment of hypertension in adults for 2010 are updated and treatment thresholds and targets should be predicated on the patient's global atherosclerotic risk, target organ damage and comorbid conditions.
395 citations
TL;DR: Targeting incident users where adverse treatment effects are more common and combining adherence tracking and alert tools with motivational interventions provided by multidisciplinary primary care teams may improve the effectiveness of the intervention.
Abstract: Background. Adherence with antihypertensive and lipid-lowering therapy is poor, resulting in an almost 2-fold increase in hospitalization. Treatment side effects, cost, and complexity are common reasons for nonadherence, and physicians are often unaware of these potentially modifiable problems. Objective. To determine if a cardiovascular medication tracking and nonadherence alert system, incorporated into a computerized health record system, would increase drug profile review by primary care physicians, increase the likelihood of therapy change, and improve adherence with antihypertensive and lipid-lowering drugs. Methods. There were 2293 primary care patients prescribed lipid-lowering or antihypertensive drugs who were randomized to the adherence tracking and alert system or active medication list alone to determine if the intervention increased drug profile review, changes in cardiovascular drug treatment, and refill adherence in the first 6 months. An intention to treat analysis was conducted using gen...
45 citations