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BACKGROUND Nonadherence to antihypertensive treatment is a common problem in cardiovascular prevention and may influence prognosis. We explored predictors of adherence to antihypertensive treatment and the association of adherence with acute cardiovascular events. METHODS AND RESULTS Using data obtained from 400 Italian primary care physicians providing(More)
OBJECTIVE To evaluate whether an electronic reminder integrated into a routine computer system increases the use of antiplatelet drugs for diabetic patients among Italian general practitioners (GPs). RESEARCH DESIGN AND METHODS A randomized controlled trial was carried out among 300 GPs and their patients selected from the Health Search Database. Among(More)
OBJECTIVE To describe patterns of persistence and related primary care costs associated with first antihypertensive treatment. DESIGN AND SETTING Retrospective cohort study during 2000-2001, using information from 320 Italian general practitioners. PARTICIPANTS We studied 13 303 patients with newly diagnosed hypertension, who received a first single(More)
BACKGROUND Chronic obstructive pulmonary disease (COPD) is associated with many comorbidities, but the percentage of COPD patients who develop comorbidities has not been clearly defined. OBJECTIVES We aimed to examine the relationship between COPD and comorbidities using information obtained from the Health Search Database (HSD) owned by the Italian(More)
BACKGROUND The aim of this study was to describe population and primary care morbidity and to examine how the differences vary across the diseases and are influenced by patients' demographic characteristics. METHODS A comparison of the prevalence of four chronic conditions for 432747 patients from the Health Search Database (HSD) and 119799 individuals(More)
PURPOSE To assess the gender and age-related 5-year incidence rates of osteoporotic fractures, and their related predictors, in a primary care setting. METHODS We obtained information from the Health Search-CSD Longitudinal Patients Database (HSD). This is an Italian General Practice data repository which comprises information given by computer-based(More)
Our purpose was to explore antidepressant drug (AD) prescribing patterns in Italian primary care. Overall, 276 Italian general practitioners (GPs) participated in this prospective study, recruiting patients >18 years who started AD therapy during the enrolment period (January 2007 to June 2008). During visits at baseline and 3, 6, and 12 months, data about(More)
OBJECTIVES To measure persistence with antihypertensive drug therapy in patients initiating treatment with mono or combination therapy. METHODS Data analysis was based on two cohorts of patients, that is, a cohort derived from the registration of drug prescriptions in all residents of the Lombardy region receiving Public Health Service and a cohort of(More)
OBJECTIVE To assess the epidemiology of gout and hyperuricaemia in the Italian general population during the years 2005-2009. METHODS Using the Italian primary care database (Health Search/CSD Longitudinal Patient Database), the prevalence, incidence and recurrence rates of gout and/or hyperuricaemia (serum urate level >360 mmol/l (6 mg/dl)) in(More)
BACKGROUND Chronic kidney disease (CKD) is a strong independent predictor of cardiovascular disease. Although general practitioners (GPs) represent the first line for identification of these high-risk patients, their diagnostic approach to CKD is ill defined. STUDY DESIGN Cross-sectional evaluation of database of Italian GPs. SETTING & PARTICIPANTS(More)