Research Article

Hierarchical Modeling of Patient and Physician Determinants of Blood Pressure Outcomes in Hypertensive Patients with and without Diabetes: Pooled Analysis of Six Observational Valsartan Studies with 15,282 Evaluable Patients

Table 6

Summary of determinants retained in hierarchical linear and logistic regression modeling (any occurrence of determinant).

DiabeticNondiabetic
BP valuesBP controlBP valuesBP control
SBPDBPSBPDBPSBP/DBPSBPDBPSBPDBPSBP/DBP

Patient determinants
Demographics
 Age, per 1 year++++
Blood pressure
 SBP at diagnosis of HTN, per 1 mm Hg
 DBP at diagnosis of HTN, per 1 mm Hg
Risk factors
 Renal impairment+
 Cardiovascular disease (MI & coronary)++++++
 Body mass index, per 1 kg/m2
 Total cholesterol, per 1 mg/dL
Valsartan dose (0/80/160 mg)
HCTZ dose (0/12.5/25 mg)
Adherence++++++++
Concomitant antihypertensive treatment
β-Blocker
Studies
 PREVIEW
 IMPROVE+++
 INSIST++++
Physician determinants
Year in practice, per 1 year
Duration of visit of newly diagnosed HTN patients+
HTN patients in past year (per 1 patient)+++
Male gender

BP: blood pressure; DBP: diastolic blood pressure; SBP: systolic blood pressure; HCTZ: hydrochlorothiazide; HTN: hypertension. Negative impact is denoted by a minus (−) sign: increases BP levels and decreases odds of BP control. Positive impact is denoted by a plus (+) sign: decreases BP levels and increases odds of BP control.