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International Journal of Hypertension
Volume 2018, Article ID 8524063, 11 pages
Research Article

Doctors’ Knowledge of Hypertension Guidelines Recommendations Reflected in Their Practice

1Faculty of Pharmacy and Health Sciences, University of Balochistan, Balochistan, Pakistan
2Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Malaysia
3Department of Pharmacy, Quaid-e-Azam University, Islamabad, Pakistan
4Department of Pharmacy, The Islamia University, Bahawalpur, Pakistan

Correspondence should be addressed to Nafees Ahmad; moc.liamg@bouseefan

Received 3 November 2017; Revised 8 February 2018; Accepted 12 February 2018; Published 12 March 2018

Academic Editor: Franco Veglio

Copyright © 2018 Nafees Ahmad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To evaluate doctors’ knowledge, attitude, and practices and predictors of adherence to Malaysian hypertension guidelines (CPG 2008). Methods. Twenty-six doctors involved in hypertension management at Penang General Hospital were enrolled in a cross-sectional study. Doctors’ knowledge and attitudes towards guidelines were evaluated through a self-administered questionnaire. Their practices were evaluated by noting their prescriptions written to 520 established hypertensive outpatients (20 prescriptions/doctor). SPSS 17 was used for data analysis. Results. Nineteen doctors (73.07%) had adequate knowledge of guidelines. Specialists and consultants had significantly better knowledge about guidelines’ recommendations. Doctors were positive towards guidelines with mean attitude score of points on a 30-point scale. The median number of guidelines compliant prescriptions was 13 (range 5–20). Statistically significant correlation ( = 0.635, ) was observed between doctors’ knowledge and practice scores. A total of 349 (67.1%) prescriptions written were guidelines compliant. In multivariate analysis hypertension clinic (OR = 0.398, ), left ventricular hypertrophy (OR = 0.091, ) and heart failure (OR = 1.923, ) were significantly associated with guidelines adherence. Conclusion. Doctors’ knowledge of guidelines is reflected in their practice. The gap between guidelines recommendations and practice was seen in the pharmacotherapy of uncomplicated hypertension and hypertension with left ventricular hypertrophy, renal disease, and diabetes mellitus.