# Bloeddrukcontrole bij hypertensie in Portugese huisartsenpraktijk aanzienlijk verbeterd

*geplaatst 2026-10-12 · Hypertensie · Blood pressure · doi 10.1080/08037051.2026.2729494 · https://hartvaat.nl/2026/12/01/bloeddrukcontrole-bij-hypertensie-in-portugese-huisartsenpraktijk-aanzienlijk-ve/*

Een retrospectief ecologisch onderzoek analyseerde landelijke indicatoren voor hypertensiezorg in de Portugese huisartsenpraktijk (2021-2025). Het aandeel volwassenen (18-64 jaar) met een gecontroleerde bloeddruk (<140/90 mmHg) steeg van 29,3% naar 65,0%, hoewel er regionale verschillen bleven bestaan in monitorings- en behandelindicatoren. Deze verbeteringen tonen aan dat gestructureerde kwaliteitsmonitoring in de eerste lijn effectief kan zijn, maar de bevindingen benadrukken ook de noodzaak van meer outcomegerichte systemen om klinisch relevante uitkomsten beter vast te leggen.

## English: Hypertension epidemiology and primary care indicators in Portugal: a contemporary nationwide analysis.

A retrospective ecological analysis of Portuguese primary care data (2021–2025) evaluated national trends in hypertension epidemiology and management indicators. Blood pressure control rates (<140/90 mmHg) in adults aged 18–64 rose from 29.3% to 65.0%, though significant regional disparities persisted in monitoring and prescribing practices. While structured quality indicators can drive improvements in primary care hypertension management, the findings highlight the need for more outcome-focused surveillance systems to better capture clinically meaningful results.

## Abstract (original, from the publication)

BACKGROUND: Hypertension remains a leading contributor to cardiovascular mortality worldwide. However, integrated surveillance frameworks linking epidemiological burden, healthcare performance, and clinical outcomes remain limited. This study aimed to characterise hypertension epidemiology and management in Portuguese primary health care using real-world evidence from publicly-available indicators. METHODS: A retrospective ecological (aggregated group-level) study was conducted, using the five Portuguese mainland administrative health regions and the country as the units of analysis, with data obtained from Portuguese primary health care information systems from 2021-2025. Temporal and regional trends in hypertension prevalence and incidence, blood pressure (BP) monitoring and control, cardiovascular risk assessment, therapeutic review, prescribing patterns, and composite management indicators were assessed. A multidisciplinary expert panel provided structured clinical appraisal of indicator relevance and interpretability. RESULTS: Hypertension prevalence and incidence increased nationally, with regional heterogeneity. The Norte region showed higher performance across monitoring and control indicators, whereas Algarve and Alentejo exhibited generally poorer results. BP monitoring and control improved across all regions, with the proportion of hypertensive adults aged 18-64 years, with BP <140/90 mmHg increasing from 29.3% in 2021 to 65.0% in 2025. Composite management indicators improved, but the degree of improvement varied between different index versions. Medication costs generally increased up to 2024 but decreased afterwards, while prescription indicators remained stable. CONCLUSION: Hypertension management indicators in Portuguese primary care improved substantially between 2021 and 2025; however, regional disparities and methodological limitations remain. Current monitoring frameworks provide valuable real-world insights but incompletely capture clinically meaningful outcomes, supporting the need for more outcome-directed systems.

Auteurs: Rosa de Pinho, Luís Nogueira-Silva, José Lima Nogueira, Francisca Abecasis, Vasco Varela, Cláudia de Oliveira Pinho, Ana Catarina Gomes, Catarina Venda Grilo, Daniel Ramos, Daniela Mariana Zagalo, Filipa Bernardo, Guilherme Pessoa-Amorim, João Couceiro, Marisa Pardal, Rita Canhoto, Rudolfo Francisco, Patrícia Branco, Fernando Pinto, Fernando Martos Gonçalves, Heloísa Ribeiro

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Bron: Blood pressure, https://doi.org/10.1080/08037051.2026.2729494. Bijgewerkt 2026-10-06T00:46:34Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.