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Prescription of blood pressure lowering and lipid lowering treatment in the UK and New Zealand: a cross sectional study

Safe People

Organisation name

London School of Hygiene and Tropical Medicine

Organisation sector

Academic Institute

Applicant name(s)

Emily Herrett - Chief Investigator - London School of Hygiene & Tropical MedicineElizabeth Williamson - Collaborator - London School of Hygiene & Tropical MedicineHelen Strongman - Collaborator - London School of Hygiene & Tropical MedicineKrishnan Bhaskaran - Collaborator - London School of Hygiene & Tropical MedicineLaurie Tomlinson - Collaborator - London School of Hygiene & Tropical MedicineLiam Smeeth - Collaborator - London School of Hygiene & Tropical MedicineRod Jackson - Collaborator - University of AucklandSue Wells - Collaborator - University of Auckland

Safe Projects

Project ID

CPRD02

Lay summary

The UK has well established guidelines for recommending statins and blood pressure lowering drugs to patients to reduce the risk of heart attacks and strokes. Statins are recommended to patients who are at high risk of heart attacks and strokes. Blood pressure lowering drugs are recommended based on both a patient’s blood pressure and their risk of heart attacks and strokes. GPs use the guideline recommendations, their own judgement, and discussions with the patient to decide on treatment. For example, when considering whether to prescribe blood pressure drugs, GPs will take into account not only the broad national guidelines but also (i) the risk of reducing blood pressure too much, which may lead to dizziness and falls, (ii) the risk of kidney disease, heart failure and stroke if a patient is not treated, and (iii) patient choice. Therefore, there are likely to be differences in the ways that the same patient would be treated across different GPs within the UK.

Technical summary

Background

Latest approval date

10/06/2021

Safe Data

Dataset(s) name

Patient Level Townsend Score

Safe Setting

Access type

Release