TY - JOUR T1 - Blood pressure and cholesterol measurements in primary care: cross-sectional analyses in a dynamic cohort JF - BJGP Open JO - BJGP Open DO - 10.3399/BJGPO.2021.0131 SP - BJGPO.2021.0131 AU - Annemarijn de Boer AU - Monika Hollander AU - Ineke van Dis AU - Frank L.J. Visseren AU - Michiel L Bots AU - Ilonca Vaartjes Y1 - 2021/12/03 UR - http://bjgpopen.org/content/early/2021/12/03/BJGPO.2021.0131.abstract N2 - Background Guidelines on cardiovascular risk management (CVRM) recommend blood pressure (BP) and cholesterol measurements every five years in men ≥40 and (post-menopausal) women ≥50 years.Aim Evaluate CVRM guideline implementation.Design & setting Cross-sectional analyses in a dynamic cohort using primary care electronic health record (EHR) data from the Julius General Practitioners’ Network (n=388,929).Method We assessed trends (2008–2018) in the proportion of patients with at least one measurement (BP and cholesterol) every one, two, and five years, in those with a history of (1) cardiovascular disease (CVD) and diabetes, (2) diabetes only, (3) CVD only, (4) cardiovascular risk assessment (CRA) indication based on other medical history, or (5) no CRA indication. We evaluated trends over time using logistic regression mixed model analyses.Results Trends in annual BP and cholesterol measurement increased for patients with a history of CVD from 37.0% to 48.4% (P<0.001) and 25.8% to 40.2% (P<0.001). In the five-year window 2014–2018, BP and cholesterol measurements were performed in respectively 78.5% and 74.1% of all men ≥40 years and 82.2% and 78.5% in all women ≥50 years. Least measured were patients without a CRA indication: men 60.2% and 62.4%; women 55.5% and 59.3%.Conclusion The fairly high frequency of CVRM measurements available in the EHR of patients in primary care suggests an adequate implementation of the CVRM guideline. As nearly all individuals visit the general practitioner once within a five-year time window, improvement of CVRM remains very well possible, especially in those without a CRA indication. ER -