Semipersonalized psychological evaluation of quality of life in hypertensive patients during a trial with two calcium antagonists: a multicenter Latin-American Study (LASTLHY)
M. Velasco et al., Semipersonalized psychological evaluation of quality of life in hypertensive patients during a trial with two calcium antagonists: a multicenter Latin-American Study (LASTLHY), INT J CL PH, 39(8), 2001, pp. 325-330
Citations number
13
Categorie Soggetti
Pharmacology & Toxicology
Journal title
INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND THERAPEUTICS
Objective:. The main objective of this study was to evaluate well-being and
physical activity of 248 hypertensive patients, including 177 females, who
had previously been included in the Latin-American Study on Lacidipine in
Hypertension (LASTLHY). Subjects, materials and methods: This open study wa
s carried out in 12 clinical centers in Argentina, Brazil, Colombia, Mexico
and Venezuela, to compare, over a period of 16 weeks, the antihypertensive
action of a fixed-dose, once daily of 4 mg lacidipine administered orally
to 120 patients and 30 mg nifedipine GITS (Gastro-Intestinal Therapeutic Sy
stem) administered to 128 patients, aged between 40 and 65 years. All patie
nts had mild to moderate hypertension and treatment was begun at the end of
a one-week placebo run-in period (end of week -1). Well-being and physical
activity were assessed by means of single questionnaire, which reflected t
he physical and cultural diversities amongst the clinical centers and patie
nts. The questionnaire included 13 multiple-choice and 8 contingent open qu
estions. The score of each question was multiplied by a coefficient related
to the importance of each question to the patient (semipersonalization); t
he coefficient was obtained from cultural and socioeconomic data collected
at the time of enrollment. The semipersonalization was carried out by a bli
nd psychological study with respect to the medication and had a high repeat
ability in the assignment of personalized coefficients to the score of each
question. The scores of each question were added to obtain an overall well
-being and activity scoring. The possible theoretical range for the overall
scoring in this study was 10 - 124. Results: See Table 1. Conclusion: The
study revealed that the administration of calcium channel blockers such as
lacidipine and nifedipine GITS, and lacidipine in particular, produced low
incidence of side effects, and lacidipine in particular induced significant
improvement in the quality of life.