HypertensionResearch article
Preferences for Antihypertensive Prescribing in Older Adults
- Discrete choice experiment
- mixed multinomial logit model
- latent class analysis
Authors' conclusion
Clinicians' decisions to intensify antihypertensive treatment in older adults are influenced by age, falls, frailty, perceived benefit, and access to digital monitoring data.
Study context
- Population
- Australian doctors deciding on antihypertensive intensification in hypothetical adults aged ≥65 years with uncontrolled blood pressure (BP)
- Comparison
- Intensive vs standard SBP target
Main finding
Preference for intensive treatment target
Odds ratio
2.70
95% CI 1.84–9.96
Intensive vs Standard
OR 2.70 (95% CI 1.84–9.96)
As reported in the abstract
OR
- Age 80
- 0.05 (95% CI 0.03-0.07)
- Recent falls
- 0.22 (95% CI 0.16-0.29)
- Moderate frailty
- 0.24 (95% CI 0.12-0.46)
- Digital health availability
- 1.50 (95% CI 1.05-2.15)
Further findings
Latent class analysis
- Risk tolerant, digitally engaged: preferred intensive treatment, responsive to digital data
- 64%
- Risk-averse: no overall preference, unaffected by digital information
- 36%
Original publication
Preferences for Antihypertensive Prescribing in Older Adults. J Am Coll Cardiol. Published 4 March 2026. doi:10.1016/j.jacc.2026.01.044
Summarised from the published abstract; every number is checked against it