A Japan nationwide web-based survey of patient preference for renal denervation for hypertension treatment

• Published in: Hypertension research 2022-02, Vol.45 (2), p.232-240
• Main Authors: Kario, Kazuomi, Kagitani, Hideaki, Hayashi, Shoko, Hanamura, Satsuki, Ozawa, Keisuke, Kanegae, Hiroshi
• Format: Article
• Language: English
• Subjects: Ablation; Aged; Antihypertensive Agents - pharmacology; Antihypertensive Agents - therapeutic use; Antihypertensives; Blood Pressure; Blood Pressure Monitoring, Ambulatory; Denervation; Diuretics; Drug therapy; Female; Humans; Hypertension; Hypertension - drug therapy; Hypertension - surgery; Internet; Japan; Kidney; Kidneys; Male; Medication Adherence; Middle Aged; Patient Preference; Patients; Sympathectomy; Treatment Outcome
• ISSN: 0916-9636; 1348-4214; 1348-4214
• DOI: 10.1038/s41440-021-00760-9

Renal denervation is a potential alternative to antihypertensive drug therapy. However, data on patient preference for this treatment option are limited and there are no data specifically from Asian patients. This study evaluated patient preference for renal denervation in patients with hypertension from Japan. Patients were a subset of those who participated in a March 2020 online electronic survey of patients with hypertension who had regularly visited medical institutions for treatment, were receiving antihypertensive drug therapy and had home blood pressure recordings available. The survey included a question about patient preference for treatment with renal denervation. A total of 2,392 patients were included (66% male, mean age 59.8 ± 11.6 years, mean duration of hypertension 11.4 ± 9.5 years). Preference for renal denervation was expressed by 755 patients (31.6%), and was higher in males than in females, in younger compared with older patients, in those with higher versus lower blood pressure, in patients who were less adherent versus more adherent to antihypertensive drug therapy, and in those who did rather than did not have antihypertensive drug-related side effects. Significant predictors of preference for renal denervation on logistic regression analysis were younger patient age, male sex, higher home or office systolic blood pressure, poor antihypertensive drug adherence, the presence of heart failure, and the presence of side effects during treatment with antihypertensive drugs. Overall, a relevant proportion of Japanese patients with hypertension expressed a preference for renal denervation. This should be taken into account when making shared decisions about antihypertensive drug therapy.