Design and Rationale of the National Observational Multicentric Tunisian Registry of Hypertension: Protocol for Evaluating Hypertensive Patient Care in Clinical Practice
Authors: Abid Leila , Hammami Rania , Abdesselem Salem , Boudiche Selim , Hédi Ben Slima , Sayahi Khaled , Bahloul Amine , Chamtouri Ikram , Charfeddine Salma , Rais Lamia , Drissa Meriem , Ben Kaab Badreddine , Ibn hadj amor Hassen , Ben Fatma Lilia , Garbaa Riadh , Boukhris Sabrine , Emna Allouche , Ben Halima Manel , Amdouni Nesrine , Ghorbel Shayma , Soudani Sabrine , Khaled Imen , Triki Syrine , Bouazizi Feten , Jemai Imen , Abdeljalil Ouday , Ammar Yemna , Farah Amani , Neji Adnen , Oumaya Zeineb , Seghaier Sana , Mokrani Samir , Thawaba Hamza , Sarray Hela , Ouaghlani Khalil , Thabet Houssem , Mnif Zeineb , Fatma Boujelben Masmoudi , Sghaier Mohamed , Khalifa Roueida , Fourati Sami , Kammoun Yassmine , Abid Syrine , Hamza Chiheb , Ben Jeddou Syrine , Sabbah Lassaad , Lakhdhar Rim , Dammak Najla , Sellami Tarak , Herbegue Basma , Koubaa Alia , Triki Faten , Ellouze Tarek , Hmoudi Aicha , Ben Ameur Ikhlas , Boukhchina Mohamed Mongi , Abid Neila , Ouechtati Wejdene , Nasrallah Nizar , Houidi Yousra , Mghaieth Zghal Fathia , Elhem Ghodhbane , Chayeb Mounira , Sarra Chenik , Kaabachi Samira , Saadaoui Nizar , Ben Ameur Ines , Affes Moufida , Ouali Sana , Chaker Mouna , Naana Hela , Meriem Dghim , Jarrar Mourad , Mnif Jihen , Turki Ahmed , Zairi Ihsen , Langar Jamel , Dardouri Safa , Hachaichi Imen , Chettaoui Rafik , Smat Wajih , Chakroun Amel , Mzoughi Khadija , Mechmeche Rachid , Ben Halima Afef , Ben Kahla Koubaa Sahar , Chtourou Slim , Mohamed abdelkader Maalej , Ayari Mohsen , Hadrich Moufid , Rami Tlili , Azaiez Fares , Bouhlel Imen , Sahnoun Samir , Jerbi Habib , Imtinene Ben Mrad , Riahi Leila , Sahnoun Mohamed , Ben Jemaa Abdelhamid , Ben Salem Amal , Rekik Bassem , Ben Doudou Maroua , Boujnah Mohamed Rachid , Joulak Anissa , Omar Abid , Razgallah Rabie , Sami Milouchi , Neffati Elyes , Gamra Habib , Ben Youssef Soraya , Sdiri Wissem , Ben Halima Nejeh , Ben Ameur Youssef , Kachboura Salem , Kraiem Sondes , Fehri Wafa , Zakhama Lilia , Bezdah leila , Mohamed Sami Mourali , Drissa Habiba , Maatouk Mohamed Faouzi , Kammoun Samir , Addad Faouzi 
Published: July 2021

BackgroundThis study was designed to evaluate the care of hypertensive patients in daily clinical practice in public and private centers in all Tunisian regions.ObjectiveThis study will provide us an overview of hypertension (HTN) management in Tunisia and the degree of adherence of practitioners to international recommendations.MethodsThis is a national observational cross-sectional multicenter study that will include patients older than 18 years with HTN for a duration of 4 weeks, managed in the public sector from primary and secondary care centers as well as patients managed in the private sector. Every participating patient signed a consent form. The study will exclude patients undergoing dialysis. The parameters that will be evaluated are demographic and anthropometric data, lifestyle habits, blood pressure levels, lipid profiles, treatment, and adherence to treatment. The data are collected via the web interface in the Dacima Clinical Suite.ResultsThe study began on April 15, 2019 and ended on May 15, 2019. During this period, we included 25,890 patients with HTN. Data collection involved 321 investigators from 24 Tunisian districts. The investigators were doctors working in the private and public sectors.ConclusionsObservational studies are extremely useful in improving the management of HTN in developing countries.Trial RegistrationClinicalTrials.gov NCT04013503; https://clinicaltrials.gov/ct2/show/NCT04013503International Registered Report Identifier (IRRID)DERR1-10.2196/21878