How Much Do Hypertension Treatment Guidelines Vary?
the MPR take:
As multiple guidelines for the treatment of hypertension have been recently issued, questions surround the differences in target systolic blood pressure thresholds among the recommendations. The Eighth Joint National Committee (JNC8) defines the systolic target in patients 60–79 years of age at <150mmHg, while the American Society of Hypertension and International Society of Hypertension 2013 recommendations advise <140mmHg as the goal. An analysis in the journal Hypertension utilized data from the 2005–2010 National Health and Nutrition Examination Survey (NHANES) and compared indications for hypertension treatment in both of these guidelines. While approximately 65.7% of adults 60–79 years of age had indications for treatment under both guidelines, only 2.4% had indications under the more restrictive recommendations but not under the JNC8 ones.
Multiple guidelines and statements related to hypertension have recently been published. We found that only 2.4% (95% confidence interval, 1.5-3.2%) of adults aged 60 to 79 years had indications for antihypertensive treatment under the more stringent American Society of Hypertension and International Society of Hypertension 2013 guideline but not under Eighth Joint National Committee.
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