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Benefits and harms of treating blood pressure in older adults : a systematic review and meta-analysis / prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, Washington, DC 20420 ; prepared by Evidence-based Synthesis Program (ESP), Portland VA Health Care System, Portland, OR, Devan Kansagara ; investigators, Jessica Weiss, Devan Kansagara ; coinvestigators, Amy Kerfoot, Michele Freeman, Makalapua Motu'apuaka, Rochelle Fu, Allison Low, Robin Paynter, Karli Kondo.
- Format:
- Book
- Government document
- Author/Creator:
- Weiss, Jessica, MD, author.
- Kansagara, Devan, author.
- Kerfoot, Amy, author.
- Series:
- Evidence-based synthesis program (Series)
- Evidence-based synthesis program
- Language:
- English
- Subjects (All):
- Hypertension--Treatment--United States.
- Hypertension.
- Hypertension in old age--United States.
- Hypertension in old age.
- Veterans--Medical care--United States.
- Veterans.
- Risk assessment.
- Older people.
- Middle age.
- Hypertension--prevention & control.
- Blood Pressure--drug effects.
- Antihypertensive Agents--therapeutic use.
- Veterans Health.
- Risk Assessment.
- Aged.
- Middle Aged.
- United States.
- risk assessment.
- veterans.
- elderly.
- middle age (life stage).
- Hypertension--Treatment.
- Veterans--Medical care.
- Medical Subjects:
- Hypertension--prevention & control.
- Blood Pressure--drug effects.
- Antihypertensive Agents--therapeutic use.
- Veterans Health.
- Risk Assessment.
- Veterans.
- Aged.
- Middle Aged.
- United States.
- Physical Description:
- 1 online resource (iv, 101 pages) : illustrations.
- Other Title:
- At head of title: QUERI
- Place of Publication:
- Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, April 2016.
- Summary:
- Hypertension is a very common chronic illness in the United States and among Veterans. Use of antihypertensive medications can lower the risk of cardiovascular disease, cerebrovascular disease, renal disease, and death. The most beneficial blood pressure targets for patients of specific age groups, however, has been a topic of some debate and controversy, stemming from concerns that the ratio of benefit to harm of a given blood pressure level may vary with age. In 2014, the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (previously JNC-FG8, referred to in this report as JNC-BP) published new guidelines for the treatment of hypertension, as well as a new treatment goal for older individuals (over age 60) for systolic blood pressure (SBP) of < 150 mm Hg rather than < 140 mm Hg. The new goal for those over 60 years of age has been very controversial; the issue of the appropriate (safest and most beneficial) goal for older people has been debated among experts with viewpoints supporting both higher and lower treatment goals. The objectives of this review are to examine the benefits and harms of differing blood pressure targets among adults over age 60.
- Notes:
- "April 2016."
- Includes bibliographical references (pages 69-74).
- Description based on online resource; title from PDF cover (VA, viewed February 19, 2021).
- OCLC:
- 974976311
- Access Restriction:
- Access restricted to subscribing institutions.
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