Longing for clinical excellence: a critical outlook into the NICE recommendations on hypertension management--is nice always good?

Abstract:

:The European Society of Hypertension and the European Society of Cardiology have started the preparation of the third edition of their joint guidelines on the management of arterial hypertension. The authors have focused on the new edition of the UK NICE guidelines to learn about the difficulties of disentangling evidence from wisdom when preparing recommendations. The two areas where the NICE guidelines have changed more importantly are the use of ambulatory blood pressure in the diagnosis of hypertension and the choices of antihypertensive agents to initiate treatment (less frequent use of diuretics and preference given to chlorthalidone and indapamide). NICE recommendations on these topics appear more based on opinion than evidence. Strenuous longing for evidence and clinical excellence is certainly meritorious, but such a nice approach is not always good.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Zanchetti A,Mancia G

doi

10.1097/HJH.0b013e328351b4e4

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

660-8

issue

4

eissn

0263-6352

issn

1473-5598

journal_volume

30

pub_type

社论
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