The potential for overdiagnosis and underdiagnosis because of blood pressure variability: a comparison of the 2017 ACC/AHA, 2018 ESC/ESH and 2019 NICE hypertension guidelines.
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Open Access
Type
ArticleAuthor/s
Bell, Katy J.L.Doust, Jenny
McGeechan, Kevin
Horvath, Andrea R
Barratt, Alexandra L
Hayen, Andrew
Semsarian, Christopher
Irwig, Les
Abstract
The objective of this paper was to estimate the extent that BP measurement variability may drive over- and underdiagnosis of ‘hypertension’ when measurements are made according to current guidelines. Using data from the National Health and Nutrition Examination Survey and empirical estimates of within-person variability, authors simulated annual SBP measurement sets for 1 000 000 patients over 5 years. For each measurement set, they used an average of multiple readings, as recommended by guidelines.The objective of this paper was to estimate the extent that BP measurement variability may drive over- and underdiagnosis of ‘hypertension’ when measurements are made according to current guidelines. Using data from the National Health and Nutrition Examination Survey and empirical estimates of within-person variability, authors simulated annual SBP measurement sets for 1 000 000 patients over 5 years. For each measurement set, they used an average of multiple readings, as recommended by guidelines.
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Date
2021Source title
Journal of HypertensionVolume
39Issue
2Publisher
Lippincott, Williams & WilkinsLicence
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0Faculty/School
Faculty of Medicine and Health, Sydney School of Public HealthShare