Hypertension Guidelines Changing: Evidence, not Extrapolation

In short order, physicians’ marching orders are moving away from numeric targets that were essentially hopeful extrapolations. “If lowering blood sugar a little improves outcomes a little, it must be that lowering it a lot is even better”, was the sort of conclusion that resulted in the arms race of chronic disease management in primary care.

New guidelines on hypertension are getting back to what the studies actually proved, and the numeric targets are loosening up. Now we can finally practice more EVIDENCE BASED medicine.

An obvious question will be: Now that we have guidelines that better match the evidence, when will physicians’ report cards start reflecting this? A lot of the numeric targets are hardwired into EMRs and quality assurance programs, not to mention physician compensation formulas.

http://jama.jamanetwork.com/article.aspx?articleid=1791422

One Comment to “Hypertension Guidelines Changing: Evidence, not Extrapolation”

  1. “A lot of the numeric targets are hardwired into EMRs and quality assurance programs, not to mention physician compensation formulas.”

    And thereby the Art part of Healing (a sacred trust) becomes an accounting of numbers of potentially bad healthcare, driving the true clinical artists out of conventional medicine or worse, out of healing altogether. Do we as a society really want that? MDs turned into overburdened accountants? I sure don’t! Neither should MDs or the rest of society, because that drives even more of the true healers to my tribe, the alternative practitioners. I would love it if some more of the artists of healing would grace and expand my tribe. But overall, I think it’s a loss, because as much as I love all authentic alternative healing methods and modalities, to lose the life-saving and diagnostic power of allopathic conventional medicine in the hands of true healers would be a grave loss indeed.

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