WIHI - A Podcast from the Institute for Healthcare Improvement
WIHI: How High? How Low? Shared Decision Making Amidst Shifting (Hypertension) Guidelines
- Author: Podcast
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- Duration: 1:00:18
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Synopsis
Produced in collaboration with the Journal of the American Medical Association (JAMA) Date: March 13, 2014 Featuring: Craig W. Robbins, MD, MPH, Medical Director, Center for Clinical Information Services, Kaiser Permanente Care Management Institute Don Goldmann, MD, Chief Medical and Scientific Officer, Institute for Healthcare Improvement Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, Medstar Health Eric Peterson, MD, MPH, Director, Duke Clinical Research Institute; Professor of Medicine, Division of Cardiology, Duke University Medical Center Hypertension is a hot issue, especially in the US, where an expert committee recently recommended that the available evidence does not support initiating treatment (largely medication) for people 60 years or older until their blood pressure climbs to 150 over 90. The decades-long consensus had been to initiate treatment at 140 over 90, which is still the recommendation for adults younger than 60. The reasons for this change are p