🚨New #Hypertension Paper in @JAMAInternalMed 🚨

Time for a Thread...

Link: jamanetwork.com/journals/jamai… The topic of managing chronic conditions & chronic medications in the hospital is a long-term interest of our group (prescribingwiselylab.org)

Why?

🚨New in @JAMANetworkOpen🚨

We examined clinical outcomes of intensifying hospitalized older adults' #diabetes medications at discharge...

🧓+💉+💊+ 🏥--->🏡

Link: ja.ma/3DYuVnI

This will be a thread... For those who just want the punchline:

🔥Hot Take🔥

Are we approaching blood pressure measurement wrong in primary care?

Maybe we need to check BP less often?

Here is my pitch...

A #hypertension thread that might raise your BP Central thesis

Measurement overload contributes to clinician inertia AND patient skepticism about elevated BP diagnosis.

What if we reoriented BP measurement to be a high-quality ANNUAL screening instead of a poor-quality measure done at every single office visit?

1/4 Brief reading break from COVID tweets?

Happy to share new #HTN work in @JAMAInternalMed​ examining the representativeness of trials underlying 2017 BP guidelines

Takeaway:<1/3 of adults rec'd additional BP meds by guidelines meet trial eligibility

ja.ma/38R5tk5 2/4 Trials most representative of adults 50-69.

Younger adults not included in trials due to low CV risk - benefit of early intensive BP treatment remains unknown

Older adults often excluded due to comorbidities, limited life expectancy, & impaired cognition.