美国家庭医生协会AAFP不认可ACC/AHA新版高血压指南

来源: 2017-12-23 08:57:59 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (2018 bytes)

美国家庭医生协会,American Academy of Family Physicians (AAFP),认为ACC/AHA新版高血压指南所推荐的新低诊治标准依据不足。

摘录:
There were a number of reasons the AAFP decided to not endorse the AHA/ACC guideline, including that the bulk of the guideline wasn't based on a systematic evidence review.

Although the AHA/ACC guideline's recommendation statements were graded according to strength of evidence, assessments of the quality of individual studies or systematic reviews weren't provided.

For example, the new guideline offered a strong recommendation for using the unvalidated atherosclerotic cardiovascular disease risk assessment tool previously developed by AHA and ACC to determine whether medications should be initiated for BP control. However, this recommendation wasn't based on evidence that using the tool in this way improves outcomes.

Finally, the AAFP's CHPS voiced concerns related to the use of the SPRINT trial in the AHA/ACC guideline. First, the guideline gave the SPRINT trial considerable weight while minimizing results from other trials.

"The SPRINT trial was an important trial, but needs to be considered in the context of the totality of the evidence," the CHPS said.

Additionally, the commission said conflict of interest is a major concern in judging the trustworthiness of guidelines and plays a key role in the AAFP's assessment of guidelines.

链接:

AAFP Decides to Not Endorse AHA/ACC Hypertension Guideline
Academy Continues to Endorse JNC8 Guideline

一位家庭医生Kenneth W. Lin, MD, MPH的看法:
New Hypertension Guideline: A Case of Guideline Creep?
 

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