Letters

Comparing hypertension guidelines

BMJ 1996; 313 doi: http://dx.doi.org/10.1136/bmj.313.7066.1203 (Published 09 November 1996) Cite this as: BMJ 1996;313:1203

Guidelines are based on evidence from trials, not normal practice

  1. T J Scanlon,
  2. R Luben,
  3. P Lyle
  1. Senior registrar in public health medicine East Sussex, Brighton and Hove Health Authority, Brighton BN1 4ST
  2. Medical statistician Institute of Public Health, University of Cambridge CB2 2SR
  3. General practitioner Silverdale Road Surgery, Burgess Hill RH15 0EF

    EDITOR,—T P Fahey and T J Peters illustrate well the difficulties that general practitioners face in deciding whether to treat hypertension, given the variation in published guidelines.1 One factor that they do not consider, however, is that the treatment levels set in guidelines are based on evidence from trials rather than measurement in normal practice.

    We examined …

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