Brief lifestyle interventions for hypertension: Opportunity to provide useful information has been missed

doi:10.1136/bmj.329.7457.111-b

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Francesco P Cappuccio, professor of clinical epidemiology and primary care (sghq200@sghms.ac.uk)

Department of Community Health Sciences, St George's Hospital Medical School, London SW17 0RE

EDITOR—Little et al address an important topic in their trial of dietary advice for patients with a single high blood pressure reading in primary care.1 Robust evidence from randomised controlled trials of the effectiveness of nurse led hypertension management in primary care is lacking.2 No mention is made of a possible cluster effect of different practices, neither do the authors clarify whether randomisation was balanced within practices. …