Intended for healthcare professionals

Rapid response to:

Research

Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b1665 (Published 19 May 2009) Cite this as: BMJ 2009;338:b1665

Rapid Response:

Artificial and real dichotomies

Malcolm Law states that "Glaser’s division of society into
“hypertensives” and “normotensives” is an artificial dichotomy
...".

http://www.bmj.com/cgi/eletters/338/may19_1/b1665#215796

But, a decision to treat or not treat someone creates a real
dichotomy.

I don't think that there is a fundamental difference between
artificial and real dichotomies. The fundamental difference is
in the decision-making: based on blood pressure or based on
risk.

Competing interests:
None declared

Competing interests: No competing interests

27 June 2009
Michael Power
Guideline developer
NE1 2ES