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Epidemiological studies on the management of hypertension three studies involving king's college hospital hypertension clinic the bupa medical center and a general practice in london england uk


, : Epidemiological studies on the management of hypertension three studies involving king's college hospital hypertension clinic the bupa medical center and a general practice in london england uk. Journal of Tokyo Medical College 44(5): 790-802

This study investigatged three different populations.sbd.the BUPA Medical Centre, a Hospital Hypertension Clinic and a General Practice (gp).sbd.to assess the overall picture of the management of hypertension. The Bupa study and the gp study involved mainly mild and moderate hypertensives while the hospital study largely comprised severe hypertensives. The Medical Research Council mild hypertension trial (1985) concluded that drug-induced side effects in a majority may outweigh benefits from reducing strokes in a minority and therefore, that treatment of mild hypertension is not generally warranted. Both the Bupa and the gp studies were consistent with the MRC recommendations. In terms of severe hypertensives, the general consensus on management is treatment by antihypertensive drugs. This policy was followed in the hospital population. In respect of management of mild hypertension only close observation and advice would be more important roles for doctors rather than prescribing drugs immediately. In order toi unify the management of hypertension, a hypertension disease register should be established on a district basis. Applying results of the UK to Japan, with its higher incidence of strokes, there could be greater potential value in treating mild hypertensives. And in Japan, especially, a further intervention trial to clarify the benefits and risks are called for.

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