Cost-Effectiveness of Antihypertensive Deprescribing in Primary Care: a Markov Modelling Study Using Data From the OPTiMISE Trial.
Susan JowettShahela KodabuckusGary A FordFrederick David Richard HobbsMark LownJonathan MantRupert A PayneRichard J McManusJames Peter Sheppardnull nullPublished in: Hypertension (Dallas, Tex. : 1979) (2022)
Although there was uncertainty around many of the assumptions underpinning this model, these findings suggest that antihypertensive medication reduction should not be attempted in many older patients with controlled systolic blood pressure. For populations at high risk of adverse effects, deprescribing may be beneficial, but a targeted approach would be required in routine practice.
Keyphrases
- blood pressure
- primary care
- hypertensive patients
- healthcare
- heart rate
- study protocol
- electronic health record
- phase iii
- clinical trial
- phase ii
- physical activity
- clinical practice
- general practice
- community dwelling
- cancer therapy
- big data
- middle aged
- adverse drug
- blood glucose
- heart failure
- open label
- emergency department
- randomized controlled trial
- type diabetes
- metabolic syndrome
- artificial intelligence
- glycemic control