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Headline

NICE to consider evidence supporting BP target of 120mmHg, says expert

Comment

The NNTs are pretty good as one would expect because these patients averaged about 70, and risk of death goes up a lot with age these days. So the 25% reduction in mortality sounds pretty good. The NNT of 61 to stop 1death of any cause over 3.26 years. Or about 200person years of treatment maybe not so good Life expectancy at 70 is about 15years, so take an extra BP tablet a day for 13years and live a year longer on average. As most are going to be on meds anyway it's taking out and swallowing an extra tablet, say 1minute, 6hours a year 100 hours over 13years, round up to a week of taking tablets but live a year longer. Sounds OK to me. Cost of 13years of BP meds maybe £200 if your a cheap skate and listen to the CCG pharmacists, £600 if you use indapamide MR like me. Not as cheap as giving a statin as we have good evidence that they save 8-10times their cost by reducing hospital cost, but still cheap. And I have been to a couple of BHS conferences in the past, sure there is pharm. but they are a great bunch, well worth listening to.

Posted date

23 Mar 2016

Posted time

8:23pm

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