Table 22Clinical evidence profile: Treatment versus no treatment at systolic blood pressure thresholds (type 2 diabetes)

Quality assessmentNo of patientsEffectQualityImportance
No of studiesDesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsTreatmentNo treatment (diabetes)Relative (95% CI)Absolute
All-cause mortality - 140–159mmHg (follow-up mean 4.4 years)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessserious1none

230/3355

(6.9%)

268/2979

(9%)

RR 0.76 (0.64 to 0.9)22 fewer per 1000 (from 9 fewer to 32 fewer)

⨁⨁⨁◯

MODERATE

CRITICAL
Stroke - 140–159mmHg (follow-up mean 4.4 years)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessserious1none

230/3052

(7.5%)

267/2845

(9.4%)

RR 0.8 (0.68 to 0.95)19 fewer per 1000 (from 5 fewer to 30 fewer)

⨁⨁⨁◯

MODERATE

CRITICAL
Heart failure - 140–159mmHg (follow-up mean 4.4 years)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessserious1none

62/2872

(2.2%)

76/2757

(2.8%)

RR 0.78 (0.56 to 1.09)6 fewer per 1000 (from 12 fewer to 2 more)

⨁⨁⨁◯

MODERATE

CRITICAL
1

Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs.

From: Evidence review for initiating treatment

Cover of Evidence review for initiating treatment
Evidence review for initiating treatment: Hypertension in adults: diagnosis and management: Evidence review C.
NICE Guideline, No. 136.
National Guideline Centre (UK).
Copyright © NICE 2019.

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