Table 6Clinical evidence summary: Effects of treatment versus no treatment at diastolic blood pressure thresholds (with and without type 2 diabetes)

OutcomesNo of Participants (studies) Follow upQuality of the evidence (GRADE)Relative effect (95% CI)Anticipated absolute effects
Risk with ControlRisk difference with Treatment versus no treatment (95% CI)
Stroke <80 mmHg

42,599

(1 study)

4 years

VERY LOW1,2

due to indirectness, imprecision

RR 0.74

(0.68 to 0.82)

45 per 1,00012 fewer per 1,000 (from 8 fewer to 15 fewer)
Stroke 80–84 mmHg

37,516

(1 study)

4 years

VERY LOW1,2

due to indirectness, imprecision

RR 0.76

(0.67 to 0.87)

28 per 1,0007 fewer per 1,000 (from 4 fewer to 9 fewer)
Stroke 85–89 mmHg

39,731

(1 study)

4 years

LOW1

due to indirectness

RR 0.68

(0.62 to 0.75)

45 per 1,00014 fewer per 1,000 (from 11 fewer to 17 fewer)
Stroke 90–94 mmHg

38,646

(1 study)

4 years

LOW1

due to indirectness

RR 0.63

(0.56 to 0.71)

33 per 1,00012 fewer per 1,000 (from 9 fewer to 14 fewer)
Stroke >95 mmHg

6,195

(1 study)

4 years

LOW1

due to indirectness

RR 0.51

(0.41 to 0.63)

73 per 1,00036 fewer per 1,000 (from 27 fewer to 43 fewer)
1

Downgraded by 1 or 2 increments due to population or outcome indirectness

2

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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