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De-intensify Anti-Hypertensives for Nursing Home Residents? Athanase Benetos and Mike Steinman
A few weeks ago, I was skimming this NEJM paper for UCSF's Division of Geriatrics Journal club on de-prescribing anti-hypertensive medications for older adults in nursing homes. Seemed to make a world of sense. The study found no difference between the deprescribing arm and the usual care arm in mortality, the primary study outcome. I thought, great! So we can deprescribe anti-hypertensives without changing mortality, that must be what the authors concluded.
I was shocked, therefore, to read in the first paragraph of the discussion that the deprescribing arm did not achieve the hypothesized…
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