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Treatment Intensification Does Not Always Lead to Better Quality of Care in Patients with Hypertension
- Jose M. Valderas, MD, PhD, MPH
- From National School of Primary Care Research, University of Manchester, Manchester M13 9PL, United Kingdom.
TO THE EDITOR:
In their recent study, Turner and colleagues (1) conclude that patients with more unrelated comorbid conditions were less likely to have their hypertension addressed. Two relevant limitations of the study make it necessary to handle this statement with caution.
First, Turner and colleagues equate intensification with “better quality of care” and nonintensification with “poor performance.” They do not acknowledge that increased blood pressure may be caused by reasons other than nonresponse to medical treatment, in which case …
