Why the study?
Does stepped care compared to referred care reduce the decline of renal function and mortality in persons with hypertension?
Does stepped care compared to referred care reduce the decline of renal function and mortality in persons with hypertension?
Aggressive stepped-care treatment of hypertension significantly reduces the decline in renal function compared to referred care, particularly in patients with mild baseline renal impairment.
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Stepped care may preserve renal function in hypertensive patients with mild impairment; extends RCT evidence for intensive BP control in early CKD.
Shulman et al. (1989) studied this question.
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