Key result
Population screening for hypertension does not increase detection compared to usual care, while a comprehensive stepped-care approach achieves the greatest improvements in blood pressure control.
Authors
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Screening adds no detection benefit over usual care; stepped-care gains in control remain hypothesis-generating pending randomized trials.
Systematic Review
Shah Ebrahim (1998) conducted a systematic review in Hypertension. Detection, adherence, and control strategies vs. Usual care or case finding was evaluated on Detection of hypertension, patient adherence, and blood pressure control. Population screening for hypertension does not increase detection compared to usual care, while a comprehensive stepped-care approach achieves the greatest improvements in blood pressure control.