Lawrence S. Phillips, MD; Jennifer G. Twombly, MD, PhD
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Lawrence S. Phillips, MD, Division of Endocrinology, Emory University, 101 Woodruff Circle, WMRB Room 1027, Atlanta, GA 30322; e-mail, email@example.com.
Current Author Addresses: Dr. Phillips: Division of Endocrinology, Emory University, 101 Woodruff Circle, WMRB Room 1027, Atlanta, GA 30322.
Dr. Twombly: Division of Endocrinology, Emory University, 101, Woodruff Circle, Room 1301, Atlanta, GA 30322.
Phillips LS, Twombly JG. It's Time to Overcome Clinical Inertia. Ann Intern Med. 2008;148:783-785. doi: 10.7326/0003-4819-148-10-200805200-00011
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Published: Ann Intern Med. 2008;148(10):783-785.
Hypertension is the most important health problem that clinicians don't manage well. Blood pressure control is particularly important for patients with diabetes (1), but providers may be less likely to intensify therapy for hypertension than for hyperglycemia (2), and antihypertensive therapy in patients with diabetes is sometimes less intensive than in patients without diabetes (3)—the opposite of what it should be. In many patients, blood pressure levels remain above goal because providers do not initiate or intensify therapy when clinically indicated. We have characterized this problem as “clinical inertia” (4).
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Cardiology, Nephrology, Hypertension, Coronary Risk Factors.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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