2010 Hong Kong Reference Framework for Hypertension Care for ...

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Key To Evidence Statements And Grades Of RecommendationsGrades of RecommendationA At least one meta-analysis, systematic review, or RCT rated as 1++,and directly applicable to the target population; orA systematic review of RCTs or a body of evidence consistingprincipally of studies rated as 1+, directly applicable to the targetpopulation, and demonstrating overall consistency of resultsBCA body of evidence including studies rated as 2++, directly applicableto the target population, and demonstrating overall consistency ofresults; orExtrapolated evidence from studies rated as 1++ or 1+A body of evidence including studies rated as 2+, directly applicableto the target population and demonstrating overall consistency ofresults; orExtrapolated evidence from studies rated as 2++DEvidence level 3 or 4; orExtrapolated evidence from studies rated as 2+ivHK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Statement Of IntentThe framework is constructed from global evidence of best practice. As with allguidance it aims to support decision making, recognising that all patients areunique and have their own needs. The Task Force endeavours to provide accurateand up-to-date information. The frameworks provide support for decision makingand as such are not mandatory. They should not be construed as within any legalframework, rather as guidance for professional practice. Standards of care forindividual patients are determined on the basis of all the facts and circumstancesinvolved in a particular case. They are subject to change as scientific knowledgeand technology advances and patterns of care evolve. Management of diseasesmust be made by the appropriate primary care practitioners responsible forclinical decisions regarding a particular treatment procedure or care plan. Theresponsible primary care practitioners should only arrive at a particular treatmentprocedure or care plan following discussion with the patient on the diagnostic andtreatment choices available.HK Reference Framework for Hypertension Care for Adults in Primary Care Settingsv
Page 2: ContentPreface.....................
Page 8 and 9: Chapter 1.EpidemiologyHypertension
Page 12 and 13: Chapter 6.Component 1: Prevention O
Page 14 and 15: Chapter 7.Component 2: Early Identi
Page 16 and 17: Chapter 8.Component 3: Clinical Car
Page 26 and 27: Chapter 9.Component 4: Patient Empo
Page 28 and 29: Appendix 1. Smoking Cessation Servi
Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
Page 40 and 41: Module 1 Framework for Population A
Page 42 and 43: Module 1Framework for Population Ap
Page 44 and 45: Module 2Blood Pressure Measurement2
Page 46 and 47: Module 2Blood Pressure Measurement4
Page 48 and 49: Module 3 Secondary Hypertension 1,2
Page 50 and 51: Module 4Evaluation for All Newly Di
Page 52 and 53: Module 4Evaluation for All Newly Di
Page 54 and 55: Module 5Dietary InterventionFood Gr
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Module 5Dietary InterventionMeals a
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Module 5Dietary InterventionReferen
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Module 6Exercise Recommendations to
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Module 7Drug Treatment for People w
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Module 8Annual AssessmentLaboratory
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