RT Journal
A1 Kerr EA, Hofer TP
T1 IS hypertension overtreatment a silent epidemic?—reply
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD December 10
VO 172
IS 22
SP 1769
OP 1770
DO 10.1001/2013.jamainternmed.317
UL http://dx.doi.org/10.1001/2013.jamainternmed.317
AB 
We appreciate Dr Rosansky's comments and observations regarding the potential harms related to overtreatment of hypertension. We agree that guidelines should address not only when to treat blood pressure aggressively, but also when to deintensify treatment. We also agree that examining longitudinal outcomes related to potential blood pressure overtreatment would be an important contribution to the literature and to clinical care. Although we will be proposing to conduct such an analysis, we also recognize that it will require advanced statistical methods to adjust for confounding because patients who are overtreated likely differ in important ways from those who are not.