Cochrane · systematic review · CD000028

Pharmacotherapy for hypertension in adults 60 years or older

Musini, VM, Tejani, AM, Bassett, K, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Hypertension2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 20%Moderate 3 · 60%High 1 · 20%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Antihypertensive drug compared to placebo or no treatment in adults 60 years or older

Population: adults 60 years or older with primary hypertension
5 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortality Mean duration of 3.8 years
Antihypertensive drug vs placebo or no treatment
RR 0.91 [0.85, 0.97]13 studies · 25932 participantsHigh
Cardiovascular mortality and morbidity Mean duration of 3.7 years
Antihypertensive drug vs placebo or no treatment
RR 0.72 [0.68, 0.77]15 studies · 26747 participantsModerate
Downgraded: risk of bias
Cerebrovascular mortality and morbidity Mean duration of 3.7 years
Antihypertensive drug vs placebo or no treatment
RR 0.66 [0.59, 0.74]13 studies · 26042 participantsModerate
Downgraded: risk of bias
Coronary heart disease mortality and morbidity Mean duration of 2.9 years
Antihypertensive drug vs placebo or no treatment
RR 0.78 [0.69, 0.88]11 studies · 24559 participantsModerate
Downgraded: risk of bias
Withdrawals due to adverse effects Mean duration of 4.6 years
Antihypertensive drug vs placebo or no treatment
RR 2.91 [2.56, 3.3]4 studies · 11310 participantsLow
Downgraded: risk of bias, inconsistency