Baker R S, Potter L S
Ann Ophthalmol. 1984 Oct;16(10):971-4.
We studied the suitability of the eye clinic as a site for hypertension detection with attention to the ophthalmologist's role in the broad context of hypertension control. Sixty of 300 consecutive eye clinic patients were referred to their primary care physician for re-evaluation of an elevated blood pressure recording. Only seven of these were started on therapy or had a change made in their existing regimen by the primary physician. When the benefit to this small percentage is weighed against the potential effects of such a high "false positive" referral rate we cannot support the proposal that the ophthalmologist does more good than harm by measuring the blood pressure of every patient.
我们研究了眼科诊所作为高血压检测场所的适用性，并关注眼科医生在高血压控制这一广泛背景下的作用。在连续就诊的300名眼科诊所患者中，有60人被转介给他们的初级保健医生，以便对血压升高记录进行重新评估。其中只有7人开始接受治疗，或者初级医生对他们现有的治疗方案进行了调整。当将这一小部分人的受益与如此高的“假阳性”转诊率的潜在影响进行权衡时，我们无法支持这样的提议，即眼科医生通过为每位患者测量血压带来的好处多于坏处。
