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As threshold goals are lowered, an increasing proportion of patients require additional treatment to reach the more stringent threshold goals.
While low blood pressure or A1C levels may benefit some subsets of patients, incorporating low threshold goals in accountability measures is problematic (36).
Setting high threshold goals (such as A1C <9%, or systolic blood pressure [sBP] <160 mmHg) reduces poor quality care and can be appropriately applied to all patients eligible for the measure.
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The SOBDA weekly scores had an internal consistency reliability of Cronbach's α value of 0.89, which surpassed the established threshold goal of >0.7.
7 SOBDA also had good test retest reliability (ICC=0.94), exceeding the threshold goal of >0.60, in patients reporting no change in their breathlessness as measured by the PGAC.
Pearson's correlation and intra-class correlation coefficients (ICC; the threshold goal of >0.60 [ 23]) were calculated and a t-test used for the comparison of SOBDA baseline score and SOBDA week before Day 28 score.
This report takes a rigorous, evidence-based approach to recommend treatment thresholds, goals, and medications in the management of hypertension in adults.
The gap from 0%to50%0% can serve as a powerful incentive to meet, at a minimum, threshold performance goals.
The ultimate objective is to establish a reasonable margin to account for the difference between known risks and actual risks in attempting to validate compliance with a probabilistic safety threshold or goal.
Probabilistic safety requirements currently formulated or proposed for space systems, nuclear reactor systems, nuclear weapon systems, and other types of systems that have a low-probability potential for high-consequence accidents depend on showing that the probability of such accidents is below a specified safety threshold or goal.
The same thresholds and goals are recommended for hypertensive adults with diabetes or nondiabetic chronic kidney disease (CKD) as for the general hypertensive population younger than 60 years.
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