Table 3

Benefit-harm balance of different systolic blood pressures: probability that the lower target is better

DiabetesCKDCHFAge
50–64
Age
65–74
Age
75–84
120 vs 140 mm Hg, SPRINTProbability that lower target is better in men without stroke & without diabetes
NoNoNo0.961.001.00
NoNoYes0.720.910.96
NoStage 3ANo0.961.001.00
NoStage 3BNo0.530.920.99
NoStage 4No0.480.800.97
NoStage 3AYes0.870.950.97
NoStage 3BYes0.430.740.89
NoStage 4Yes0.410.640.82
120 vs 140 mm Hg, SPRINTIn women without stroke & without diabetes
NoNoNo0.630.981.00
NoNoYes0.270.750.94
NoStage 3ANo0.771.001.00
NoStage 3BNo0.120.690.99
NoStage 4No0.260.550.93
NoStage 3AYes0.570.920.97
NoStage 3BYes0.060.340.80
NoStage 4Yes0.200.310.60
120 vs 140 mm Hg, ACCORDIn men without stroke & with diabetes
YesNoNo0.710.890.93
YesNoYes0.890.970.98
YesStage 3ANo0.920.950.96
YesStage 3BNo0.660.850.91
YesStage 4No0.450.740.89
YesStage 3AYes0.980.990.99
YesStage 3BYes0.880.970.97
YesStage 4Yes0.710.930.96
120 vs 140 mm Hg, ACCORDIn women without stroke & with diabetes
YesNoNo0.370.700.81
YesNoYes0.690.890.92
YesStage 3ANo0.660.850.88
YesStage 3BNo0.310.540.73
YesStage 4No0.330.510.69
YesStage 3AYes0.920.970.97
YesStage 3BYes0.630.840.91
YesStage 4Yes0.570.780.88
<130 vs 131–149 mm Hg, SPS3In men with stroke
NoNoNo0.700.580.44
NoNoYes0.680.600.49
YesNoNo0.680.610.48
YesNoYes0.660.590.54
<130 vs 131–149 mm Hg, SPS3In women with stroke
NoNoNo0.710.590.40
NoNoYes0.690.600.46
YesNoNo0.690.600.46
YesNoYes0.670.620.50
  • The probability that the lower target (120 mm Hg or <130 mm Hg) is a better target than the higher target (140 mm Hg or 131 to 149 mm Hg) is shown for all subgroups (calculated from 100 000 repetitions). Subgroups are presented according to which RCT was used to inform the analysis and what targets were compared. A probability of 0.5 means that both targets have the same benefit-harm balance. Blue colour indicates the lower target was better also in additional analysis with different assumptions for baseline incidences, and orange colour indicates the higher target was better also in the additional analyses. We did not calculate the benefit-harm balance of different blood pressure targets for people with prior history of stroke and CKD, because renal outcomes that would be important for people with CKD, but rare for people without CKD, were not reported by SPS3.

  • CHF, chronic heart failure; CKD, chronic kidney disease; RCT, randomised clinical trial.