• Cdr Mark P Tschanz, William C Cushman, Harrell Cdr Travis E CTE 0000-0001-9441-8149 Naval Medical Center, San Diego, California (C.P.T., C.E.H.)., Dan R Berlowitz, and James L Sall.
• Naval Medical Center, San Diego, California (C.P.T., C.E.H.).
• Ann. Intern. Med. 2020 Dec 1; 173 (11): 904-913.

DescriptionIn January 2020, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a joint clinical practice guideline for the diagnosis and management of hypertension in the primary care setting.MethodsThe VA/DoD Evidence-Based Practice Work Group convened a joint VA/DoD guideline development effort that included a multidisciplinary panel of practicing clinician stakeholders and conformed to the Institute of Medicine's tenets for trustworthy clinical practice guidelines. The guideline panel developed key questions in collaboration with the ECRI Institute, which systematically searched and evaluated the literature from 15 December 2013 to 25 March 2019 and developed and rated recommendations by using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.RecommendationsThis synopsis summarizes key features of the guideline in several key areas: the measurement of blood pressure, the definition of hypertension, target treatment goals, and nonpharmacologic and pharmacologic treatment of essential and resistant hypertension.

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