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September 2, 1950


JAMA. 1950;144(1):64. doi:10.1001/jama.1950.02920010066020

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To the Editor:—  The rapidly widening use of the salt-free diet for hypertension will doubtless bring further accurate reports of results, like the recent one of Kert and associates (The Journal, June 24, p. 721). The following comments are based on an experience of several thousand cases during thirty years:

  1. Refractory cases are apt to be more numerous among clinic than private patients, and some adverse reports have been based on such material. It should be noted that cases for diet treatment are taken indiscriminately, without exclusion on account of severity or complications. Statistics of surgical treatment are based on carefully screened cases. Most of those selected and many of those rejected by surgeons will respond to correct diet.

  2. The decisive test is not initial benefit (which might be ascribed to hospitalization, psychic or other influences) or apparent failure over several weeks or months. If patients like those

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