Khunti K, Davies MJ. Clinical inertia-Time to reappraise the terminology? Prim Care Diabetes. 2017.
Good quality randomised controlled trials and systematic reviews have shown that management of risk factors such as blood pressure, dyslipidemia and glucose control can lead to significantly better outcomes for people in both primary and secondary prevention. These recommendations have therefore been incorporated into national and international guidelines . Despite having good quality, evidence-based guidelines, many recommendations are not implemented in clinical practice. Clinical inertia has been proposed to be a key contributing factor for failure to implement guideline recommendations and has been cited to be potentially accountable for 80% of cardiovascular events .