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Randomized controlled trials are used to inform clinical guidelines on the management of hypertension in older adults, but it is unclear to what extent these trials represent the general population attending routine clinical practice. This study aimed to define the proportion and characteristics of patients eligible for hypertension trials conducted in older people. Cross-sectional study. A total of 24 general practices in England. Anonymized electronic health record data from all individuals aged 80 and older. Descriptive statistics were