Key result
Office BP dominates primary care hypertension diagnoses but ~85% rely on incomplete measurements.
Why the study?
About 50% of the adult population has hypertension, but little is known about the quality of the methods used to diagnose it in primary care.
Cohort (n=2,000)
Yes
In primary care, the diagnosis of hypertension is frequently based on incomplete office blood pressure measurements and incorrect interpretations, leading to potentially inappropriate initiation of antihypertensive medication.
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Incomplete office BP measurements may prompt inappropriate antihypertensive starts in primary care; leaves open whether guideline adherence improves diagnostic accuracy.
Voorbrood et al. (2024) conducted a cohort in New-onset hypertension (n=2,000). Blood pressure measurement methods was evaluated on Frequency of use of recognized methods to establish a diagnosis of hypertension and correctness of interpretation. Office blood pressure measurement was the most frequently used method to diagnose hypertension in primary care, but 85.2% to 96.8% of these diagnoses were based on incomplete measurements.
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