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September 1, 1992Medical Care

Home Blood Pressure Monitoring

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Why the study?

Does a home blood pressure monitoring program reduce costs without compromising blood pressure control in patients with uncomplicated hypertension?

Population

430 patients with uncomplicated hypertension, based at four medical centers in the San Francisco Bay Area.

Comparison

Home blood pressure monitoring program where… vs Usual care where patients were referred back to…

Design

RCT, randomly assigned

Follow-up

1 year

Authors

KSKrikor SoghikianKaiser PermanenteSCStephanie M. CasperKaiser PermanenteBFBruce FiremanKaiser Permanente

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Implication

Home BP monitoring safely cuts costs and visits in uncomplicated hypertension; supports adoption and extends RCT cost-effectiveness evidence.

Structured PICO

Does a home blood pressure monitoring program reduce costs without compromising blood pressure control in patients with uncomplicated hypertension?

P
Population
430 patients with uncomplicated hypertension (from an initial 467 referred, 37 declined), based at four medical centers in the San Francisco Bay Area.
I
Intervention
Home blood pressure monitoring program where patients were trained to measure their own blood pressure, return readings by mail, and follow a standard procedure for unusually high or low readings.
C
Comparator
Usual care where patients were referred back to their physicians.
O
Outcome
Costs of care for hypertension (based on number and type of outpatient medical services) and blood pressure control at 1 year.

Home blood pressure monitoring in patients with uncomplicated hypertension safely reduces healthcare utilization and costs while maintaining or improving blood pressure control.

Cite This Study

Soghikian et al. (1992) studied this question.

synapsesocial.com/papers/6a10e8d7f85e2d3f759f730ehttps://doi.org/10.1097/00005650-199209000-00009

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Economic evaluation of home blood pressure telemonitoring: A randomized controlled trial2010 · 35 citations
  2. 2A Pharmacist-Led, American Heart Association Heart360 Web-Enabled Home Blood Pressure Monitoring Program2013 · 164 citations
  3. 3Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study2008 · 168 citations
  4. 4Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) Home Blood Pressure Monitoring Program: A Report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP)2015 · 19 citations
  5. 5Economic Evaluation of Home Blood Pressure Monitoring With or Without Telephonic Behavioral Self-Management in Patients With Hypertension2009 · 54 citations