What does this research mean for the field?

Telemedicine utilizing home blood pressure monitoring and video conferencing significantly improves blood pressure control and is a safe alternative to conventional care in patients with uncomplicated hypertension. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 29, 2021JMIR CardioOpen Access

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Hypertension (n=99). Intervention: Telemedicine (3G home BP monitoring, video visits, mailed prescriptions) vs. Usual care (home BP monitoring with self-recorded readings and office visits). Primary outcome: Average home SBP during the last week of the trial.

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Key result

Telemedicine with home monitoring lowers SBP versus usual care in uncomplicated hypertension.

n=99

Why the study?

The burden of time often leads patients to discontinue treatment, and telemedicine may improve adherence by offering convenience.

Does telemedicine with home blood pressure monitoring and web-based video visits improve blood pressure control in patients with uncomplicated hypertension?

Study Design

Type

RCT (n=99)

Blinding

Open-label

Randomization

1:1 ratio

Structured PICO

Does telemedicine with home blood pressure monitoring and web-based video visits improve blood pressure control in patients with uncomplicated hypertension?

Population

99 patients with uncomplicated hypertension (54% untreated), age >20 years, in Japan. Inclusion criteria: elevated systolic and/or diastolic BP, ability to visit the clinic for initial screening, willingness to receive telemedicine, and ability to measure home BP.

Intervention

Telemedicine using a 3G network-attached home blood pressure monitoring device, web-based video visits with hypertension specialists from an academic hospital every 6 weeks, and prescription medication by mail for 1 year.

Comparator

Usual care using the same 3G network-attached home blood pressure monitoring device, managed with self-recorded BP readings and actual office visits in a community practice setting at the physician's discretion.

Outcome

Average home systolic blood pressure (SBP) during the last week of the 1-year study period.surrogate

Telemedicine incorporating home blood pressure monitoring and web-based video visits significantly improves systolic blood pressure control compared to conventional care in patients with uncomplicated hypertension.

Limitations

The study was prematurely terminated because the health insurance policy in Japan changed to require a face-to-face visit at least every 3 months.
Study was prematurely terminated because the health insurance policy in Japan changed to require a face-to-face visit at least every 3 months

Discussion

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Implication

Supports telemedicine integration into uncomplicated hypertension care; extends RCT evidence for combined home monitoring and video visits.

Cite This Study

Yatabe et al. (2021) conducted an RCT in Hypertension (n=99). Telemedicine (3G home BP monitoring, video visits, mailed prescriptions) vs. Usual care (home BP monitoring with self-recorded readings and office visits) was evaluated on Average home SBP during the last week of the trial. Telemedicine with home blood pressure monitoring and video conferencing significantly improved primary outcomes compared to usual care in patients with uncomplicated hypertension.

synapsesocial.com/papers/6a12e564b761793c20c0c0ed https://doi.org/10.2196/27347

Topics

Hypertension management

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Implication

Supports telemedicine integration into uncomplicated hypertension care; extends RCT evidence for combined home monitoring and video visits.

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider