What is the clinical evidence from this study?

Population: Hypertension. Intervention: PROOF-BP algorithm vs. Current standard diagnostic strategies. Primary outcome: Cost-effectiveness (cost per quality-adjusted life year gained).

December 4, 2017HypertensionOpen Access

Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care

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Key result

The PROOF-BP algorithm was cost-effective for diagnosing hypertension compared with conventional strategies, provided a willingness-to-pay threshold of up to £20,000 per QALY gained.

Why the study?

Does the PROOF-BP algorithm improve cost-effectiveness in diagnosing hypertension in primary care compared to current standard diagnostic strategies?

Structured PICO

Does the PROOF-BP algorithm improve cost-effectiveness in diagnosing hypertension in primary care compared to current standard diagnostic strategies?

Population

A Markov cost-utility cohort model assessing the cost-effectiveness of the PROOF-BP algorithm for diagnosing hypertension in primary care over a lifetime horizon.

Intervention

PROOF-BP algorithm approach (screening patients with clinic BP ≥130/80 mm Hg who receive ambulatory BP monitoring as guided by the algorithm)

Comparator

Current standard diagnostic strategies (screening those with clinic BP ≥140/90 mm Hg combined with further monitoring such as ambulatory BP monitoring, clinic, and home monitoring)

Outcome

Cost-effectiveness (cost per quality-adjusted life year gained)

The PROOF-BP algorithm is a cost-effective strategy for diagnosing hypertension in primary care compared to conventional BP diagnostic options.

Discussion

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Implication

Hypothesis-generating for PROOF-BP in hypertension diagnosis; leaves open prospective trials before clinical adoption.

Cite This Study

Monahan et al. (2017) studied Hypertension. PROOF-BP algorithm vs. Current standard diagnostic strategies was evaluated on Cost-effectiveness (cost per quality-adjusted life year gained). The PROOF-BP algorithm was cost-effective for diagnosing hypertension compared with conventional strategies, provided a willingness-to-pay threshold of up to £20,000 per QALY gained.

synapsesocial.com/papers/6a200061d4e6d3589704c7cb https://doi.org/10.1161/hypertensionaha.117.10244

Topics

Hypertension management

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Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care

Structured PICO

Discussion

Implication

Cite This Study

Topics

Predicting Out-of-Office Blood Pressure in the Clinic for the Diagnosis of Hypertension in Primary Care

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider