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January 1, 2003Blood PressureOpen Access

Home versus office blood pressure MEasurements: reduction of unnecessary treatment study: rationale and study design of the HOMERUS trial

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Why the study?

Does antihypertensive therapy based on home blood pressure measurements reduce the use of antihypertensive drugs and associated costs compared to office blood pressure measurements in patients with mild to moderate hypertension?

Population

360 patients with mild to moderate hypertension

Comparison

Antihypertensive therapy based on home blood… vs Antihypertensive therapy based on blood pressure…

Design

Other, Randomized to two groups, Treatment decisions are taken by an…

Follow-up

1 year

Authors

WVWillem J. VerberkAKAbraham A. KroonAKA. G. H. Kessels

Discussion

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Member takes

Overview

Office BP monitoring remains standard; HOMERUS leaves open whether home monitoring safely reduces drug use and costs in mild hypertension.

Structured PICO

Does antihypertensive therapy based on home blood pressure measurements reduce the use of antihypertensive drugs and associated costs compared to office blood pressure measurements in patients with mild to moderate hypertension?

P
Population
360 patients with mild to moderate hypertension
I
Intervention
Antihypertensive therapy based on home blood pressure measurements (self-pressure [SP] group) using the Omron 705 CP device, with blood pressure targeted at 120-139 mmHg systolic and 80-89 mmHg diastolic
C
Comparator
Antihypertensive therapy based on blood pressure measured in the outpatient clinic (office pressure [OP] group) using the same device and targets
O
Outcome
Reduction in the use of antihypertensive drugs and the associated costs

The HOMERUS trial is designed to determine if home blood pressure monitoring can reduce antihypertensive medication use and costs compared to office-based monitoring in patients with mild to moderate hypertension.

Cite This Study

Verberk et al. (2003) studied this question.

synapsesocial.com/papers/6a72c2015d37378ac1df66a3https://doi.org/10.1080/08037050310022405
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Also Consider

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  3. 3Self-measured versus ambulatory blood pressure in the diagnosis of hypertension2003 · 127 citations
  4. 4A Consensus View on the Technique of Ambulatory Blood Pressure Monitoring1995 · 118 citations
  5. 5White coat hypertension and white coat effect similarities and differences*1995 · 211 citations