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January 1, 2009American Journal of NephrologyOpen Access

Home Blood Pressure Measurements for Managing Hypertension in Hemodialysis Patients

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Why the study?

Does home blood pressure monitoring reliably detect changes in ambulatory blood pressure in hypertensive hemodialysis patients undergoing dry-weight reduction?

Population

150 hypertensive hemodialysis patients from the DRIP trial

Comparison

Home blood pressure monitoring following… vs Interdialytic 44-hour ambulatory BP monitoring…

Design

RCT, Randomized (details not specified in abstract)

Follow-up

8 weeks

Authors

RARajiv AgarwalSSSangeetha SatyanPAPooneh Alborzi

Discussion

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Overview

Home BP monitoring should guide dry-weight reduction in hypertensive hemodialysis; extends RCT evidence for its validity over in-center readings.

Structured PICO

Does home blood pressure monitoring reliably detect changes in ambulatory blood pressure in hypertensive hemodialysis patients undergoing dry-weight reduction?

P
Population
150 hypertensive hemodialysis patients from the DRIP trial (141 analyzed with available home and ambulatory BP monitoring)
I
Intervention
Home blood pressure monitoring (measured 3 times a day for 1 week using a validated oscillometric monitor on 3 occasions at 4-week intervals) following dry-weight reduction
C
Comparator
Interdialytic 44-hour ambulatory BP monitoring, predialysis BP, and postdialysis BP
O
Outcome
Relationship of reduction in home BP compared to interdialytic ambulatory BP measurementssurrogate

Home blood pressure monitoring is a reliable and highly reproducible method for detecting changes in ambulatory blood pressure, supporting its use for managing hypertension in hemodialysis patients.

Cite This Study

Agarwal et al. (2009) studied this question.

synapsesocial.com/papers/6a76a94af3c66c8ef306167chttps://doi.org/10.1159/000206698
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Also Consider

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

  1. 1Home blood pressure monitoring in blood pressure control among haemodialysis patients: an open randomized clinical trial2009 · 79 citations
  2. 2Managing hypertension using home blood pressure monitoring among haemodialysis patients--a call to action2010 · 39 citations
  3. 3Ambulatory and Home Blood Pressure Monitoring in Hemodialysis Patients: A Mixed-Methods Study Evaluating Comparability and Tolerability of Blood Pressure Monitoring2021 · 9 citations
  4. 4Editorials: Assessment of Blood Pressure in Hemodialysis Patients2002 · 47 citations
  5. 5THE ROLE OF HOME BLOOD PRESSURE MONITORING IN THE ASSESSMENT OF HYPERTENSION IN PATIENTS UNDERGOING PERITONEAL DIALYSIS2026