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August 30, 2021Blood PressureOpen Access

Urinary proteomics combined with home blood pressure telemonitoring for health care reform trial: rational and protocol

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Why the study?

Hypertension and diabetes cause CKD and diastolic left ventricular dysfunction, but whether combining urinary peptidomic profiling with home blood pressure telemonitoring improves risk factor management and prevention is unknown.

Does early communication of urinary peptidomic profiling (UPP) risk profile combined with home blood pressure telemonitoring reduce new-onset cardiovascular and renal outcomes in asymptomatic patients with multiple risk factors?

Population

1148 asymptomatic patients aged 55-75 years with ≥5 CKD- or DVD-related risk factors

Comparison

Early communication of UPP risk profile vs communication at trial closure, both with HTM

Design

Investigator-initiated randomized clinical trial with patient-centred design

Follow-up

5 years

Authors

LTLutgarde ThijsKAKei AsayamaTHTine W. Hansen

Discussion

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Member takes

Overview

No practice change from protocol alone; leaves open whether UPP profiling plus telemonitoring prevents outcomes in high-risk patients.

Structured PICO

Does early communication of urinary peptidomic profiling (UPP) risk profile combined with home blood pressure telemonitoring reduce new-onset cardiovascular and renal outcomes in asymptomatic patients with multiple risk factors?

P
Population
1148 asymptomatic patients aged 55-75 years old with ≥5 CKD- or DVD-related risk factors, preferably including hypertension, type-2 diabetes, or both
I
Intervention
Early communication of urinary peptidomic profiling (UPP) risk profile to patients and caregivers during follow-up, on top of home blood pressure telemonitoring (HTM)
C
Comparator
Urinary peptidomic profiling (UPP) risk profile communicated only at trial closure, on top of home blood pressure telemonitoring (HTM)
O
Outcome
Composite of new-onset intermediate and hard cardiovascular and renal outcomescomposite

The UPRIGHT-HTM trial protocol outlines a study to determine if early knowledge of urinary peptidomic profiling risk profiles combined with home blood pressure telemonitoring can prevent cardiovascular and renal outcomes in high-risk asymptomatic patients.

Cite This Study

Thijs et al. (2021) studied this question.

synapsesocial.com/papers/6a8216a0d96cdbb40a9cd1cdhttps://doi.org/10.1080/08037051.2021.1952061
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Also Consider

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

  1. 1Urinary proteomics combined with home blood pressure telemonitoring for health care reform trial—First progress report2023 · 4 citations
  2. 2Multicomponent intervention to improve blood pressure management in chronic kidney disease: a protocol for a pragmatic clinical trial2021 · 7 citations
  3. 3Feasibility of Telemonitoring Blood Pressure in Patients With Kidney Disease (Oxford Heart and Renal Protection Study-1): Observational Study2018 · 12 citations
  4. 4Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease—The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol2022 · 17 citations
  5. 5Telemonitoring and Protocolized Case Management for Hypertensive Community-Dwelling Seniors With Diabetes: Protocol of the TECHNOMED Randomized Controlled Trial2016 · 15 citations