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July 8, 2009Nephrology Dialysis TransplantationOpen Access

Home blood pressure monitoring in blood pressure control among haemodialysis patients: an open randomized clinical trial

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Why the study?

Does adjusting antihypertensive therapy based on home blood pressure monitoring improve blood pressure control in hypertensive patients on haemodialysis?

Population

65 hypertensive patients on haemodialysis (34 in HBPM group, 31 in predialysis BP group)

Comparison

Antihypertensive therapy adjusted based on home… vs Antihypertensive therapy adjusted based on…

Design

RCT, randomized, open

Follow-up

6 months

Authors

GSGiovanio V. da SilvaSBSilvana de BarrosHAHenry Abensur

Discussion

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Member takes

Overview

HBPM-guided antihypertensive adjustment improves 24-h BP control in hemodialysis; extends RCT evidence beyond predialysis-based titration.

Structured PICO

Does adjusting antihypertensive therapy based on home blood pressure monitoring improve blood pressure control in hypertensive patients on haemodialysis?

P
Population
65 hypertensive patients on haemodialysis (34 in HBPM group, 31 in predialysis BP group)
I
Intervention
Antihypertensive therapy adjusted based on home blood pressure monitoring (HBPM)
C
Comparator
Antihypertensive therapy adjusted based on predialysis blood pressure measurements
O
Outcome
Blood pressure during the interdialytic period measured by 24-h ambulatory blood pressure monitoring (ABPM) at 6 monthssurrogate

Adjusting antihypertensive therapy based on home blood pressure monitoring significantly improves interdialytic blood pressure control compared to using predialysis measurements in hemodialysis patients.

Cite This Study

Silva et al. (2009) studied this question.

synapsesocial.com/papers/6a82497fe35fc7ca402a5805https://doi.org/10.1093/ndt/gfp332
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