September 1, 2002Current Opinion in Nephrology & Hypertension
Ambulatory blood pressure monitoring in chronic renal disease: technical aspects and clinical relevance
Why the study?
Does ambulatory blood pressure monitoring improve prediction of cardiovascular and renal outcomes compared to office blood pressure in patients with chronic renal disease?
Population
Patients with chronic renal disease and end-stage renal disease
Comparison
Ambulatory blood pressure monitoring vs Office/clinic blood pressure
Design
Review
Authors
Discussion
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Member takes
Implication
Supports ambulatory monitoring for outcome prediction in chronic kidney disease; leaves open whether adoption improves decisions or prognosis in trials.
Structured PICO
Does ambulatory blood pressure monitoring improve prediction of cardiovascular and renal outcomes compared to office blood pressure in patients with chronic renal disease?
P
Population
Patients with chronic renal disease and end-stage renal disease
I
Intervention
Ambulatory blood pressure monitoring
C
Comparator
Office/clinic blood pressure
O
Outcome
Prediction of left ventricular hypertrophy, progression of renal dysfunction, and mortality
Ambulatory blood pressure monitoring shows promise in better predicting cardiovascular and renal outcomes than clinic blood pressure in patients with renal disease, though larger longitudinal studies are needed.
Limitations
- Small sample sizes in available literature
- Paucity of longitudinal observational studies
- Paucity of intervention trials
Cite This Study
Peixoto et al. (2002) studied this question.