Key result
Home blood pressure monitoring was routinely used by 90% of surveyed primary care physicians, although 79% used a higher than recommended threshold for hypertension diagnosis.
Cross-Sectional (n=366)
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Although primary care physicians frequently use home blood pressure monitoring, significant gaps in knowledge regarding diagnostic thresholds and device validation indicate a need for further education.
To investigate the implementation of home blood pressure monitoring (HBPM) guidelines, a phone survey was performed in 366 primary care physicians (PCPs). Of the PCPs, 90% routinely used HBPM for white-coat hypertension, treatment titration, and diagnosis. Thirty percent trusted HBPM more than office measurements. Reported drawbacks were questionable reliability of patients' reports and devices inaccuracy. Thirty-one percent advised patients on device selection, 38% were aware of validated devices, and 69% reviewed (not averaged) the readings. Seventy-nine percent used higher than recommended threshold for hypertension diagnosis. Although PCPs routinely use HBPM, there are important gaps in their knowledge and educational activities are required.
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Tsakiri et al. (2013) conducted a cross-sectional in Hypertension management (n=366). Home blood pressure monitoring was evaluated on Routine use of HBPM for white-coat hypertension, treatment titration, and diagnosis. Home blood pressure monitoring was routinely used by 90% of surveyed primary care physicians, although 79% used a higher than recommended threshold for hypertension diagnosis.
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