Key result
24-hour ABPM is acceptable to ~95% of adults despite mild physical discomfort.
Why the study?
The US Preventive Services Task Force recommended 24-hour ambulatory blood pressure monitoring to confirm hypertension diagnosis, but its inconvenience and adverse effects raise questions about patient willingness to undergo and pay for it.
How much physical discomfort and financial cost are adults willing to accept for accurate blood pressure assessment?
Population
1010 adults 30 years and older in a national survey
Comparison
Willingness to undergo physical discomfort and pay for accurate blood pressure assessment
Design
National cross-sectional survey
Authors
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High acceptability supports considering ambulatory monitoring; cross-sectional data leave effects on adherence and outcomes unproven.
Cross-Sectional (n=1,010)
How much physical discomfort and financial cost are adults willing to accept for accurate blood pressure assessment?
Patients are generally willing to tolerate mild discomfort and pay a small out-of-pocket amount for the diagnostic accuracy of ambulatory blood pressure monitoring.
Viera et al. (2015) conducted a cross-sectional in Hypertension (n=1,010). 24-hour ambulatory blood pressure monitoring (ABPM) was evaluated on Willingness to undergo physical discomfort. Accurate blood pressure assessment using 24-hour ambulatory monitoring was acceptable to 95% of adults who were willing to undergo mild discomfort, with a median willingness to pay of $25.
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