Key result
Consulting HBPM readings with physicians linked to ~51% higher blood pressure control rates.
Why the study?
The evidence concerning the improvement of blood pressure control related to self-measurement of blood pressure is weak.
Does consulting home blood pressure monitoring readings with a physician improve blood pressure control in hypertensive patients on medication?
Cross-Sectional (n=17,143)
Yes
Does consulting home blood pressure monitoring readings with a physician improve blood pressure control in hypertensive patients on medication?
Home blood pressure monitoring only improves blood pressure control when patients actively consult their readings with a physician.
Answers are grounded in this paper and cite their sources.
May support physician review of home BP readings in practice; leaves open causality and needs prospective trials.
Background: The routine home blood pressure monitoring (HBPM) is strongly recommended for management of hypertension, however the evidence concerning the improvement of blood pressure (BP) control related to self-measurement of BP is weak. The aim of this study was to assess the efficacy of antihypertensive therapy in relation to the consulting of HBPM readings with physicians in daily clinical practice.Patients & methods: The survey was conducted by 627 physicians among 21,940 hypertensive patients, of whom 17,143 (8,972 women and 8,171 men; mean age of 63 ± 12 years) were receiving antihypertensive medication for at least 6 months. BP control was scored based on two office BP measurements (< 140/90 mmHg).Results: Among patients declaring performing HBPM (N = 14,524), 86.6% were consulting the readings with physicians. Patients consulting the readings had lower systolic (by 6.4 mmHg) and diastolic (by 3.4 mmHg) BP than those not consulting their HBPM results, and by 5.3 and 4.5 mmHg than those not measuring BP at home. Patients consulting the HBPM results were obtaining more frequently recommended BP control (54.2%). BP control was similar in patients performing but not consulting HBPH readings and not doing HBPM (35.8 and 35.7%, respectively).Conclusion: The benefits of home blood pressure monitoring are restricted to patients consulting the readings with physicians.
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Chudek et al. (2019) conducted a cross-sectional in Hypertension (n=17,143). Consulting home blood pressure monitoring (HBPM) readings with physicians vs. Performing but not consulting HBPM readings, or not doing HBPM was evaluated on Blood pressure control (< 140/90 mmHg). Consulting home blood pressure monitoring readings with physicians was associated with a higher rate of blood pressure control (54.2%) compared to performing but not consulting readings (35.8%).
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