ArticleJournal of human hypertension2001
The extent and implications of sphygmomanometer calibration error in primary care.
Article in Journal of human hypertension, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 67 citations in OpenAlex.
- Predicted impact of various clinical practice strategies on cardiovascular risk for the treatment of hypertension: a clinical trial simulation study.Journal of pharmacokinetics and pharmacodynamics · 2014Trial
- Misclassification and discordance of measured blood pressure from patient's true blood pressure in current clinical practice: a clinical trial simulation case study.Journal of pharmacokinetics and pharmacodynamics · 2012Trial
- Treating to hypertension targets.Heart (British Cardiac Society) · 2004Trial
- Sphygmomanometer Dynamic Pressure Measurement Using a Condenser Microphone.Sensors (Basel, Switzerland) · 2023Article
- Phenotypic Presentations of Heart Failure Among Patients With Chronic Inflammatory Diseases.Frontiers in cardiovascular medicine · 2022Article
- Results of a project to calibrate mercury sphygmomanometer blood pressure-measuring devices in Egypt.Journal of human hypertension · 2021Article
- Comparative Risk of Incident Coronary Heart Disease Across Chronic Inflammatory Diseases.Frontiers in cardiovascular medicine · 2021Article
- Differential Associations of Chronic Inflammatory Diseases With Incident Heart Failure.JACC. Heart failure · 2020Article
- Toward a Framework for Outcome-Based Analytical Performance Specifications: A Methodology Review of Indirect Methods for Evaluating the Impact of Measurement Uncertainty on Clinical Outcomes.Clinical chemistry · 2019Review
- Clinical characteristics of HIV-infected patients with adjudicated heart failure.European journal of preventive cardiology · 2017Article
- How do family physicians measure blood pressure in routine clinical practice? National survey of Canadian family physicians.Canadian family physician Medecin de famille canadien · 2017Article
- Observational
- Predicting Out-of-Office Blood Pressure in the Clinic (PROOF-BP): Derivation and Validation of a Tool to Improve the Accuracy of Blood Pressure Measurement in Clinical Practice.Hypertension (Dallas, Tex. : 1979) · 2016Article
- Problems and Solutions in Implementing the World Hypertension League Recommendations for Automated Office Assessment of Blood Pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2016Article
- Policy statement of the world hypertension league on noninvasive blood pressure measurement devices and blood pressure measurement in the clinical or community setting.Journal of clinical hypertension (Greenwich, Conn.) · 2014Review
- Measuring accuracy of sphygmomanometers in the medical practices of Swiss primary care physicians.The European journal of general practice · 2013Article
- Equipment errors: a prevalent cause for fallacy in blood pressure recording - a point prevalence estimate from an Indian health university.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2013Article
- Article
- Type and accuracy of sphygmomanometers in primary care: a cross-sectional observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Calibration accuracy of hospital-based non-invasive blood pressure measuring devices.Journal of human hypertension · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe sphygmomanometer is an essential piece of diagnostic equipment, used in many routine consultations in primary care. Its accuracy depends on correct maintenance and calibration. This study was designed to: (1) assess the maintenance and calibration of sphygmomanometers in use in primary care; (2) assess the clinical, ethical, legal and public health implications of our findings.
methodA researcher assessed the accuracy of mercury and aneroid sphygmomanometers in use in 231 English general practices. He also made enquiries about arrangements for the maintenance and calibration of sphygmomanometers. We conducted a small telephone survey in general practices across the country to determine maintenance and calibration arrangements across the country. We carried out a modelling exercise to explore the clinical, ethical and public health implications of our findings.
resultsOf 1462 sphygmomanometers, 9.2% gave readings were more than 5 mm Hg inaccurate. No practice had arrangements for maintenance and calibration of sphygmomanometers. Nationally, one of 54 practices had an arrangement for maintenance and calibration. True hypertension is very uncommon in women under 35, a blood pressure which is measured as high is much more likely to be caused by calibration error than by hypertension.
conclusionIt is rare for sphygmomanometers used in primary care to be maintained and calibrated. Because of this women under 35 are at risk of misclassification and inappropriate treatment. This has ethical and public health implications. Clinicians using equipment which has not been maintained and calibrated may be medically negligent.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.