Evidence map›Paper›PMID 15194600›Full record

SynthesisBMJ (Clinical research ed.)2004

Blood pressure control by home monitoring: meta-analysis of randomised trials.

Francesco P Cappuccio, Sally M Kerry, Lindsay Forbes, Anna Donald

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 193 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
193citing papers in PubMed, 21 pooled it
14.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT01123577 nacompletednot on this mapstarted 2010, after this paper: background citation

Evaluation of Integrating Self Blood Pressure Monitoring Into Urban Primary Care Practices to Improve Ethnic/ Racial Disparities in Hypertension

TypeinterventionalSponsorNew York City Department of Health and Mental HygieneRan2010 to 2012Enrolled899ConditionsHypertension, Cardiovascular DiseaseArmsHome Blood Pressure Monitor Group
NCT03712033 completednot on this mapstarted 2018, after this paper: background citation

TEC4Home Stroke - Assessing the Feasibility of Home Telemonitoring Technology in Managing Hypertension Among Stroke/TIA Patients. Pilot Study at Vancouver Stroke Program in Collaboration With TEC4Home Heart Failure Team

TypeobservationalSponsorVancouver Coastal Health Research InstituteRan2018 to 2019Enrolled50ConditionsHypertension, Stroke, Blood Pressure, High, Systolic Hypertension
NCT04075045 nacompletednot on this mapstarted 2019, after this paper: background citation

Telehealth Intervention for Improved Blood Pressure Control With Targeted Incentives: Using New Technologies and Insights From Behavioral Economics to Increase the Effectiveness of Behavioral Change

TypeinterventionalSponsorWellth Inc.Ran2019 to 2020Enrolled97ConditionsHypertension, Non-Adherence, PatientArmsWellth Smartphone App, Targeted Incentives, Non-Restricted Incentives
3 · Its place in the literature

Who cites it

193 citing papers in PubMed, 21 syntheses or guidelines pooled it, 516 citations in OpenAlex.

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  12. Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Pooled it
  13. Guideline
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  15. Meta-analysis of the effects of flaxseed interventions on blood lipids.The American journal of clinical nutrition · 2009
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  17. Masked hypertension and white-coat hypertension in chronic kidney disease: a meta-analysis.Clinical journal of the American Society of Nephrology : CJASN · 2009
    Pooled it
  18. Guideline
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  20. Educational and organisational interventions used to improve the management of hypertension in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Pooled it

133 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Francesco P CappuccioDepartment of Community Health Sciences, St George's Hospital Medical School, London SW17 0RE. f.cappuccio@sghms.ac.uk
Sally M Kerry
Lindsay Forbes
Anna Donald
St George's Hospital · GBSt George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effect of home blood pressure monitoring on blood pressure levels and proportion of people with essential hypertension achieving targets.

designMeta-analysis of 18 randomised controlled trials.

participants1359 people with essential hypertension allocated to home blood pressure monitoring and 1355 allocated to the "control" group seen in the healthcare system for 2-36 months.

main outcome measuresDifferences in systolic (13 studies), diastolic (16 studies), or mean (3 studies) blood pressures, and proportion of patients achieving targets (6 studies), between intervention and control groups.

resultsSystolic blood pressure was lower in people with hypertension who had home blood pressure monitoring than in those who had standard blood pressure monitoring in the healthcare system (standardised mean difference 4.2 (95% confidence interval 1.5 to 6.9) mm Hg), diastolic blood pressure was lower by 2.4 (1.2 to 3.5) mm Hg, and mean blood pressure was lower by 4.4 (2.0 to 6.8) mm Hg. The relative risk of blood pressure above predetermined targets was lower in people with home blood pressure monitoring (risk ratio 0.90, 0.80 to 1.00). When publication bias was allowed for, the differences were attenuated: 2.2 (-0.9 to 5.3) mm Hg for systolic blood pressure and 1.9 (0.6 to 3.2) mm Hg for diastolic blood pressure.

conclusionsBlood pressure control in people with hypertension (assessed in the clinic) and the proportion achieving targets are increased when home blood pressure monitoring is used rather than standard blood pressure monitoring in the healthcare system. The reasons for this are not clear. The difference in blood pressure control between the two methods is small but likely to contribute to an important reduction in vascular complications in the hypertensive population.

Indexed as

ArteriesBlood PressureBlood Pressure Monitoring, AmbulatoryHome Care ServicesHumansHypertensionRandomized Controlled Trials as TopicSelf CareTreatment Outcome

Identifiers

PMID15194600
PMCPMC478224
OpenAlexW1971948961

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.