Evidence map›Paper›PMID 23263535›Full record

ReviewBlood pressure monitoring2013

Cost-effectiveness of secondary screening modalities for hypertension.

Y Claire Wang, Alisa M Koval, Miyabi Nakamura, Jonathan D Newman, Joseph E Schwartz, Patricia W Stone

Abstract readReview
In one paragraph

Review in Blood pressure monitoring, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Blood Pressure Measurement Modalities: A Primer for Busy Practitioners.Journal of clinical hypertension (Greenwich, Conn.) · 2016
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Use of ambulatory blood pressure monitoring to guide hypertensive therapy.Current treatment options in cardiovascular medicine · 2013
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Y Claire WangDepartment of Health Policy and Management, Columbia Mailman School of Public Health, Stony Brook University, New York, NY, USA. ycw2102@columbia.edu
Alisa M Koval
Miyabi Nakamura
Jonathan D Newman
Joseph E Schwartz
Patricia W Stone

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SLOAN, RICHARD P · 1993 to 2014
$27.7M
NHLBI NIH HHS P01 HL047540
6 · The paper itself

Abstract

backgroundClinic-based blood pressure (CBP) has been the default approach for the diagnosis of hypertension, but patients may be misclassified because of masked hypertension (false negative) or 'white coat' hypertension (false positive). The incorporation of other diagnostic modalities, such as home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM), holds promise to improve diagnostic accuracy and subsequent treatment decisions. MATERIALS AND

methodsWe reviewed the literature on the costs and cost-effectiveness of adding HBPM and ABPM to routine blood pressure screening in adults. We excluded letters, editorials, and studies of pregnant and/or pre-eclamptic patients, children, and patients with specific conditions (e.g. diabetes).

resultsWe identified 14 original, English language studies that included cost outcomes and compared two or more modalities. ABPM was found to be cost saving for diagnostic confirmation following an elevated CBP in six studies. Three of four studies found that adding HBPM to an elevated CBP was also cost-effective.

conclusionExisting evidence supports the cost-effectiveness of incorporating HBPM or ABPM after an initial CBP-based diagnosis of hypertension. Future research should focus on their implementation in clinical practice, long-term economic values, and potential roles in identifying masked hypertension.

Indexed as

AdultBlood Pressure Monitoring, AmbulatoryCosts and Cost AnalysisFalse Negative ReactionsFalse Positive ReactionsFemaleHumansHypertensionMale

Identifiers

PMID23263535
PMCPMC3960995

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.