ArticleJournal of the American Society of Hypertension : JASH
BpTRUth: do automated blood pressure monitors outperform mercury?
Article in Journal of the American Society of Hypertension : JASH. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03360669 (Comparison of Blood Pressure Measurement With an Omron HEM-907 Device in a Clinical Setting and a Research Setting), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
Comparison of Blood Pressure Measurement With an Omron HEM-907 Device in a Clinical Setting and a Research Setting
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension: A Systematic Review and Meta-analysis.JAMA internal medicine · 2019Pooled it
- Evaluation of the Omron HEM-907 automated blood pressure device: comparison with office and ambulatory blood pressure readings.Hypertension research : official journal of the Japanese Society of Hypertension · 2019Trial
- Automated Office Blood Pressure Measurements in Waiting Room or Isolated Room for Diagnosis and Phenotyping of Hypertension.Journal of the American Heart Association · 2025Observational
- Intelligent Assist Office Blood Pressures (IOBP) versus awake ambulatory monitoring and conventional auscultatory office readings in Chinese primary medical institutions.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Comparative accuracies of automated and manual office blood pressure measurements in a Chinese population.Hypertension research : official journal of the Japanese Society of Hypertension · 2022Article
- BP Measurement in Clinical Practice: Time to SPRINT to Guideline-Recommended Protocols.Journal of the American Society of Nephrology : JASN · 2018Review
- Clinical Implications of Different Blood Pressure Measurement Techniques.Current hypertension reports · 2017Review
- Quality improvement project for managing elevated blood pressure in a primary care setting.Integrated blood pressure control · 2017Article
- Associations between cystatin C-based eGFR, ambulatory blood pressure parameters, and in-clinic versus ambulatory blood pressure agreement in older community-living adults.Blood pressure monitoring · 2016Article
- Eliminating the human factor in office blood pressure measurement.Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
- Reply to Dr Myers' commentary on the use of automated blood pressure machines in office blood pressure measurements.Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
- Eliminating the human factor in office blood pressure measurement.Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Manual measurement of blood pressure (BP) in the office (MOBP) is inferior in accuracy when compared with ambulatory BP measurements (ABPM) since it misses white coat and masked effects on BP. BpTRU, an automated office BP device (AOBP), has been reported to reduce white coat effect. We performed a retrospective review of the diagnostic accuracy of MOBP (taken by a trained nurse in clinical hypertension) and AOBP using the Bland-Altman method in hypertensive patients referred to a Renal Hypertension Clinic. In 329 hypertensive patients, the 95% limits of agreement between systolic AOBP and ABPM were -31 mm Hg to 33 mm Hg and for MOBP and ABPM were -27.8 mm Hg to 37.4 mm Hg. The bias between systolic MOBP and systolic ABPM was 4.9 mm Hg (95% confidence interval, 3.0-6.6 mm Hg) whereas the bias between the systolic AOBP and the systolic ABPM was -3.2 (95% confidence interval, -1.3 to -5.0). AOBP did not improve treatment relevant classification errors compared with MOBP (28% vs. 23%; P = .052). Our data support findings by others showing that AOBP improves, but does not eliminate, white coat effect. The increased detection of white coat effect appears related to systematic downward bias by BpTRU. As a result, detection of masked effect is undermined by BpTRU.
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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.