ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Self-monitoring blood pressure in patients with hypertension: an internet-based survey of UK GPs.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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The trial behind it
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Who cites it
29 citing papers in PubMed.
- How often should self-monitoring of blood pressure be repeated? A secondary analysis of data from two randomized controlled trials.Journal of hypertension · 2025Trial
- Trial
- Primary care physician beliefs and practices regarding blood pressure measurement: results from BP-CHECK qualitative interviews.BMC primary care · 2023Trial
- Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial.BMJ (Clinical research ed.) · 2021Trial
- Trial
- Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial.Lancet (London, England) · 2018Trial
- Home Blood Pressure Monitoring in Primary Care: An Essential Approach to Hypertension Management.Cureus · 2025Article
- Personalized information support for hypertension management: an open-label cluster randomized controlled trial in rural Anhui, China.The Lancet regional health. Western Pacific · 2025Article
- Appropriateness of Web-Based Resources for Home Blood Pressure Measurement and Their Alignment With Guideline Recommendations, Readability, and End User Involvement: Environmental Scan of Web-Based Resources.JMIR infodemiology · 2025Article
- Nurse-led digital health program for home blood pressure monitoring in stroke patients: protocol for a pooled analysis of randomized controlled trials.Frontiers in public health · 2024Article
- Patient-initiated cardiovascular monitoring with commercially available devices: How useful is it in a cardiology outpatient setting? Mixed methods, observational study.BMC cardiovascular disorders · 2022Observational
- Home blood pressure monitoring and adherence in patients with hypertension on primary prevention treatment: a survey of 1026 patients in general medicine in the Auvergne region.BMC primary care · 2022Article
- Realising the potential of home blood pressure monitoring in the community: should HBPM be the default?The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Impact of changes to national guidelines on hypertension-related workload: an interrupted time series analysis in English primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Home blood-pressure measurement for the diagnosis and monitoring of arterial hypertension by French general practitioners: a cross-sectional survey in the Auvergne region.BMC family practice · 2021Article
- Physician perceived barriers and facilitators for self-measured blood pressure monitoring- a qualitative study.PloS one · 2021Article
- Healthcare practitioner views and experiences of patients self-monitoring blood pressure: a vignette study.BJGP open · 2020Article
- Home blood pressure monitoring in France: Device possession rate and associated determinants, the Esteban study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Accuracy of blood-pressure monitors owned by patients with hypertension (ACCU-RATE study): a cross-sectional, observational study in central England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Observational
- Patient preferences for management of high blood pressure in the UK: a discrete choice experiment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPrevious research suggests that most GPs in the UK use self-monitoring of blood pressure (SMBP) to monitor the control of hypertension rather than for diagnosis. This study sought to assess current practice in the use of self-monitoring and any changes in practice following more recent guideline recommendations.
aimTo survey the views and practice of UK GPs in 2015 with regard to SMBP and compare them with a previous survey carried out in 2011. DESIGN AND
settingWeb-based survey of a regionally representative sample of 300 UK GPs.
methodGPs completed an online questionnaire concerning the use of SMBP in the management of hypertension. Analyses comprised descriptive statistics, tests for between-group differences (z, Wilcoxon signed-rank, and χ
resultsResults were available for 300 GPs (94% of those who started the survey). GPs reported using self-monitoring to diagnose hypertension (169/291; 58%; 95% confidence interval (CI) = 52 to 64) and to monitor control (245/291; 84%; 95% CI = 80 to 88), the former having significantly increased since 2011 (from 37%; 95% CI = 33 to 41; P<0.001) with no change in monitoring for control. More than half of GPs used higher systolic thresholds for diagnosis (118/169; 70%; 95% CI = 63 to 77) and treatment (168/225; 75%; 95% CI = 69 to 80) than recommended in guidelines, and under half (120/289; 42%; 95% CI = 36 to 47) adjusted the SMBP results to guide treatment decisions.
conclusionSince new UK national guidance in 2011, GPs are more likely to use SMBP to diagnose hypertension. However, significant proportions of GPs continue to use non-standard diagnostic and monitoring thresholds. The use of out-of-office methods to improve the accuracy of diagnosis is unlikely to be beneficial if suboptimal thresholds are used.
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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.