Evidence map›Paper›PMID 27708284›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2017

Blood pressure differences between office and home settings among Japanese normotensive subjects and hypertensive patients.

Hisao Mori, Hiroshi Ukai, Hareaki Yamamoto, Shouhei Yuasa, Yoshiro Suzuki, Keiichi Chin, Takuma Katsumata, Satoshi Umemura

Abstract read
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Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

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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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Hisao MoriJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Hiroshi UkaiJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Hareaki YamamotoJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Shouhei YuasaJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Yoshiro SuzukiJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Keiichi ChinJapanese Medical and Dental Practitioners for the Improvement of Medical Care, Tokyo, Japan.
Takuma KatsumataDepartment of Clinical Research of Kanagawa Association of Medical and Dental Practitioners, Yokohama, Japan.
Satoshi UmemuraYokohama Rousai Hospital, Japan Organization of Occupational Health and Safety, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study attempted to clarify the differences in blood pressure (BP) between the office (clinic) and home settings in patients with controlled, sustained, masked or white-coat hypertension. The following formula was used: office mean systolic BP (omSBP)-mean morning home SBP (mmhSBP)/office mean diastolic BP (omDBP)-mean morning home DBP (mmhDBP). The paired t-test was used for statistical analysis. The omSBP-mmhSBP/omDBP-mmhDBP calculation yielded the following results: among normotensive subjects, -1.1±11.2/-1.7±8.5 mm Hg (mean SBP and mean DBP were higher at home than in the office; n=451, P=0.038 in SBP, P=0.000 in DBP); in controlled hypertensive patients, -0.42±10.9/-2.2±8.2 mm Hg (n=1362, P=0.160 in SBP, P=0.000 in DBP); among sustained hypertensive patients, 5.6±14.7/0.048±9.9 mm Hg (n=1370, P=0.000 in SBP, P=0.857 in DBP); in masked hypertensive patients, -15.3±12.9/-9.3±9.5 mm Hg (n=1308, both P=0.000); and among white-coat hypertensive patients, 23.7±13.2/8.2±9.1 mm Hg (n=580, both P=0.000). Our results showed a difference of 5 mm Hg in SBP among sustained hypertensive patients, as recommended by the Japanese Society of Hypertension Guidelines for the Management of Hypertension; however, in other hypertensive patient types, the differences in SBP and DBP between office and home measurements differed by >5 mm Hg. Office and home BP measurements should be interpreted cautiously, keeping in mind the clinical setting.

Indexed as

AdultAgedBlood PressureBlood Pressure DeterminationFemaleHumansHypertensionJapanMaleMiddle AgedOffice VisitsWhite Coat Hypertension

Identifiers

PMID27708284

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