Evidence map›Paper›PMID 28332506›Full record

SynthesisJournal of human hypertension2017

Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies.

Y Duan, Z Xie, F Dong, Z Wu, Z Lin, N Sun, J Xu

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of human hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03698890 (Evaluation of Clinical Pathways for Patients With Hypertension on Follow-up in the Polyclinics), which is not on this map. Cited by 81 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 8 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

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.

NCT03698890 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Evaluation of Clinical Pathways for Patients With Hypertension on Follow-up in the Polyclinics

TypeinterventionalSponsorNational Healthcare Group PolyclinicsRan2018 to 2019Enrolled240ConditionsHypertensionArmsNetwork-based home blood pressure monitor
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  3. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
    Pooled it
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  5. Guideline
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  8. Pooled it
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  10. Wearable Devices as Tools for Better Hypertension Management in Elderly Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Trial
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  13. Trial
  14. Observational
  15. Review
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21 more citing papers are in PubMed but not listed here.

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

7 authors.

Y DuanFirst Clinical Medical College, Southern Medical University, Guangzhou, China.
Z XieFirst Clinical Medical College, Southern Medical University, Guangzhou, China.
F DongThe Geriatric Cardiovascular Ward, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, China.
Z WuThe Geriatric Cardiovascular Ward, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, China.
Z LinThe Geriatric Cardiovascular Ward, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, China.
N SunThe Geriatric Cardiovascular Ward, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, China.
J XuThe Geriatric Cardiovascular Ward, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To summarise evidence about the effectiveness of home blood pressure telemonitoring (HBPT) and identify the key components of intervention. We comprehensively searched PubMed, EMBASE and the Cochrane Library for relevant studies. The authors were contacted for additional information. Two authors independently extracted the data and assessed the risk of bias. 46 randomised controlled trials including a total of 13 875 cases were identified. Compared with usual care, HBPT improved office systolic blood pressure (BP) and diastolic BP by 3.99 mm Hg (95% confidence interval (CI): 5.06-2.93; P<0.001) and 1.99 mm Hg (95% CI: -2.60 to -1.39; P<0.001), respectively. A larger proportion of patients achieved BP normalisation in the intervention group (relative risk (RR): 1.16; 95% CI: 1.08-1.25; P<0.001). For HBPT plus additional support (including counselling, education, behavioural management, medication management with decision, adherence contracts and so on) versus HBPT alone (or plus less intense additional support), the mean changes in systolic and diastolic BP were 2.44 mm Hg (95% Cl, 4.88 to 0.00 mm Hg; P=0.05) and 1.12 mm Hg (95% CI, -2.34 to 0.1 mm Hg; P=0.07), respectively. For those surrogate outcomes, low-strength evidence failed to show difference. In subgroup analysis, high strength evidence supported a lower BP with HBPT that lasted for 6 or 12 months and was accompanied with counselling support from study personnel. HBPT can improve BP control in the hypertensive patients. It may be more efficacious when a proactive additional support is provided during the intervention process.

Indexed as

Blood Pressure Monitoring, AmbulatoryTelemetryBlood PressureHumansHypertensionRandomized Controlled Trials as Topic

Identifiers

PMID28332506

What OpenQuestion holds

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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.