ArticleJournal of general internal medicine2018
Association of Structured Virtual Visits for Hypertension Follow-Up in Primary Care with Blood Pressure Control and Use of Clinical Services.
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Managing cardiovascular risk factors with telemedicine in primary care: A systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes.Chronic illness · 2025Pooled it
- Influence of synchronous primary care telemedicine versus in-person visits on diabetes, hypertension, and hyperlipidemia outcomes: a systematic review.BMC primary care · 2022Pooled it
- Impact of Asynchronous Electronic Communication-Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Designing interventions for blood pressure control in challenging settings: Active not passive intervention is needed.Journal of clinical hypertension (Greenwich, Conn.) · 2019Trial
- Latent profile analysis and influencing factors of proactive health behaviors in hypertensive patients from the perspective of the health belief model.Frontiers in public health · 2026Article
- The Role of Telemedicine in Improving Hypertension Management Outcomes: A Systematic Review.Cureus · 2024Review
- Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- How Is Telehealth Currently Being Utilized to Help in Hypertension Management within Primary Healthcare Settings? A Scoping Review.International journal of environmental research and public health · 2024Article
- Cardiovascular disease risk management during COVID-19: in-person vs virtual visits.The American journal of managed care · 2024Article
- Impact of hypertension diagnosis on morbidity and mortality: a retrospective cohort study in primary care.BMC primary care · 2023Article
- Older adults' perspectives on primary care telemedicine during the COVID-19 pandemic.Journal of the American Geriatrics Society · 2022Article
- Clinician Decisions After Notification of Elevated Blood Pressure Measurements From Patients in a Remote Monitoring Program.JAMA network open · 2022Article
- Novel Digital Technologies for Blood Pressure Monitoring and Hypertension Management.Current cardiovascular risk reports · 2021Review
- COVID-19 and beyond: virtual consultations in primary care-reflecting on the evidence base for implementation and ensuring reach: commentary article.BMJ health & care informatics · 2021Article
- Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City.Frontiers in public health · 2020Article
- Channel management in virtual care.NPJ digital medicine · 2020Article
- National Trends in Primary Care Visit Use and Practice Capabilities, 2008-2015.Annals of family medicine · 2019Article
- New Approaches in Hypertension Management: a Review of Current and Developing Technologies and Their Potential Impact on Hypertension Care.Current hypertension reports · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOptimal management of hypertension requires frequent monitoring and follow-up. Novel, pragmatic interventions have the potential to engage patients, maintain blood pressure control, and enhance access to busy primary care practices. "Virtual visits" are structured asynchronous online interactions between a patient and a clinician to extend medical care beyond the initial office visit.
objectiveTo compare blood pressure control and healthcare utilization between patients who received virtual visits compared to usual hypertension care.
designPropensity score-matched, retrospective cohort study with adjustment by difference-in-differences.
participantsPrimary care patients with hypertension. EXPOSURE: Patient participation in at least one virtual visit for hypertension. Usual care patients did not use a virtual visit but were seen in-person for hypertension. MAIN MEASURES: Adjusted difference in mean systolic blood pressure, primary care office visits, specialist office visits, emergency department visits, and inpatient admissions in the 180 days before and 180 days after the in-person visit. KEY
resultsOf the 1051 virtual visit patients and 24,848 usual care patients, we propensity score-matched 893 patients from each group. Both groups were approximately 61 years old, 44% female, 85% White, had about five chronic conditions, and about 20% had a mean pre-visit systolic blood pressure of 140-160 mmHg. Compared to usual care, virtual visit patients had an adjusted 0.8 (95% CI, 0.3 to 1.2) fewer primary care office visits. There was no significant adjusted difference in systolic blood pressure control (0.6 mmHg [95% CI, - 2.0 to 3.1]), specialist visits (0.0 more visits [95% CI, - 0.3 to 0.3]), emergency department visits (0.0 more visits [95% CI, 0.0 to 0.01]), or inpatient admissions (0.0 more admissions [95% CI, 0.0 to 0.1]).
conclusionsAmong patients with reasonably well-controlled hypertension, virtual visit participation was associated with equivalent blood pressure control and reduced in-office primary care utilization.
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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.