Evidence map›Paper›PMID 33317628›Full record

ArticleClinical hypertension2020

Effect of home blood pressure monitoring for blood pressure control in hypertensive patients taking multiple antihypertensive medications including fimasartan (the FORTE study).

Jung-Yeon Choi, Kwang-Il Kim, Cheol-Ho Kim

Registry-linked trialAbstract read
In one paragraph

Article in Clinical hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03254914 (A Multi-center, Cluster-randomized, Prospective, Observational Study), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT03254914 completednot on this map

A Multi-center, Cluster-randomized, Prospective, Observational Study

Typeobservational_patient_registrySponsorBoryung Pharmaceutical Co., LtdRan2017 to 2019Enrolled3,554ConditionsHypertensionArmsHome Blood Pressure
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

3 authors.

Jung-Yeon ChoiDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Kwang-Il KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Cheol-Ho KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. cheolkim55@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough recent hypertension guidelines recommend home blood pressure (HBP) monitoring, its effect in clinical practice is not well known. This study aimed to identify current HBP measurement status and obstacles and their efficacy on blood pressure (BP) control.

methodsSixty-three intervention and 61 control centers with 2483 (mean age: 58.0 years, 56.0% male) drug-naïve stage 2 hypertensive patients or patients requiring second anti-hypertensive medications were included. The intervention group was instructed to measure HBP twice a day for 7 days from the scheduled visit at 4, 8, and 12 weeks.

resultsAt the end of 12 weeks, 842 (68.7%) and 807 (64.15%) patients of the control and intervention groups, respectively, achieved a target BP. The odds ratio (OR) for improving BP control of HBP was 0.836 (95% confidence interval [CI]: 0.694-1.007). Among intervention group, clinic BP of the subgroup those measured their HBP at least once well controlled compared to subgroup those not measured their HBP at all (OR 1.602, 95% CI: 1.182-2.172). Only 19.17% (n = 476) had a home sphygmomanometer, and among those, 26.89% measured their BP at least once a week and 34.87% did not measure the BP at all. The obstacles of HBP measurement were lack of awareness of its importance (40.83%), lack of confidence on how to measure BP and maintain the measurement (37.04%), and difficulty in selecting an appropriate device (14.41%).

conclusionsHBP measurement alone did not improve BP control, but better compliance with the HBP measurement resulted in improved BP control.

trial registrationClinicalTrials, NCT03254914 , Registered 21 August 2017.

Indexed as

Blood pressureHypertensionKorea

Identifiers

PMID33317628
PMCPMC7737356

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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.