Evidence map›Paper›PMID 34321194›Full record

ArticleJMIR cardio2021

Efficacy of Telemedicine in Hypertension Care Through Home Blood Pressure Monitoring and Videoconferencing: Randomized Controlled Trial.

Junichi Yatabe, Midori Sasaki Yatabe, Rika Okada, Atsuhiro Ichihara

Open access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 9% of its field
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.

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

14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Article
  7. Review
  8. Reimagining Ambulatory Care in Urology: Conversion of the Urology Clinic into a Procedure Center Improves Patient's Experience.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Current situation of telemedicine research for cardiovascular risk in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  13. How to deal with hypertension in the COVID-19 era-the impact "ON" and "OF" hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  14. Observational
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

4 authors at 3 institutions in 1 country.

Junichi YatabeGeneral Incorporated Association TelemedEASE, Shinjuku-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6710-1920
Midori Sasaki Yatabe *General Incorporated Association TelemedEASE, Shinjuku-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0002-7543-0019
Rika OkadaTM Clinic Nishishinjuku, Shinjuku-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0003-4601-8970
Atsuhiro IchiharaDepartment of Endocrinology and Hypertension, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3872-9767
Waseda University · JPTokyo Medical University · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of time is often the primary reason why patients discontinue their treatment. Telemedicine may help patients adhere to treatment by offering convenience.

objectiveThis study examined the efficacy and safety of telemedicine for the management of hypertension in Japan.

methodsPatients with uncomplicated hypertension were recruited through web advertising between November 2015 and February 2017. They were then screened, stratified by office systolic blood pressure (SBP), and randomized into two groups: usual care (UC) and telemedicine. The telemedicine group used a 3G network-attached home blood pressure (BP) monitoring device, consulted hypertension specialists from an academic hospital through web-based video visits, and received prescription medication by mail for 1 year. The UC group used the same BP monitoring device but was managed using self-recorded BP readings, which included their diary entries and office BP taken in a community practice setting.

resultsInitial screening was completed by 99 patients, 54% of whom had untreated hypertension. Baseline BP was similar between the groups, but the weekly average SBP at the end of the 1-year study period was significantly lower in the telemedicine group (125, SD 9 mmHg vs 131, SD 12 mmHg, respectively; P=.02). SBP in the telemedicine group was 3.4 mmHg lower in the morning and 5.8 mmHg lower in the evening. The rate of SBP control (135 mmHg) was better in the telemedicine group (85.3% vs 70.0%; P=.01), and significant adverse events were not observed.

conclusionsWe present evidence suggesting that antihypertensive therapy via home BP telemonitoring and web-based video visits achieve better BP control than conventional care and is a safe treatment alternative that warrants further investigation.

trial registrationUMIN-CTR UMIN000025372; https://tinyurl.com/47ejkn4b.

Indexed as

blood pressureblood pressure managementdigital healthefficacyhypertensionJapanmonitoringprospective studysafetytelehealthtelemedicinetelemonitoringvideo conferenceweb-based medicine

Identifiers

PMID34321194
PMCPMC8441608
OpenAlexW3186198923

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.