Evidence map›Paper›PMID 37931262›Full record

Observational studyAnnals of internal medicine2023

Effects of Remote Patient Monitoring Use on Care Outcomes Among Medicare Patients With Hypertension : An Observational Study.

Mitchell Tang, Carter H Nakamoto, Ariel D Stern, Jose R Zubizarreta, Felippe O Marcondes, Lori Uscher-Pines, Lee H Schwamm, Ateev Mehrotra

Abstract readObservational Study
In one paragraph

Observational study in Annals of internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Disparities in Blood Pressure Measurement.Current hypertension reports · 2026
    Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. National Patterns of Remote Patient Monitoring Service Availability at US Hospitals.Circulation. Cardiovascular quality and outcomes · 2025
    Article
  11. Article
  12. Developing and Deploying a Hypertension Remote Patient Monitoring Program 101.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

8 authors at 4 institutions in 1 country.

Mitchell TangHarvard Graduate School of Arts and Sciences, Cambridge; and Harvard Business School, Boston, Massachusetts (M.T.).ORCID 0000-0002-5596-6393
Carter H NakamotoDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts (C.H.N.).
Ariel D SternHarvard Business School, Boston; and Harvard-MIT Center for Regulatory Science, Boston, Massachusetts (A.D.S.).ORCID 0000-0002-3586-1041
Jose R ZubizarretaDepartment of Health Care Policy, Harvard Medical School, Boston; Department of Biostatistics, Harvard School of Public Health, Boston; and Department of Statistics, Harvard University, Cambridge, Massachusetts (J.R.Z.).
Felippe O MarcondesDivision of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts (F.O.M.).ORCID 0000-0001-6991-5055
Lori Uscher-PinesRAND Corporation, Arlington, Virginia (L.U.).
Lee H SchwammStroke Division, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts (L.H.S.).ORCID 0000-0003-0592-9145
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, Boston; and Beth Israel Deaconess Medical Center, Boston, Massachusetts (A.M.).ORCID 0000-0003-2223-1582
Harvard University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USRAND Corporation · US

Funding

The Impact of Telestroke on Patterns of Care and Long-Term OutcomesR01NS111952 · NINDS · HARVARD MEDICAL SCHOOL · PI MEHROTRA, ATEEV · 2019 to 2023
$2.4M
NINDS NIH HHS R01 NS111952
6 · The paper itself

Abstract

backgroundRemote patient monitoring (RPM) is a promising tool for improving chronic disease management. Use of RPM for hypertension monitoring is growing rapidly, raising concerns about increased spending. However, the effects of RPM are still unclear.

objectiveTo estimate RPM's effect on hypertension care and spending.

designMatched observational study emulating a longitudinal, cluster randomized trial. After matching, effect estimates were derived from a regression analysis comparing changes in outcomes from 2019 to 2021 for patients with hypertension at high-RPM practices versus those at matched control practices with little RPM use.

settingTraditional Medicare. PATIENTS: Patients with hypertension.

interventionReceipt of care at a high-RPM practice. MEASUREMENTS: Primary outcomes included hypertension medication use (medication fills, adherence, and unique medications received), outpatient visit use, testing and imaging use, hypertension-related acute care use, and total hypertension-related spending.

results192 high-RPM practices (with 19 978 patients with hypertension) were matched to 942 low-RPM control practices (with 95 029 patients with hypertension). Compared with patients with hypertension at matched low-RPM practices, patients with hypertension at high-RPM practices had a 3.3% (95% CI, 1.9% to 4.8%) relative increase in hypertension medication fills, a 1.6% (CI, 0.7% to 2.5%) increase in days' supply, and a 1.3% (CI, 0.2% to 2.4%) increase in unique medications received. Patients at high-RPM practices also had fewer hypertension-related acute care encounters (-9.3% [CI, -20.6% to 2.1%]) and reduced testing use (-5.9% [CI, -11.9% to 0.0%]). However, these patients also saw increases in primary care physician outpatient visits (7.2% [CI, -0.1% to 14.6%]) and a $274 [CI, $165 to $384]) increase in total hypertension-related spending. LIMITATION: Lacked blood pressure data; residual confounding.

conclusionPatients in high-RPM practices had improved hypertension care outcomes but increased spending. PRIMARY FUNDING SOURCE: National Institute of Neurological Disorders and Stroke.

Indexed as

HypertensionMedicareAgedBlood PressureHumansMonitoring, PhysiologicUnited States

Identifiers

PMID37931262
PMCPMC13400060
OpenAlexW4388406339

What OpenQuestion holds

Textmetadata
LicenceTDM
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.