Trial reportBMC medicine2025
Efficiency of remote monitoring and guidance in blood pressure management: a randomized controlled trial : The role of remote monitoring in improving hypertension management.
Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04690478 (Remote Blood Pressure Management Clinical Application Research), which is not on this map. Cited by 3 papers.
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.
Remote Blood Pressure Management Clinical Application Research
Who cites it
3 citing papers in PubMed.
- Pharmacist-led, digitally enabled transitional care after acute myocardial infarction: design and baseline characteristics of the AMI-HOPE nationwide stepped-wedge trial.European heart journal. Digital health · 2026Article
- Precision cardiovascular medicine with big data and AI.NPJ digital medicine · 2026Review
- Global research trends and hotspots in digital health in hypertension: A comprehensive bibliometric analysis (1992-2025).Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
backgroundRegular monitoring of blood pressure (BP) is essential for managing hypertension. The long-term effectiveness of remote monitoring in BP control requires further validation. Although self-monitoring has some benefits, its overall effectiveness remains inconclusive. In this study, we aimed to compare whether remote monitoring and self-monitoring differ from usual care in terms of their effects on BP reduction in patients with hypertension.
methodsThis multicentre randomised controlled trial enrolled participants diagnosed with primary hypertension in Qingdao, China, from December 2020 to December 2021. Patients were randomly assigned to one of the following three groups: remote monitoring, self-monitoring, or usual care. All groups underwent scheduled outpatient follow-up visits every 3 months throughout the 24-month study period. The primary outcome was the adjusted mean difference in systolic BP, which was used to evaluate the effectiveness of remote monitoring and self-monitoring compared to usual care.
resultsA total of 1006 participants were analysed: 332 in the usual care group, 337 in the self-monitoring group, and 337 in the remote group. After 24 months, BP was significantly reduced in all the groups, particularly in the remote group with suboptimal baseline BP, where systolic and diastolic BP decreased by 17.7 mm Hg and 10.2 mm Hg, respectively. Compared to the usual care group, the adjusted mean difference in systolic BP for the remote group was -2.7 (-4.45, -0.96), p = 0.002, while the self-monitoring group showed no significant difference. No significant differences in diastolic BP were observed between either group and the usual care group. Attainment rates of target BP increased rapidly in the first 3 months, and continued to rise only in the remote group, reaching 69.65%. The remote group had a higher proportion of calcium channel blockers, diuretics, and combination therapy than the usual care and self-monitoring groups.
conclusionsRemote monitoring and guidance enhanced the efficiency of BP management, whereas self-monitoring alone proved to be ineffective.
trial registrationClincialTrials.gov Identifier: NCT04690478.
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