Evidence map›Paper›PMID 41404056›Full record

ArticleClinical epidemiology2025

Self-Measured Blood Pressure Monitoring in Primary Care: Retrospective Analysis from a Large US Healthcare System.

Iridian Guzman, Nicole Glowacki, Joseph Chase, John Brill, Alexandras Biskis, Rasha Khatib

Abstract read
In one paragraph

Article in Clinical epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Iridian GuzmanAdvocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA.ORCID 0009-0005-3510-3143
Nicole GlowackiAdvocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA.ORCID 0000-0001-6975-268X
Joseph ChaseAdvocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA.
John BrillEnterprise Population Health, Advocate Health, Milwaukee, WI, USA.
Alexandras BiskisAdvocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA.
Rasha KhatibAdvocate Aurora Research Institute, Advocate Health, Milwaukee, WI, USA.ORCID 0000-0001-7480-3840

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Self-measured blood pressure (SMBP) monitoring, or home blood pressure monitoring, is an evidence-based strategy for hypertension management. However, the extent to which SMBP readings are documented in the electronic health record (EHR)-a critical step in integrating SMBP monitoring into routine care-remains unclear. The objective of this study was to evaluate how race/ethnicity, insurance status, and preferred language are associated with documented SMBP monitoring adoption. Patients and Methods: This retrospective study included adults (aged ≥18 years) with a diagnosis of hypertension and at least one uncontrolled ambulatory blood pressure reading in 2023. All patients had ≥2 primary care visits in 2023. The primary outcome was the presence of at least one SMBP reading documented in the EHR using a structured patient-reported blood pressure readings field. Logistic regression was used to assess associations between patient characteristics and SMBP monitoring documentation. Results: Among 156,444 eligible patients, only 5.0% had at least one SMBP reading documented in the EHR. SMBP readings were mostly recorded during office visits (62.8%). In fully adjusted analyses, Black (OR 0.68; 95% CI, 0.63-0.72) and Hispanic (OR 0.72; 95% CI, 0.65-0.80) patients compared to White patients, Medicaid-insured patients (OR 0.88; 95% CI, 0.79-0.98) compared to Commercial-insured patients, those preferring non-English languages (OR 0.77; 95% CI, 0.67-0.88) compared to those preferring English, had lower odds of SMBP monitoring documentation. Conclusion: SMBP monitoring documentation in the EHR was rare and significantly lower among populations experiencing inequities in access, language, and outcomes. Although remote monitoring strategies show promise, poor EHR integration and scalability challenges limit their adoption. Targeted efforts are needed to improve SMBP monitoring documentation workflows, enhance EHR integration, and promote equitable access to hypertension self-management tools.

Indexed as

EHRhypertensionprimary careself-managementSMBP monitoring

Identifiers

PMID41404056
PMCPMC12702663

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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.