Evidence map›Paper›PMID 41789634›Full record

Observational studyAnnals of African medicine2026

To Compare Different Blood Pressure Measurement Techniques in Patients with Chronic Kidney Disease.

B Sai Surya Teja, K M Srinath, R Hareeth Reddy, Ajith Balineni, Eswar Ganti, Madhu Basavegowda, Srikar Gottipati, Pasam Snigdha Sri, Sasi Gullapalli, Midhu Meghana Battula

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

B Sai Surya TejaDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
K M SrinathDepartment of General Medicine, JSS Academy of Higher Education and Research, Mysore, Karnataka, India.
R Hareeth ReddyDepartment of Emergency Medicine, JSS Academy of Higher Education and Research, Mysore, Karnataka, India.
Ajith BalineniDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Eswar GantiDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Madhu BasavegowdaDepartment of Community Medicine, JSS Medical College, JSSAHER, Mysore, Karnataka, India.
Srikar GottipatiDepartment of Pulmonary Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Pasam Snigdha SriDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Sasi GullapalliDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.
Midhu Meghana BattulaDepartment of General Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Krishna, Andhra Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate blood pressure (BP) measurement is critical in patients with chronic kidney disease (CKD) due to its strong association with cardiovascular morbidity and progression of renal dysfunction. While ambulatory BP monitoring (ABPM) is considered the gold standard, it is often impractical in routine settings. This study compares manual office BP (MOBP), automated office BP (AOBP), and ABPM to evaluate diagnostic accuracy and clinical utility in CKD patients. MATERIALS AND

methodsThis cross-sectional observational study was conducted in 120 patients with established CKD. BP measurements were recorded using MOBP, AOBP, and ABPM over a 24-h period. Comparative analysis was performed for systolic and diastolic BP values, uncontrolled hypertension, and identification of phenotypes such as white-coat hypertension (WCH) and masked hypertension (MHT). Statistical significance was evaluated using paired t -tests and ROC curve analysis.

resultsMean systolic and diastolic BP values were significantly higher with MOBP (131.55 ± 16.88/87.42 ± 10.56 mmHg) compared to ABPM (130.11 ± 17.60/84.35 ± 10.81 mmHg, P < 0.05). AOBP values closely matched ABPM (130.45 ± 17.53/84.63 ± 10.80 mmHg, P > 0.4). Uncontrolled hypertension was noted in 30.8% (MOBP, AOBP) and 27.5% (ABPM). WCH and MHT were identified in 6.5% and 3.5% of patients, respectively. AOBP demonstrated high sensitivity (95.8%) and specificity (94.4%) relative to ABPM.

conclusionAOBP closely approximates ABPM and can be considered a reliable alternative for BP evaluation in CKD patients, particularly in resource-limited settings. MOBP significantly overestimates BP and may lead to diagnostic misclassification.

Indexed as

Blood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryHypertensionMasked HypertensionRenal Insufficiency, ChronicAdultAgedBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedReproducibility of ResultsROC CurveSensitivity and SpecificityAmbulatory blood pressure monitoringautomated office blood pressurechronic kidney diseasehypertension blouse blanchehypertension masquéemaladie rénale chroniquemasked hypertensionMesure ambulatoire de la pression artériellepression artérielle automatisée au cabinetwhite-coat hypertension

Identifiers

PMID41789634
PMCPMC13249331

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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.