To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. Patients in the intervention group and their providers, received feedback on self-monitored blood pressure results and optional lifestyle advice and motivational support. No studies of SMBP monitoring in children were identified. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Ambulatory BP monitoring requires a technologist to program the machine, fit it on the patient, remove it and download the results and a physician to interpret them. Data Synthesis: We standardized extraction by training on multiple articles, after which each study was extracted by one methodologist and the extraction reviewed by at least one other. In brief, ambulatory BP monitoring is a noninvasive, fully automated technique in which BP is recorded over an extended period of time, typically 24 hours. Figure 1 shows possible comparisons between SMBP, SMBP plus additional support, support without SMBP, and usual care. Comparative Effectiveness Review Number 45 Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Executive Summary Background High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. 343 0 obj <>stream Thank you for taking the time to confirm your preferences. 2013 Aug 6;159(3):185-94. doi: 10.7326/0003-4819-159-3-201308060-00008. Public Information from the CDC and Medscape. This video from the NACHC features Natalia, a patient who explains how she has taken control of her blood pressure with SMBP monitoring. official website and that any information you provide is encrypted 2011 Aug 8. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. SMBP = self-measured BP; KQ = Key Question. Introduction. Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video Please use this form to submit your questions or comments on how to make this article more useful to clinicians. National Library of Medicine 7 HBPM is also known as self-measured BP. SMBP monitoring may be used as a tool for disease self-management and to improve adherence with lifestyle and diet modification, or with drug treatment. How does SMBP monitoring compare with usual care or other interventions without SMBP in its effect on relevant surrogate outcomes (cardiac measures: LVH [left ventricular hypertrophy], LVM [left ventricular mass], LVMI [left ventricular mass index]) and intermediate outcomes (BP control, BP treatment adherence, or health care process measures)? government site. There is within-individual biological variability as well as measurement error. MeSH Very few trials evaluated objective clinical outcomes. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. No matter your age, you also can take steps each day to help keep your blood pressure in a healthy range. Accessibility These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Systematic Review: CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. The direct and indirect cost of high BP and its complications has been estimated at more than $43.5 billion in 2007 in the U.S.7 Thus, it cannot be viewed simply as an individual health issue given the large public health impact and the potential for cost savings with effective prevention or treatment. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Dec. Report No. Piper MA, Evans CV, Burda BU, Margolis KL, OConnor E, Smith N, Webber E, Perdue LA, Bigler KD, Whitlock EP. This site provides a list of clinically validated blood pressure devices, based on the American Medical Associations (AMA) established criteria to independently validate clinical accuracy. CDC twenty four seven. A recent CDC study found that 67 million adult Americans have hypertension, and of those, 36 million are uncontrolled. Sit correctly. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Conclusions: Would you like email updates of new search results? Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. To sign up for updates or to access your subscriberpreferences, please enter your email address below. How does SMBP monitoring compare with usual care or other interventions without SMBP in its effect on relevant clinical outcomes (cardiovascular events, mortality, patient satisfaction, quality of life, and adverse events related to antihypertensive agents)? Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. Self-Measured Blood Pressure Monitoring - Medscape We also included longitudinal cohort studies in addressing adherence predictors. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness i` V04s7.w`t32Cc( L4M\ES}*vWe+= 4a)\5O)si8hQ[^}.L01>#t7On,c7g K>=}NrMo4;Zj:97MgN1m#6+U6i endstream endobj 294 0 obj <>/Metadata 50 0 R/Names 317 0 R/Outlines 332 0 R/PageMode/UseOutlines/Pages 291 0 R/StructTreeRoot 110 0 R/Type/Catalog/ViewerPreferences<>>> endobj 295 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 296 0 obj <>stream This easy-to-read graphic from CDC shows patients the correct way to measure blood pressure and can be shared on your social channels and patient websites. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Clipboard, Search History, and several other advanced features are temporarily unavailable. In: Daniel D, Prall M, editors. I am Allison Goldstein from the Division for Heart Disease and Stroke Prevention at CDC. Project Timeline. This is an official U.S. government web site managed by the In a comparative effectiveness review supported by the Agency for . There is insufficient evidence concerning predictors of SMBP adherence. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness A health care team member can show you how to use one if you need help. Technically, SMBP monitoring refers to regular measurement by the patient of his or her own BP. Use this checklist: If you are keeping track of your blood pressure at home, use these additional tips. There are two BP monitoring strategies that can currently be used at home: Ambulatory and SMBP monitoring. BP as recorded in the office or clinic setting at medical encounters is the most commonly used approach for measurement of BP. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Why do I need to measure my blood pressure? FOIA Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. This process is quick and painless. To determine predictors of adherence with SMBP monitoring. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Untreated or ineffectively treated hypertension leads to increased cardiovascular morbidity and mortality in individuals, increased consumption of health care resources, high financial and human costs to society. We take your privacy seriously. Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement [PDF 1.7 MB] Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy [PDF 441 KB] We take your privacy seriously. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Numerous health professional and government organizations have developed various guidelines for BP management. For SMBP plus additional support versus SMBP alone or with less intense additional support, the strength of evidence is low, failing to support a difference in BP. Resource description: This research summary of a systematic review compares the effectiveness of various methods and approaches to blood pressure measurement by patients or companions. U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement: Hypertension in Adults: Screening In otherwise healthy adults, hypertension is defined as a persistently elevated BP equal to or greater than 140/90 mmHg.1 The recommended BP measurement technique is to average two readings taken in a person after 5 minutes quietly seated in chair.1 In children, the diagnosis is made from an average of three or more BP readings greater than the 95th percentile for age, sex, and height.2,3 The Seventh Joint National Committee (JNC 7) guideline recommends a BP goal of 140/90 mmHg or less in the general population and a lower goal of 130/80 mmHg or less in patients with diabetes mellitus or chronic kidney disease.1. Impact of SelfMonitoring of Blood Pressure on Processes of The actual BP measurement can be done either by the patient, or less frequently by a companion, who is usually not a medical professional. If you are concerned about your blood pressure numbers, talk to your health care team. The https:// ensures that you are connecting to the John M. Eisenberg Center for Clinical Decisions and Communications Science. To determine predictors of adherence with SMBP monitoring. Content last reviewed March 2021. Self-Measured Blood Pressure Monitoring | Million Hearts The review addressed SMBP monitoring performed by the patient or the patient's companion at home; it did not include monitoring done at the doctor's office, clinic, pharmacy, or health unit at work, nor did it include blood pressure (BP) monitoring done at home by nurses or other health care professionals.

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