Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis.
Katherine Louise TuckerJames Peter SheppardRichard John StevensHayden B BosworthAlfred BoveEmma P BrayKenneth EarleJohnson GeorgeMarshall GodwinBeverly B GreenPaul HebertFrederick David Richard HobbsIlkka KantolaSally M KerryAlfonso LeivaDavid J MagidJonathan MantKaren L MargolisBrian McKinstryMary Ann McLaughlinStefano OmboniOlugbenga OgedegbeGianfranco ParatiNashat QamarBahman P TabaeiJuha VarisWillem J VerberkBonnie J WakefieldRichard J McManusPublished in: PLoS medicine (2017)
Self-monitoring alone is not associated with lower BP or better control, but in conjunction with co-interventions (including systematic medication titration by doctors, pharmacists, or patients; education; or lifestyle counselling) leads to clinically significant BP reduction which persists for at least 12 months. The implementation of self-monitoring in hypertension should be accompanied by such co-interventions.
Keyphrases
- blood pressure
- systematic review
- healthcare
- physical activity
- end stage renal disease
- hypertensive patients
- ejection fraction
- newly diagnosed
- heart rate
- chronic kidney disease
- primary care
- metabolic syndrome
- cardiovascular disease
- prognostic factors
- peritoneal dialysis
- emergency department
- type diabetes
- weight loss
- insulin resistance
- randomized controlled trial
- patient reported outcomes
- case report
- machine learning
- hepatitis c virus
- meta analyses
- blood glucose
- case control
- general practice