MEDLINE, Cochrane Central Register of Controlled Trials, existing systematic and narrative reviews, recent conference proceedings, and the Food and Drug Administration. i` V04s7.w`t32Cc( L4M\ES}*vWe+= 4a)\5O)si8hQ[^}.L01>#t7On,c7g K>=}NrMo4;Zj:97MgN1m#6+U6i Purpose CER 45 Self-Measured Blood Pressure Monitoring Comparative Effectiveness Surveillance Final 4.7 AHRQ%Systematic%Review%% Surveillance%Program% CER$#45:$Self'Measured"Blood"Pressure"Monitoring:"$ Comparative"Effectiveness" Original$Release$Date:$nuary Ja "2012" Surveillance$Report: "vember"2012No " Surveillance$Report: "rchMa "2016"" Measurements may interfere with a patient's activity or sleep. For additional assistance, please contact us. Self-Measured Blood Pressure Monitoring . Measure Your Blood Pressure | cdc.gov Federal government websites often end in .gov or .mil. Effective Health Care Program, Agency for Healthcare Research and Quality, Rockville, MD. This website requires cookies, and the limited processing of your personal data in order to function. Kallioinen N, Hill A, Horswill MS, Ward HE, Watson MO. Finally, SMBP may be useful in preventing overtreatment in individuals with white coat syndrome, orthostatic BP changes, or hypotensive episodes from medication. Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy [PDF 441 KB] 2012 Feb 15. A reading that says your blood pressure is lower than it actually is may give you a false sense of security about your health. Agency for Healthcare Research and Quality, Rockville, MD. Cookies used to make website functionality more relevant to you. Thank you for taking the time to confirm your preferences. Rockville, MD 20857 Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Possible comparisons between SMBP, SMBP plus additional support, support without SMBP, and usual care, Agency for Healthcare Research and Quality (US). In: Daniel D, Prall M, editors. hb```f`` & B,@Q+g~ 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. Reliable clinic measurements require an adequate rest period prior to measurement in order to enhance the consistency of BP readings. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness, https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure/research, Comment on Key Questions and Draft Reports, 25 Years of the AHRQ Evidence-based Practice Center Program, Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis, Postpartum Home Blood Pressure Monitoring, Postpartum Treatment of Hypertensive Disorders of Pregnancy, and Peripartum Magnesium Sulfate Regimens for Preeclampsia With Severe Features, Cervical Ripening in the Outpatient Setting, Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks, Effects of Dietary Sodium and Potassium Intake on Chronic Disease Outcomes and Related Risk Factors, U.S. Department of Health & Human Services. No trials compared different SMBP devices or provided evidence on the relationship between BP control and clinical or surrogate outcomes. The Forum convenes online quarterly. Centers for Disease Control and Prevention. This program from the AMA and Johns Hopkins University School of Medicine is designed to help physician offices and health centers engage patients in SMBP monitoring. Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement [PDF 1.7 MB] Cite this: Self-Measured Blood Pressure Monitoring to Control Hypertension-Medscape-May06,2013. 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. Public Information from the CDC and Medscape. Cookies used to make website functionality more relevant to you. Federal government websites often end in .gov or .mil. One study estimated that the global prevalence of hypertension in 2000 was 26 percent in the adult population. How to Use Your Home Blood Pressure Monitor Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. hXio8EIbHr)_cBCq{(1KLL)}]IDb)Pb"VL *&DSK28ijMqXLG:a/^~ vs:?COe+Y1~504ye49ucTSQZGUI+'O+ {EQZu]`^.7t n\B^9~: There is within-individual biological variability as well as measurement error. Accessibility PMC Monitoring Your Blood Pressure at Home | American Heart Association Document author(s)/institution of origin: Effective Health Care Program, Agency for Healthcare Research and . However, consistently attaining reliable BP measurements is problematic. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness 315 0 obj <>/Filter/FlateDecode/ID[]/Index[293 51]/Info 292 0 R/Length 113/Prev 421311/Root 294 0 R/Size 344/Type/XRef/W[1 3 1]>>stream The current report evaluates ambulatory BP monitoring only as an outcome measurement tool, not as an intervention of interest. This video summarizes results from Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models article, which discusses a pilot project in nine community health centers across three states to increase the use of SMBP using a collaborative model with health centers, community organizations, and health departments. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Your feet should be flat on the floor and your legs . 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. Effectiveness of Self-Measured Blood Pressure Monitoring in - PubMed Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Prior to joining CDC, Allison worked on the Global Polio Eradication Initiative at CARE International where she designed curricula for health workers and conducted evaluation field research on global polio eradication efforts. Purpose Generate prioritized topics for future research on SMBP, building on evidence gaps identified in a prior comparative effectiveness review and following an . Shareable Handouts and Tools in English and Spanish, steps to take to control your blood pressure, this list of questions to ask your health care team, take steps each day to help keep your blood pressure in a healthy range, Heart disease and stroke statistics-2020 update: a report from the American Heart Association, Sources of inaccuracy in the measurement of adult patients resting blood pressure in clinical settings: A systematic review, National Center for Chronic Disease Prevention and Health Promotion, 5 Surprising Facts About High Blood Pressure, Hypertension Statistical Reports for Health Professionals, Morbidity and Mortality Weekly Reports About Hypertension, Hypertension Resources for Health Professionals, U.S. Department of Health & Human Services. Comparative Effectiveness Review No. In that role, she provides scientific expertise to support research translation related to Million Hearts priority strategies. Providers can help with SMBP implementation by promoting SMBP to their hypertensive patients and establishing clinical feedback systems. Million Hearts Science team, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GeorgiaDisclosure: Allison Goldstein, MPH, has disclosed no relevant financial relationships. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. In studies of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Internet Citation: Rockville, MD: Agency for Healthcare Research and Quality. To determine predictors of adherence with SMBP monitoring. SMBP Coverage Insights: Medicaid [PDF 232 KB] 12-EHC002-EF. In a comparative effectiveness review supported by the Agency for . 2013 Aug 6;159(3):185-94. doi: 10.7326/0003-4819-159-3-201308060-00008. The https:// ensures that you are connecting to the PDF Coffee Break 2019: Effectiveness and Economic Evidence of Self-Measured Purpose: To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. No studies of SMBP monitoring in children were identified. Content last reviewed March 2021. Very few trials evaluated objective clinical outcomes. This 1-hour continuing medical education (CME) course focuses on the appropriate use of SMBP monitoring in clinical practice and trains physicians, care teams, and other participants who are registered for Target: BP. January 2012 As they were scoping their work for SMBP, they started by searching multiple databases Thus an alternative term for SMBP monitoring which better captures the application of self measurement for this report is the term home BP monitoring; however since the term is relatively rarely used in the literature, we will continue to use SMBP. sharing sensitive information, make sure youre on a federal For SMBP plus additional support versus usual care, the strength of evidence is high and supports a lower BP with SMBP use (SBP/DBP -3.4 to -8.9/-1.9 to -4.4 mmHg) up to 12 months. This graphic from Target: BP demonstrates how to prepare for a blood pressure reading, the correct position to take your own blood pressure, and how to measure it. PDF Science-in-Brief Feature: Self-Measured Blood Pressure Monitoring - CDC 2012 Mar 19. For appropriate diagnosis and therapy, accurate BP measurement is of great importance. This 2021 recommendation from the USPSTF includes additional guidance for obtaining blood pressure measurements away from the clinical setting. SMBP differs from clinic-based and ambulatory blood . I am Allison Goldstein from the Division for Heart Disease and Stroke Prevention at CDC. If you have high blood pressure, talk to your health care team about steps to take to control your blood pressureto lower your risk for heart disease and stroke. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Research Protocol . Whether or not to advise the use of an SMBP monitoring device for a patient with hypertension is a common clinical question for clinicians. 5600 Fishers Lane Share this graphic with family and friends to show them the correct way to measure blood pressure. PDF CER 45 Self-Measured Blood Pressure Monitoring Comparative Sit correctly. Purpose: The bold lines correspond to the comparisons covered in this report: SMBP versus usual care (Key Question 1, part 1); SMBP plus additional support versus support without SMBP (also Key Question 1, part 1); SMBP plus additional support versus usual care (Key Question 1, part 2); SMBP plus additional support versus SMBP (Key Question 2). Self-Measured Blood Pressure: Future Research Needs: Identification of They can help you make a plan to manage high blood pressure. He has led the Evidence Review Teams for numerous guidelines for management of kidney disease, gynecological surgery, orthopedic surgery, and triaging in resource-poor countries. 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. [1] SMBP monitoring plus clinical support has been found to be effective in helping patients control their blood pressure.[2].