Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: Meta-analysis of randomized controlled studies

Stefano Omboni, Tiziana Gazzola, Giorgia Carabelli, Gianfranco Parati

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To systematically review data from randomized controlled studies on the effectiveness of home blood pressure telemonitoring (HBPT) versus usual care with respect to improvement of BP control, healthcare resources utilization and costs, patient's quality of life and adverse events. Methods: Electronic databases were searched for publications in English. The benefit and relative risk (RR) were estimated applying a random-effect model. Results: Twenty-three randomized controlled trials with a high level of heterogeneity were selected (7037 patients). Compared to usual care, HBPT improved office SBP by 4.71 mmHg [95% confidence interval (CI): 6.18, 3.24; P <0.001] and DBP by 2.45mmHg (3.33, 1.57; P <0.001). A larger proportion of patients achieved office BP normalization (

Original languageEnglish
Pages (from-to)455-468
Number of pages14
JournalJournal of Hypertension
Volume31
Issue number3
DOIs
Publication statusPublished - 2013

Keywords

  • Antihypertensive treatment
  • Blood pressure
  • Healthcare costs
  • Home blood pressure monitoring
  • Quality of life
  • Randomized controlled trial
  • Telemedicine
  • Telemonitoring

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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