American Journal of Hypertension

, том 33 , издание 3

Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis

James P. Sheppard ¹

Katherine L. Tucker ¹

W J Davison ²

Richard Stevens ¹

W Aekplakorn ³

Hayden B. Bosworth ⁴

A. Bove ⁵

K Earle ⁶

M. Godwin ⁷

B B Green ⁸

Paul L. Hebert ⁹

Carl Heneghan ¹

Nathan R Hill ¹

F.D.R. Hobbs ¹

Ilkka M. Kantola ¹⁰

Sally M. Kerry ¹¹

Alfonso Leiva ¹²

D. J. Magid ¹³

J Mant ¹⁴

Karen L. Margolis ¹⁵

Brian Mckinstry ¹⁶

M. A. McLaughlin ¹⁷

K. MCNAMARA ^{18, 19}

Stefano Omboni ^{20, 21}

O. Ogedegbe ²²

Gianfranco Parati ^{23, 24}

J. Varis ¹⁰

Willem J. Verberk ²⁵

B J Wakefield ²⁶

Richard G. Mcmanus ¹

Скрыть аффилиации авторов Показать аффилиации авторов: 26 аффилиаций

Nuffield Department of Primary Care, University of Oxford, Oxford, United Kingdom |

Ageing and Stroke Medicine, Norwich Medical School, University of East Anglia, United Kingdom |

Department of Community Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand

Университет Махидола

Больница Раматибоди

⁴

Center for Health Services Research in Primary Care, Department of Population Health Sciences, Duke University, Durham, North Carolina, USA |

⁵

Cardiology, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA |

⁶

Thomas Addison Diabetes Unit, St. George’s University Hospitals NHS Foundation Trust, London, United Kingdom |

⁷

Family Medicine, Memorial University of Newfoundland, St. John’s, Canada |

⁸

Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA |

⁹

Department of Health Services, University of Washington School of Public Health, Seattle, Washington, USA |

¹⁰

Division of Medicine, Turku University Hospital and University of Turku, Turku, Finland |

¹¹

Centre for Primary Care and Public Health, Queen Mary University of London, London, United Kingdom |

¹²

Primary Care Research Unit of Mallorca, Baleares Health services-IbSalut, Mallorca, Spain |

¹³

Colorado School of Public Health, University of Colorado, Denver, Colorado, USA

Медицинский кампус Аншутц Университета Колорадо

Университет Колорадо в Денвере

¹⁴

Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom |

¹⁵

HealthPartners Institute, Minneapolis, Minnesota, USA |

¹⁶

Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom |

¹⁷

Icahn School of Medicine at Mount Sinai New York, New York, New York, USA |

¹⁸

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Australia |

¹⁹

School of medicine, Deakin University, Geelong, Australia |

²⁰

Clinical Research Unit, Italian Institute of Telemedicine, Varese, Italy |

²¹

Scientific Research Department of Cardiology, Science and Technology Park for Biomedicine, Sechenov First Moscow State Medical University, Moscow, Russian Federation |

²²

Center for Healthful Behavior Change, Division of Health and Behavior, Department of Population Health, Langone School of Medicine, New York University, New York, USA |

²³

Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy

Научные институты госпитализации и лечения

Итальянский институт ауксологии

²⁴

Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy |

²⁵

Cardiovascular Research Institute Maastricht and Departments of Internal Medicine, Maastricht University, Maastricht, the Netherlands |

²⁶

Department of Veterans (VA) Health Services Research and Development Centre for Comprehensive Access and Delivery Research and Evaluation (CADRE), VA Medical Centre, Iowa City, USA |

Тип публикации: Journal Article

Дата публикации: 2019-11-15

Oxford University Press

American Journal of Hypertension

scimago Q1

wos Q2

БС1

SJR: 1.192

CiteScore: 7.1

Impact factor: 3.1

ISSN: 08957061, 19417225

DOI: 10.1093/ajh/hpz182

Скопировать DOI

PubMed ID: 31730171

Internal Medicine

Краткое описание

BACKGROUND

Studies have shown that self-monitoring of blood pressure (BP) is effective when combined with co-interventions, but its efficacy varies in the presence of some co-morbidities. This study examined whether self-monitoring can reduce clinic BP in patients with hypertension-related co-morbidity.

METHODS

A systematic review was conducted of articles published in Medline, Embase, and the Cochrane Library up to January 2018. Randomized controlled trials of self-monitoring of BP were selected and individual patient data (IPD) were requested. Contributing studies were prospectively categorized by whether they examined a low/high-intensity co-intervention. Change in BP and likelihood of uncontrolled BP at 12 months were examined according to number and type of hypertension-related co-morbidity in a one-stage IPD meta-analysis.

RESULTS

A total of 22 trials were eligible, 16 of which were able to provide IPD for the primary outcome, including 6,522 (89%) participants with follow-up data. Self-monitoring was associated with reduced clinic systolic BP compared to usual care at 12-month follow-up, regardless of the number of hypertension-related co-morbidities (−3.12 mm Hg, [95% confidence intervals −4.78, −1.46 mm Hg]; P value for interaction with number of morbidities = 0.260). Intense interventions were more effective than low-intensity interventions in patients with obesity (P < 0.001 for all outcomes), and possibly stroke (P < 0.004 for BP control outcome only), but this effect was not observed in patients with coronary heart disease, diabetes, or chronic kidney disease.

CONCLUSIONS

Self-monitoring lowers BP regardless of the number of hypertension-related co-morbidities, but may only be effective in conditions such obesity or stroke when combined with high-intensity co-interventions.

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1 цитирование

Шварц Владимир

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д.м.н., проф.

79 публикаций, 440 цитирований, 195 рецензий

Индекс Хирша: 12

Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева

Области научных интересов

Телемедицина

Фибрилляция предсердий

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Мария Роза

221 публикация, 9 688 цитирований, 137 рецензий

Индекс Хирша: 42

Университет Париж-Сите

Французский институт здравоохранения и медицинских исследований

Европейская больница Жоржа-Помпиду

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Sheppard J. P. et al. Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis // American Journal of Hypertension. 2019. Vol. 33. No. 3.

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Sheppard J. P., Tucker K. L., Davison W. J., Stevens R., Aekplakorn W., Bosworth H. B., Bove A., Earle K., Godwin M., Green B. B., Hebert P. L., Heneghan C., Hill N. R., Hobbs F., Kantola I. M., Kerry S. M., Leiva A., Magid D. J., Mant J., Margolis K. L., Mckinstry B., McLaughlin M. A., MCNAMARA K., Omboni S., Ogedegbe O., Parati G., Varis J., Verberk W. J., Wakefield B. J., Mcmanus R. G. Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis // American Journal of Hypertension. 2019. Vol. 33. No. 3.

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TY - JOUR

DO - 10.1093/ajh/hpz182

UR - https://doi.org/10.1093/ajh/hpz182

TI - Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis

T2 - American Journal of Hypertension

AU - Sheppard, James P.

AU - Tucker, Katherine L.

AU - Davison, W J

AU - Stevens, Richard

AU - Aekplakorn, W

AU - Bosworth, Hayden B.

AU - Bove, A.

AU - Earle, K

AU - Godwin, M.

AU - Green, B B

AU - Hebert, Paul L.

AU - Heneghan, Carl

AU - Hill, Nathan R

AU - Hobbs, F.D.R.

AU - Kantola, Ilkka M.

AU - Kerry, Sally M.

AU - Leiva, Alfonso

AU - Magid, D. J.

AU - Mant, J

AU - Margolis, Karen L.

AU - Mckinstry, Brian

AU - McLaughlin, M. A.

AU - MCNAMARA, K.

AU - Omboni, Stefano

AU - Ogedegbe, O.

AU - Parati, Gianfranco

AU - Varis, J.

AU - Verberk, Willem J.

AU - Wakefield, B J

AU - Mcmanus, Richard G.

PY - 2019

DA - 2019/11/15

PB - Oxford University Press

IS - 3

VL - 33

PMID - 31730171

SN - 0895-7061

SN - 1941-7225

ER -

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@article{2019_Sheppard,

author = {James P. Sheppard and Katherine L. Tucker and W J Davison and Richard Stevens and W Aekplakorn and Hayden B. Bosworth and A. Bove and K Earle and M. Godwin and B B Green and Paul L. Hebert and Carl Heneghan and Nathan R Hill and F.D.R. Hobbs and Ilkka M. Kantola and Sally M. Kerry and Alfonso Leiva and D. J. Magid and J Mant and Karen L. Margolis and Brian Mckinstry and M. A. McLaughlin and K. MCNAMARA and Stefano Omboni and O. Ogedegbe and Gianfranco Parati and J. Varis and Willem J. Verberk and B J Wakefield and Richard G. Mcmanus},

title = {Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis},

journal = {American Journal of Hypertension},

year = {2019},

volume = {33},

publisher = {Oxford University Press},

month = {nov},

url = {https://doi.org/10.1093/ajh/hpz182},

number = {3},

doi = {10.1093/ajh/hpz182}

}

Издатель

Oxford University Press

Журнал

American Journal of Hypertension

scimago Q1

wos Q2

БС1

SJR

1.192

CiteScore

7.1

Impact factor

3.1

ISSN

08957061 (Print)

19417225 (Electronic)