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

  • Omboni S
  • Gazzola T
  • Carabelli G
 et al. 
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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 2.45 mmHg (3.33, 1.57; P < 0.001). A larger proportion of patients achieved office BP normalization (

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Authors

  • Stefano Omboni

  • Tiziana Gazzola

  • Giorgia Carabelli

  • Gianfranco Parati

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