The cost of a home BP monitor ranges between $40 to $150, and the insurance coverage and approval for these devices vary across states.33 However, provision of the device could be cost-saving if it resulted in a reduced number of office visits for BP measurement or management or resulted in improved BP, which could translate into reduced morbidity and health care utilization. (Prepared by the Tufts Evidence-based Practice Center under Contract No. 0 https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure/research. Hypertension Medication for Specific Comorbidities, Individualized Weight Monitoring Using the Heartphone, Home Blood Pressure Monitoring in Patients With Hypertension. Support interventions can be delivered outside of a normal office visit -- for example via telephone, email, or Internet portal -- thereby reducing the necessary frequency of face-to-face visits. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Jan. (Comparative Effectiveness Reviews, No. 52 prospective comparative studies of SMBP monitoring with or without additional support versus usual care or an alternative SMBP monitoring intervention in persons with hypertension. Brown Affiliations The population of interest is the general population of people with hypertension, excluding pregnant women or those receiving dialysis. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. With training, additional support and treatment algorithms, patients may be able to self adjust medications based on SMBP results. How often should I measure my blood pressure? Rockville, MD: Agency for Healthcare Research and Quality. John M Eisenberg Center for Clinical Decisions and Communications Science. HHSA 290-2007-10055-I.) Several national and international hypertension guidelines endorse self-measured BP monitoring. SMBP monitoring is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. Technically, SMBP monitoring refers to regular measurement by the patient of his or her own BP. 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. This report can help policymakers learn more about which payers have programs that cover and reimburse for SMBP monitoring. Piper MA, Evans CV, Burda BU, Margolis KL, OConnor E, Smith N, Webber E, Perdue LA, Bigler KD, Whitlock EP. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. The bold lines indicate the comparisons addressed in the Key Questions (see below). Disclaimer. https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure. This website also contains material copyrighted by 3rd parties. Patient-provider feedback loops may involve patients reporting blood pressure readings for a given time period, concerns about medications, and progress on lifestyle changes to their providers. The CDC 6|18 Initiative supports providing access for SMBP monitoring for home use and creating individual, provider, and health system incentives for compliance and meeting goals.
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