IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i20p10583-d652700.html
   My bibliography  Save this article

An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension

Author

Listed:
  • Sang-Hyun Park

    (Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon 35233, Korea
    These authors contributed equally to this work.)

  • Jong-Ho Shin

    (Department of Internal Medicine, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon 35233, Korea
    These authors contributed equally to this work.)

  • Joowoong Park

    (Research Strategy Division, Korea Aerospace Research Institute (KARI), Daejeon 34133, Korea)

  • Woo-Seok Choi

    (Moon Soul Graduate School of Future Strategy, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 34141, Korea
    Keyu Internal Medicine Clinic, Daejeon 35250, Korea)

Abstract

Following the coronavirus disease-2019 pandemic, this study aimed to evaluate the overall effects of remote blood pressure monitoring (RBPM) for urban-dwelling patients with hypertension and high accessibility to healthcare and provide updated quantitative summary data. Of 2721 database-searched articles from RBPM’s inception to November 2020, 32 high-quality studies (48 comparisons) were selected as primary data for synthesis. A meta-analysis was undertaken using a random effects model. Primary outcomes were changes in office systolic blood pressure (SBP) and diastolic blood pressure (DBP) following RBPM. The secondary outcome was the BP control rate. Compared with a usual care group, there was a decrease in SBP and DBP in the RBPM group (standardized mean difference 0.507 (95% confidence interval [CI] 0.339–0.675, p < 0.001; weighted mean difference [WMD] 4.464 mmHg, p < 0.001) and 0.315 (CI 0.209–0.422, p < 0.001; WMD 2.075 mmHg, p < 0.001), respectively). The RBPM group had a higher BP control rate based on a relative ratio (RR) of 1.226 (1.107–1.358, p < 0.001). RBPM effects increased with increases in city size and frequent monitoring, with decreases in intervention duration, and in cities without medically underserved areas. RBPM is effective in reducing BP and in achieving target BP levels for urban-dwelling patients with hypertension.

Suggested Citation

  • Sang-Hyun Park & Jong-Ho Shin & Joowoong Park & Woo-Seok Choi, 2021. "An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension," IJERPH, MDPI, vol. 18(20), pages 1-37, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10583-:d:652700
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/20/10583/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/20/10583/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
    2. Katherine L Tucker & James P Sheppard & Richard Stevens & Hayden B Bosworth & Alfred Bove & Emma P Bray & Kenneth Earle & Johnson George & Marshall Godwin & Beverly B Green & Paul Hebert & F D Richard, 2017. "Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis," PLOS Medicine, Public Library of Science, vol. 14(9), pages 1-29, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dimitris Bertsimas & Agni Orfanoudaki & Rory B. Weiner, 2020. "Personalized treatment for coronary artery disease patients: a machine learning approach," Health Care Management Science, Springer, vol. 23(4), pages 482-506, December.
    2. Qian Li & Yan Chen & Shikun Sun & Muyuan Zhu & Jing Xue & Zihan Gao & Jinfeng Zhao & Yihe Tang, 2022. "Research on Crop Irrigation Schedules Under Deficit Irrigation—A Meta-analysis," Water Resources Management: An International Journal, Published for the European Water Resources Association (EWRA), Springer;European Water Resources Association (EWRA), vol. 36(12), pages 4799-4817, September.
    3. Bart Verkuil & Serpil Atasayi & Marc L Molendijk, 2015. "Workplace Bullying and Mental Health: A Meta-Analysis on Cross-Sectional and Longitudinal Data," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-16, August.
    4. Damiano Pizzol & Mike Trott & Igor Grabovac & Mario Antunes & Anna Claudia Colangelo & Simona Ippoliti & Cristian Petre Ilie & Anne Carrie & Nicola Veronese & Lee Smith, 2021. "Laparoscopy in Low-Income Countries: 10-Year Experience and Systematic Literature Review," IJERPH, MDPI, vol. 18(11), pages 1-11, May.
    5. Wolfgang Goymann & John C. Wingfield, 2014. "Male-to-female testosterone ratios, dimorphism, and life history—what does it really tell us?," Behavioral Ecology, International Society for Behavioral Ecology, vol. 25(4), pages 685-699.
    6. Alderotti, Giammarco & Rapallini, Chiara & Traverso, Silvio, 2023. "The Big Five personality traits and earnings: A meta-analysis," Journal of Economic Psychology, Elsevier, vol. 94(C).
    7. Ünal, Zehra E. & Kartal, Gamze & Ulusoy, Serra & Ala, Aslı M. & Yilmaz, Munube & Geary, David C., 2023. "Relative contributions of g and basic domain-specific mathematics skills to complex mathematics competencies," Intelligence, Elsevier, vol. 101(C).
    8. Daniele Zago & Maria Eugênia Andrighetto Canozzi & Júlio Otávio Jardim Barcellos, 2020. "Pregnant beef cow’s nutrition and its effects on postnatal weight and carcass quality of their progeny," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-20, August.
    9. Viktoria Maria Baumeister & Leonie Petra Kuen & Maike Bruckes & Gerhard Schewe, 2021. "The Relationship of Work-Related ICT Use With Well-being, Incorporating the Role of Resources and Demands: A Meta-Analysis," SAGE Open, , vol. 11(4), pages 21582440211, November.
    10. Gundula Krack, 2019. "How to make value-based health insurance designs more effective? A systematic review and meta-analysis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 841-856, August.
    11. Angélica Pigola & Priscila Rezende Costa, 2022. "In search of understanding about knowledge and learning on innovation performance," Scientometrics, Springer;Akadémiai Kiadó, vol. 127(7), pages 3995-4022, July.
    12. Christopher Snyder & Ran Zhuo, 2018. "Sniff Tests as a Screen in the Publication Process: Throwing out the Wheat with the Chaff," NBER Working Papers 25058, National Bureau of Economic Research, Inc.
    13. Chuang Yuan & Jing Wang & Michael Ying, 2016. "Predictive Value of Carotid Distensibility Coefficient for Cardiovascular Diseases and All-Cause Mortality: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
    14. Francisco Javier Blanco-Encomienda & Rocío García-Cantero & María José Latorre-Medina, 2020. "Association between Work-Related Rumination, Work Environment and Employee Well-Being: A Meta-Analytic Study of Main and Moderator Effects," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(3), pages 887-910, August.
    15. Pedro L. Cosio & Manuel Crespo-Posadas & Álvaro Velarde-Sotres & Mireia Pelaez, 2021. "Effect of Chronic Resistance Training on Circulating Irisin: Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 18(5), pages 1-16, March.
    16. Molo, Fabio & Pawel, Samuel & Fraga González, Gorka, 2024. "A Robustness Reproduction of "A Systematic Review and Meta-Analysis of 90 Cohort Studies of Social Isolation, Loneliness and Mortality"," I4R Discussion Paper Series 169, The Institute for Replication (I4R).
    17. Augusteijn, Hilde Elisabeth Maria & van Aert, Robbie Cornelis Maria & van Assen, Marcel A. L. M., 2021. "Posterior Probabilities of Effect Sizes and Heterogeneity in Meta-Analysis: An Intuitive Approach of Dealing with Publication Bias," OSF Preprints avkgj, Center for Open Science.
    18. Sesha Kethineni & Susan Frazier‐Kouassi & Yuki Shigemoto & Wesley Jennings & Stephanie M. Cardwell & Alex R. Piquero & Kimberly Gay & Dayanand Sundaravadivelu, 2021. "PROTOCOL: Effectiveness of parent‐engagement programs to reduce truancy and juvenile delinquency: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(3), September.
    19. Charlotte E. Gill & Jordan Hyatt & Lawrence W. Sherman, 2010. "PROTOCOL: Probation Intensity Effects on Probationers' Criminal Conduct," Campbell Systematic Reviews, John Wiley & Sons, vol. 6(1), pages 1-25.
    20. Takeshi Fujiwara & James P. Sheppard & Satoshi Hoshide & Kazuomi Kario & Richard J. McManus, 2023. "Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan," IJERPH, MDPI, vol. 20(3), pages 1-15, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10583-:d:652700. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.