{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:12:05Z","timestamp":1792811525475,"version":"4.5.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["RE\/18\/6\/34217"],"award-info":[{"award-number":["RE\/18\/6\/34217"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Commission\u2019s Horizon 2020 Framework Programme"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Hum Hypertens"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Blood pressure (BP) measurement is a common procedure conducted in various disciplines and is widely available on clinical reports. The diagnosis and management of hypertension require reliable measurement of BP in outpatient clinics. Published studies suggest the standardised method for BP measurement is difficult to apply in routine clinical practice. This study aimed to assess the current practice of BP measurement in outpatient clinics in relevant secondary care clinical specialties across the 15 separate hospital sites of the NHS Greater Glasgow and Clyde region (population 1.2 million) compared to the recommended standardised method. An online questionnaire was developed and disseminated to the supervising clinician of each of 268 regular outpatient clinics. The questionnaire focused on the standardised BP method (patient preparation, environment, and BP measurement technique). The questionnaire was returned for 110 clinics. 73 (66.4%) of the participating clinics measure BP routinely and these formed the basis for further analysis. 3 clinics (4.1%) apply all components of the standardised BP method. 5 (6.9%) clinics deliver advice to patients prior to clinic attendance on how to prepare for BP measurement. 61 (83.6%) of participating clinics have a dedicated quiet environment for BP measurement. 50 (68.5%) clinics always place the cuff on bare upper arm and 63.0% use a cuff size appropriate to upper arm circumference. In a wide range of secondary care out-patient clinic settings, we found that BP measurement rarely adheres to the recommended standards. This has important implications for the quality of treatment decisions that are based on BP measurement.<\/jats:p>","DOI":"10.1038\/s41371-024-00984-5","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T17:32:02Z","timestamp":1733419922000},"page":"205-209","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Blood pressure measurement technique in clinical practice in the NHS Greater Glasgow and Clyde"],"prefix":"10.1038","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-0179","authenticated-orcid":false,"given":"Dellaneira","family":"Setjiadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Geddes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2238-2612","authenticated-orcid":false,"given":"Christian","family":"Delles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"984_CR1","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.jacc.2018.10.069","volume":"73","author":"P Muntner","year":"2019","unstructured":"Muntner P, Einhorn PT, Cushman WC, Whelton PK, Bello NA, Drawz PE, et al. Blood pressure assessment in adults in clinical practice and clinic-based research: JACC scientific expert panel. J Am Coll Cardiol. 2019;73:317\u201335.","journal-title":"J Am Coll Cardiol"},{"key":"984_CR2","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1016\/j.kint.2020.11.003","volume":"99","author":"A Cheung","year":"2021","unstructured":"Cheung A, Chang T, Cushman W, Furth S, Hou F, Ix J, et al. KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. 2021;99:S1\u2013S87.","journal-title":"Kidney Int"},{"key":"984_CR3","unstructured":"NICE. Hypertension in adults: diagnosis and management [NICE guideline [NG136]]. 2022 [updated 18 March 2022; cited 2023 10 November]. Available from: https:\/\/www.nice.org.uk\/guidance\/ng136\/chapter\/Recommendations#measuring-blood-pressure."},{"key":"984_CR4","doi-asserted-by":"publisher","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","volume":"39","author":"B Williams","year":"2018","unstructured":"Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC\/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J. 2018;39:3021\u2013104.","journal-title":"Eur Heart J"},{"key":"984_CR5","unstructured":"Wijayaratne D. Standardised Office Blood Pressure Measurement. 2021. [Available from: https:\/\/www.nephjc.com\/news\/2021\/6\/8\/kdigo-and-bp-one-target-many-visual-abstracts."},{"key":"984_CR6","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1161\/HYPERTENSIONAHA.120.16164","volume":"77","author":"MF Elias","year":"2021","unstructured":"Elias MF, Goodell AL. Human errors in automated office blood pressure measurement. Hypertension. 2021;77:6\u201315.","journal-title":"Hypertension"},{"key":"984_CR7","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1097\/HJH.0000000000002453","volume":"38","author":"T Unger","year":"2020","unstructured":"Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension global hypertension practice guidelines. J Hypertens. 2020;38:982\u20131004.","journal-title":"J Hypertens"},{"key":"984_CR8","doi-asserted-by":"publisher","first-page":"2983","DOI":"10.1161\/CIRCULATIONAHA.112.117333","volume":"126","author":"HM Shihab","year":"2012","unstructured":"Shihab HM, Meoni LA, Chu AY, Wang NY, Ford DE, Liang KY, et al. Body mass index and risk of incident hypertension over the life course: the Johns Hopkins Precursors Study. Circulation. 2012;126:2983\u20139.","journal-title":"Circulation"},{"key":"984_CR9","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1161\/01.CIR.0000154900.76284.F6","volume":"111","author":"TG Pickering","year":"2005","unstructured":"Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005;111:697\u2013716.","journal-title":"Circulation"},{"key":"984_CR10","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1097\/MBP.0000000000000392","volume":"24","author":"RZ Cheng","year":"2019","unstructured":"Cheng RZ, Bhalla V, Chang TI. Comparison of routine and automated office blood pressure measurement. Blood Press Monit. 2019;24:174\u20138.","journal-title":"Blood Press Monit"},{"key":"984_CR11","doi-asserted-by":"publisher","first-page":"e838","DOI":"10.3399\/bjgp16X687553","volume":"66","author":"CE Clark","year":"2016","unstructured":"Clark CE, Taylor RS, Shore AC, Campbell JL. Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis. Br J Gen Pr. 2016;66:e838\u2013e47.","journal-title":"Br J Gen Pr"},{"key":"984_CR12","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.1111\/jch.13301","volume":"20","author":"P Palatini","year":"2018","unstructured":"Palatini P, Asmar R. Cuff challenges in blood pressure measurement. J Clin Hypertens. 2018;20:1100\u20133.","journal-title":"J Clin Hypertens"},{"key":"984_CR13","doi-asserted-by":"publisher","DOI":"10.1177\/2150132718816929","volume":"9","author":"KO Hwang","year":"2018","unstructured":"Hwang KO, Aigbe A, Ju HH, Jackson VC, Sedlock EW. Barriers to accurate blood pressure measurement in the medical office. J Prim Care Community Health. 2018;9:2150132718816929.","journal-title":"J Prim Care Community Health"},{"key":"984_CR14","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1097\/MBP.0b013e32835681e2","volume":"17","author":"S Fonseca-Reyes","year":"2012","unstructured":"Fonseca-Reyes S, Forsyth-MacQuarrie AM, Garc\u00eda de Alba-Garc\u00eda JE. Simultaneous blood pressure measurement in both arms in hypertensive and nonhypertensive adult patients. Blood Press Monit. 2012;17:149\u201354.","journal-title":"Blood Press Monit"},{"key":"984_CR15","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1783\/147118901101195407","volume":"27","author":"JT McVicker","year":"2001","unstructured":"McVicker JT. Blood pressure measurement-does anyone do it right?: An assessment of the reliability of equipment in use and the measurement techniques of clinicians. 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J Hypertens. 2017;35:421\u201341.","journal-title":"J Hypertens"},{"key":"984_CR18","doi-asserted-by":"publisher","first-page":"51","DOI":"10.7812\/TPP\/09-054","volume":"13","author":"J Handler","year":"2009","unstructured":"Handler J. The importance of accurate blood pressure measurement. Perm J. 2009;13:51\u20134.","journal-title":"Perm J"}],"container-title":["Journal of Human Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41371-024-00984-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41371-024-00984-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41371-024-00984-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T06:48:36Z","timestamp":1741848516000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41371-024-00984-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["984"],"URL":"https:\/\/doi.org\/10.1038\/s41371-024-00984-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4635130\/v1","asserted-by":"object"}]},"ISSN":["1476-5527"],"issn-type":[{"value":"1476-5527","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]},"assertion":[{"value":"25 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 November 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"All methods were performed in accordance with the relevant guidelines and regulations. Ethical approval was granted by the Research Ethics Committee of the University of Glasgow\u2019s College of Medical, Veterinary, and Life Sciences on 11th July 2023 (reference number 200220359). Informed consent was obtained from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}