{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T23:54:05Z","timestamp":1772668445566,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hypertens Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Home blood pressure monitoring (HBPM) is essential for long-term hypertension management, but its accuracy and reliability is questionable due to user inconsistencies and non-standard usage conditions. This study compared two validated HBPM devices \u2013 a wrist-based and a reference upper-arm monitor \u2013 in a home-like setup where participants placed the devices themselves. A total of 121 participants underwent four concurrent blood pressure (BP) measurements, with two taken in each arm, followed by a crossover of devices between arms after the initial two readings. Wrist-derived BP readings were higher than upper-arm measurements. With higher blood pressure levels, both devices exhibited greater bias, accompanied by reduced precision in systolic BP measurements. Additionally, hypertension classification showed only moderate agreement (Cohen\u2019s kappa=0.58). The wrist monitor tended to over-diagnose hypertension and exhibited greater variability than the upper-arm device. These findings highlight the need for more guidance and education as well as critical evaluation of home blood pressure measurements provided by patients.<\/jats:p>","DOI":"10.1038\/s41440-025-02514-3","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T05:44:55Z","timestamp":1767937495000},"page":"969-973","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of two validated oscillometric devices in a home-like setup reveals pronounced blood pressure differences and reduced precision"],"prefix":"10.1038","volume":"49","author":[{"given":"Joachim","family":"Zahnd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre-Antonin","family":"Rigon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Taff\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregoire","family":"Wuerzner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"2514_CR1","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1097\/HJH.0000000000002843","volume":"39","author":"GS Stergiou","year":"2021","unstructured":"Stergiou GS, Palatini P, Parati G, O\u2019Brien E, Januszewicz A, Lurbe E, et al. 2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement. 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JAMA Intern Med. 2023;183:1061\u20138.","journal-title":"JAMA Intern Med"},{"key":"2514_CR4","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1001\/jamainternmed.2024.5213","volume":"184","author":"H Liu","year":"2024","unstructured":"Liu H, Zhao D, Sabit A, Pathiravasan CH, Ishigami J, Charleston J, et al. Arm Position and Blood Pressure Readings: The ARMS Crossover Randomized Clinical Trial. JAMA Intern Med. 2024;184:1436\u201342.","journal-title":"JAMA Intern Med"},{"key":"2514_CR5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.2147\/VHRM.S188089","volume":"15","author":"K Saito","year":"2019","unstructured":"Saito K, Hishiki Y, Takahashi H. Validation of two automatic devices, Omron HEM-6232T and HEM-6181, for self-measurement of blood pressure at the wrist according to the ANSI\/AAMI\/ISO 81060-2:2013 protocol and the European Society of Hypertension International Protocol revision 2010. Vasc Health Risk Manag. 2019;15:47\u201355.","journal-title":"Vasc Health Risk Manag"},{"key":"2514_CR6","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1097\/MBP.0b013e3280b083ce","volume":"12","author":"GS Stergiou","year":"2007","unstructured":"Stergiou GS, Giovas PP, Gkinos CP, Patouras JD. Validation of the Microlife WatchBP Home device for self home blood pressure measurement according to the International Protocol. Blood Press Monit. 2007;12:185\u20138.","journal-title":"Blood Press Monit"},{"key":"2514_CR7","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.jclinepi.2021.04.004","volume":"137","author":"P Taffe","year":"2021","unstructured":"Taffe P. When can the Bland & Altman limits of agreement method be used and when it should not be used. J Clin Epidemiol. 2021;137:176\u201381.","journal-title":"J Clin Epidemiol"},{"key":"2514_CR8","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1177\/1536867X231161978","volume":"23","author":"P Taff\u00e9","year":"2023","unstructured":"Taff\u00e9 P, Peng M, Stagg V, Williamson T. Extended biasplot command to assess bias, precision, and agreement in method comparison studies. Stata J. 2023;23:97\u2013118.","journal-title":"Stata J"},{"key":"2514_CR9","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1161\/HYPERTENSIONAHA.116.07961","volume":"68","author":"E Casiglia","year":"2016","unstructured":"Casiglia E, Tikhonoff V, Albertini F, Palatini P. Poor Reliability of Wrist Blood Pressure Self-Measurement at Home: A Population-Based Study. Hypertension. 2016;68:896\u2013903.","journal-title":"Hypertension"}],"container-title":["Hypertension Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41440-025-02514-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41440-025-02514-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41440-025-02514-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T23:02:40Z","timestamp":1772665360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41440-025-02514-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["2514"],"URL":"https:\/\/doi.org\/10.1038\/s41440-025-02514-3","relation":{},"ISSN":["0916-9636","1348-4214"],"issn-type":[{"value":"0916-9636","type":"print"},{"value":"1348-4214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"assertion":[{"value":"9 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 November 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 December 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}