{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:11:14Z","timestamp":1793319074560,"version":"4.5.0"},"reference-count":90,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100031950","name":"Resolve to Save Lives","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015283","name":"Bloomberg Philanthropies","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015283","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Gates Philanthropy Partners"},{"name":"Chan Zuckerberg Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Out-of-office blood pressure (BP) monitoring is a critical component of modern hypertension diagnosis and management. Measuring BP outside of clinic reduces the stress response that contributes to white coat hypertension and also allows for the identification of masked hypertension, yielding more accurate cardiovascular disease (CVD) risk assessment and improved CVD prevention. Home BP monitoring and 24-hour ambulatory BP monitoring outperform office BP in predicting CVD outcomes and are cost-effective aspects to cardiovascular health promotion by preventing unnecessary treatment, reducing clinic visits, and lowering event-related costs. Despite these advantages, routine implementation remains limited due to patient, provider, and system-level barriers, including validated device access, workflow integration, patient\u2013provider communication tools, and adherence. Efforts to minimize or eliminate these barriers are crucial to CVD prevention. Evidence is also needed to support alternative out-of-office BP measurement strategies, including community-based strategies, such as BP assessment by school nurses, pharmacists, or community health workers. The utility of these modalities in diagnosing and managing children with hypertension is greatly needed as the long-term prognostic data in this population are sparse. Expanding adoption and evidence for out-of-office monitoring is essential to optimize hypertension care and CVD risk reduction.<\/jats:p>","DOI":"10.1093\/ajh\/hpaf222","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T06:54:48Z","timestamp":1762671288000},"page":"623-631","source":"Crossref","is-referenced-by-count":2,"title":["Improving Blood Pressure Management and Control With Out-of-Office Blood Pressure Monitoring"],"prefix":"10.1093","volume":"39","author":[{"given":"James","family":"Nugent","sequence":"first","affiliation":[{"name":"Yale University Department of Pediatrics, Division of Nephrology, , New Haven, CT,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edem K","family":"Binka","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Hospital Department of Pediatrics, Division of Cardiology, , Seattle, WA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1315-6747","authenticated-orcid":false,"given":"Tammy M","family":"Brady","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine Department of Pediatrics, Division of Nephrology, , Baltimore, MD,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"2026041503515701300_hpaf222-B1","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1056\/NEJMoa2206916","article-title":"Global effect of modifiable risk factors on cardiovascular disease and mortality","volume":"389","author":"Global Cardiovascular Risk","year":"2023","journal-title":"N Engl J Med"},{"key":"2026041503515701300_hpaf222-B2","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1001\/jamapediatrics.2019.3310","article-title":"Global prevalence of hypertension in 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