{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:49:40Z","timestamp":1773334180475,"version":"3.50.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100007059","name":"Northwestern University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007059","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Omron Healthcare Co. Ltd"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Remote patient monitoring (RPM) includes home blood pressure (BP) measurement with readings sent directly to the electronic health record (EHR). We hypothesize that RPM facilitates quicker, more frequent, more appropriate antihypertensive medication changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with hypertension in 6 primary care clinics were prescribed RPM between November 2020 and August 2021 (N\u2009=\u2009288) and matched to 4 control patients (N\u2009=\u20091152). Office and RPM BP readings and medication data over 18 months were extracted from the EHR. RPM patients were classified as baseline-controlled (office and RPM &amp;lt;130\/&amp;lt;80 mmHg), sustained (office and RPM \u2265130 and\/or \u226580), white-coat (office \u2265130 and\/or \u226580, RPM &amp;lt;130\/&amp;lt;80), or masked hypertension (office &amp;lt;130\/&amp;lt;80, RPM \u2265130 and\/or \u226580).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RPM patients had earlier first antihypertensive medication changes, with half of RPM patients having \u22651 change by 228 days versus 530 days for controls. RPM patients had more total medication changes, with 25% of RPM patients having \u22654 (median 1; 25th-75th percentiles 0-4) changes versus \u22652 (median 1; 0-2) changes in controls. Compared to baseline sustained hypertension RPM users, white-coat hypertension users were less likely to have \u22651 medication increase (24% [N\u2009=\u200911] versus 53% [N\u2009=\u200974], P\u2009=\u2009.001) within 12 months. Compared to baseline-controlled RPM users, masked hypertension users were less likely to have \u22651 medication decrease (0% [N\u2009=\u20090] versus 44% [N\u2009=\u20098]; P\u2009=\u2009.003) within 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Even without additional staff dedicated to medication adjustment, RPM facilitated quicker medication changes, more total changes, and differential prescribing decisions for white-coat and masked hypertension patients supporting RPM use in primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration number<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT05562921.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpaf228","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T12:50:12Z","timestamp":1766235012000},"page":"563-569","source":"Crossref","is-referenced-by-count":1,"title":["Hypertension Medication Changes in Patients Prescribed Remote Monitoring"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0124-5156","authenticated-orcid":false,"given":"Calvin J","family":"Winkler","sequence":"first","affiliation":[{"name":"Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0156-1219","authenticated-orcid":false,"given":"Lucia C","family":"Petito","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7211-9519","authenticated-orcid":false,"given":"Yaw","family":"Peprah","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8175-7256","authenticated-orcid":false,"given":"Hironori","family":"Sato","sequence":"additional","affiliation":[{"name":"Data Analytics Department, Technology Development HQ, Omron Healthcare, Co., Ltd. , Kyoto,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2462-1314","authenticated-orcid":false,"given":"Stephen D","family":"Persell","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]},{"name":"Center for Primary Care Innovation, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University , Chicago, IL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"2026031200565496400_hpaf228-B1","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1097\/HJH.0000000000003480","article-title":"2023 ESH Guidelines for the management of arterial hypertension. 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