{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:27:23Z","timestamp":1784888843857,"version":"3.55.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Omron Healthcare Co. Ltd."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Since 2019, the Centers for Medicare and Medicaid Services covers remote physiologic monitoring (RPM) for blood pressure (BP) per hypertension diagnosis and treatment guidelines. Here, we integrated Omron VitalSight RPM into the health system\u2019s electronic health record to transmit BP and pulse without manual entry, assessed feasibility, and used pragmatic prospective matched cohort studies to assess initial effects in (1) uncontrolled (last two office BP \u2265140\/90 mmHg) and (2) general (diagnosed hypertension or last office BP \u2265140\/90 mmHg) hypertension patient populations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Seventeen clinicians at two internal medicine practices were oriented. Eligible patients were aged 65\u201385 years had Medicare insurance with \u22651 office visit in the previous year. We prospectively identified matched controls (age, sex, BP, and number of office visits in previous year) from other primary care practices within the health system and estimated the association between RPM availability (clinic-level) and patient BP outcomes after 6 months. ClinicalTrials.gov: NCT04604925.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Feasibility. Uptake was low at pilot clinics: 10 physicians prescribed RPM to 118 patients during the 6-month pilot. This included 7% (14\/207) of the prespecified uncontrolled hypertension cohort and 3.3% (78\/2356) of the general hypertension cohort. Surveyed clinicians (n\u2009=\u20094) reported changing their patients\u2019 medical treatment in response to RPM BPs, although they recommended having a dedicated RN or LPN to review BP readings. Effectiveness. At 6 months, BP control was greater at pilot practices than among matched controls (uncontrolled: 31.4% vs 22.8%; P\u2009=\u2009.007; general: 64.0% vs 59.7%; P\u2009&amp;lt;\u2009.001). Systolic BP at last office visit did not differ (mean [SD] 146.0 [15.7] vs 147.1 [15.6]; P\u2009=\u2009.48) in the uncontrolled population, and was lower in the general population (131.8 [15.7] vs 132.8 [15.9]; P\u2009=\u2009.04).The frequency of antihypertensive medication changes was similar in both groups (uncontrolled P\u2009=\u2009.986; general P\u2009=\u2009.218).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Conclusions<\/jats:title>\n                  <jats:p>Uptake notwithstanding, RPM may have improved BP control. A potential mechanism is increased physician awareness of and attention to uncontrolled hypertension. Barriers to RPM use among physicians require further study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooac111","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T18:58:06Z","timestamp":1675277886000},"source":"Crossref","is-referenced-by-count":10,"title":["Remote physiologic monitoring for hypertension in primary care: a prospective pragmatic pilot study in electronic health records using propensity score matching"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0156-1219","authenticated-orcid":false,"given":"Lucia C","family":"Petito","sequence":"first","affiliation":[{"name":"Division of Biostatistics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University , Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Anthony","sequence":"additional","affiliation":[{"name":"Northwestern Medical Group Quality and Patient Safety, Northwestern Memorial Healthcare , Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaw Amofa","family":"Peprah","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Li","sequence":"additional","affiliation":[{"name":"Clinical Development Department, Technology Development HQ, Omron Healthcare, Co., Ltd , Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Sato","sequence":"additional","affiliation":[{"name":"Product Innovation Department, Technology Development HQ, Omron Healthcare, Co., Ltd , Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen D","family":"Persell","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University , Chicago, Illinois, USA"},{"name":"Center for Primary Care Innovation, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University , Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,31]]},"reference":[{"key":"2023020107223340500_ooac111-B1","author":"Centers for Disease Control and Prevention","year":"2021"},{"issue":"10","key":"2023020107223340500_ooac111-B2","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1111\/jch.13364","article-title":"Potential need for expanded pharmacologic treatment and lifestyle modification services under the 2017 ACC\/AHA Hypertension Guideline","volume":"20","author":"Ritchey","year":"2018","journal-title":"J Clin Hypertens"},{"issue":"3","key":"2023020107223340500_ooac111-B3","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.tcm.2019.05.003","article-title":"Blood pressure and the new ACC\/AHA hypertension guidelines","volume":"30","author":"Flack","year":"2020","journal-title":"Trends Cardiovasc Med"},{"issue":"7","key":"2023020107223340500_ooac111-B4","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1038\/hr.2015.32","article-title":"Randomized clinical trial to assess the effectiveness of remote patient monitoring and physician care in reducing office blood pressure","volume":"38","author":"Kim","year":"2015","journal-title":"Hypertens Res"},{"issue":"1","key":"2023020107223340500_ooac111-B5","doi-asserted-by":"crossref","first-page":"20172","DOI":"10.1038\/s41746-017-0002-4","article-title":"Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials","volume":"1","author":"Noah","year":"2018","journal-title":"NPJ Digit Med"},{"issue":"21","key":"2023020107223340500_ooac111-B6","doi-asserted-by":"crossref","first-page":"2132","DOI":"10.1001\/jama.2017.18706","article-title":"Prevention, detection, evaluation, and management of high blood pressure in adults","volume":"318","author":"Cifu","year":"2017","journal-title":"JAMA"},{"issue":"21","key":"2023020107223340500_ooac111-B7","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1001\/jama.2017.18605","article-title":"The New 2017 ACC\/AHA Guidelines \u201cUp the Pressure\u201d on diagnosis and treatment of hypertension","volume":"318","author":"Greenland","year":"2017","journal-title":"JAMA"},{"issue":"19","key":"2023020107223340500_ooac111-B8","doi-asserted-by":"crossref","first-page":"e127","DOI":"10.1016\/j.jacc.2017.11.006","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults","volume":"71","author":"Whelton","year":"2018","journal-title":"J Am Coll Cardiol"},{"issue":"24","key":"2023020107223340500_ooac111-B9","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.1001\/jama.299.24.2857","article-title":"Effectiveness of home blood pressure monitoring, web communication, and pharmacist care on hypertension control: a randomized controlled 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Open"},{"issue":"9","key":"2023020107223340500_ooac111-B12","doi-asserted-by":"crossref","first-page":"e1002389","DOI":"10.1371\/journal.pmed.1002389","article-title":"Self-monitoring of blood pressure in hypertension: a systematic review and individual patient data meta-analysis","volume":"14","author":"Tucker","year":"2017","journal-title":"PLoS Med"},{"key":"2023020107223340500_ooac111-B13","author":"Centers for Medicare and Medicaid Services","year":"2019"},{"key":"2023020107223340500_ooac111-B14","author":"American Heart Association"},{"key":"2023020107223340500_ooac111-B15","author":"National Committee for Quality Assurance","year":"2021"},{"key":"2023020107223340500_ooac111-B16","first-page":"2021","volume":"15","year":"0018"},{"issue":"1","key":"2023020107223340500_ooac111-B17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0895-7061(95)00341-X","article-title":"Recommendations for the use of home (self) and ambulatory blood pressure monitoring","volume":"9","author":"Pickering","year":"1996","journal-title":"Am J Hypertens"},{"issue":"5","key":"2023020107223340500_ooac111-B18","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1161\/01.CIR.0000154900.76284.F6","article-title":"Recommendations for blood pressure measurement in humans and experimental animals","volume":"111","author":"Pickering","year":"2005","journal-title":"Circulation"},{"issue":"1","key":"2023020107223340500_ooac111-B19","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S2215-0366(14)00083-2","article-title":"Short-term and long-term effects of psychosocial therapy for people after deliberate self-harm: a register-based, nationwide multicentre study using propensity score matching","volume":"2","author":"Erlangsen","year":"2015","journal-title":"Lancet Psychiatry"}],"container-title":["JAMIA 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