{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T20:34:30Z","timestamp":1785530070387,"version":"3.56.0"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The Veterans Affairs (VA) medical centers provide care for millions of Veterans at high risk of cardiovascular disease and accurate BP measurement in this population is vital for optimal BP control. Few studies have examined terminal digit preference (TDP), a marker of BP measurement bias, clinician perceptions of BP measurement, and BP control in VA medical centers. This mixed methods study examined BP measurements from Veterans aged 18 to 85 years with hypertension and a primary care visit within 8 VA medical centers. TDP for all clinic BP measurements was examined using a goodness of fit test assuming 10% frequency for each digit. Interviews were also conducted with clinicians from 3 VA medical centers to assess perceptions of BP measurement. The mean age of the 98,433 Veterans (93% male) was 68.5 years (SD 12.7). BP was controlled\u00a0(&lt;140\/90\u00a0mmHg) in 76.5% and control rates ranged from 72.2% to 81.0% across the 8 VA medical centers. Frequency of terminal digits 0 through 9 differed significantly from 10% for both SBP and DBP within each center (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) but level of TDP differed by center. The highest BP control rates were noted in centers with highest TDP for digits 0 and 8 for both SBP and DBP. Clinicians reported use of semi\u2010automated oscillometric devices for clinic BP measurement, but elevated BP readings were often confirmed by auscultatory methods. Significant TDP exists for BP measurement in VA medical centers, which reflects continued use of auscultatory methods.<\/jats:p>","DOI":"10.1111\/jch.14684","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T14:24:00Z","timestamp":1687616640000},"page":"601-609","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Blood pressure measurement and blood pressure control in Veterans Affairs medical centers"],"prefix":"10.1111","volume":"25","author":[{"given":"Meghan O\u2019","family":"Halloran","sequence":"first","affiliation":[{"name":"Medicine Service Line  Hines Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley M","family":"Hughes","sequence":"additional","affiliation":[{"name":"Center for Innovation in Complex Chronic Healthcare Edward Hines Jr. Veterans Affairs Hospital  Hines Illinois USA"},{"name":"Department of Biomedical and Health Information Sciences University of Illinois Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiping","family":"Huo","sequence":"additional","affiliation":[{"name":"Center for Innovation in Complex Chronic Healthcare Edward Hines Jr. Veterans Affairs Hospital  Hines Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances","family":"Weaver","sequence":"additional","affiliation":[{"name":"Center for Innovation in Complex Chronic Healthcare Edward Hines Jr. Veterans Affairs Hospital  Hines Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Stroupe","sequence":"additional","affiliation":[{"name":"Center for Innovation in Complex Chronic Healthcare Edward Hines Jr. Veterans Affairs Hospital  Hines Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Tarlov","sequence":"additional","affiliation":[{"name":"National Institute of Nursing Research National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6374-837X","authenticated-orcid":false,"given":"Holly","family":"Kramer","sequence":"additional","affiliation":[{"name":"Medicine Service Line  Hines Illinois USA"},{"name":"Center for Innovation in Complex Chronic Healthcare Edward Hines Jr. Veterans Affairs Hospital  Hines Illinois USA"},{"name":"Departments of Public Health Sciences and Medicine Loyola University Chicago  Maywood Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"issue":"17","key":"e_1_2_8_2_1","first-page":"e426","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: executive summary: a report of the American college of cardiology\/American heart association task force on clinical practice guidelines","volume":"138","author":"Whelton PK","year":"2018","journal-title":"Circulation"},{"issue":"18","key":"e_1_2_8_3_1","first-page":"e876","article-title":"2022 AHA\/ACC\/HFSA guideline for the management of heart failure: executive summary: a report of the American college of cardiology\/American heart association joint committee on clinical practice guidelines","volume":"145","author":"Heidenreich PA","year":"2022","journal-title":"Circulation"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001052"},{"key":"e_1_2_8_5_1","unstructured":"Chronic Kidney Disease Surveillance System. 2022; U.S. Department of Health and Human Services. Center for Disease Control and Prevention. Accessed February 23 2023.https:\/\/nccd.cdc.gov\/CKD\/detail.aspx?Qnum=Q646#refreshPosition"},{"key":"e_1_2_8_6_1","unstructured":"Military Officers Association of America. America's Health Ranking United Health Foundation. Health of those who have served. 2022 Executive Report. Accessed February 1 2023.https:\/\/assets.americashealthrankings.org\/app\/uploads\/2022\u2010health\u2010of\u2010those\u2010who\u2010have\u2010served\u2010report.pdf"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0193996"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-022-01689-3"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.029983"},{"key":"e_1_2_8_10_1","unstructured":"VA\/DoD Clinical Practice Guideline. Diagnosis and Management of Hypertension in the Primary Care Setting. 2020. Office of Quality Safety and Value VA Washington DC and Office of Evidence Based Practice U.S. Army Medical Command. Accessed February 1 2023.https:\/\/www.healthquality.va.gov\/guidelines\/cd\/htn\/"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000087"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00111-4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2005.08.016"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMvcm0800157"},{"key":"e_1_2_8_15_1","article-title":"Protocol to improve hypertension management in a VA outpatient clinic","author":"Gozdecki L","year":"2022","journal-title":"J Hum Hypertens"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12995"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13141"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.5430\/ijh.v4n1p42"},{"key":"e_1_2_8_19_1","unstructured":"AMA MAP BP Program.2022.https:\/\/map.ama\u2010assn.org\/ 2022."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0000238-000"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X02239569"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000150859.47929.8e"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.5.2460"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.117.004386"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.118.11558"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.21669"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d286"},{"key":"e_1_2_8_28_1","unstructured":"Hypertension cascade: hypertension prevalence treatment and control estimates among U.S. adults age 18 years and older applying the criteria from the American College of Cardiology and American Heart Association's 2017 hypertension guideline\u2010NHANES 2013\u20132016. 2019."}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.14684","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T08:47:22Z","timestamp":1696322842000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.14684"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,21]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/jch.14684"],"URL":"https:\/\/doi.org\/10.1111\/jch.14684","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,21]]},"assertion":[{"value":"2023-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}