{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:06:05Z","timestamp":1792706765819,"version":"4.5.0"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2023,1]]},"abstract":"\n Background:<\/jats:title>\n In the US 48% of adults have hypertension, with direct costs in excess of $130\u2009billion per year. Remote patient monitoring (RPM) has been discussed as a useful tool in the treatment of hypertension, but few studies evaluate its cost effectiveness or efficacy in minority, lower socio-economic (SES) populations. Our study aims to evaluate the clinical and financial outcomes of RPM in hypertension management in a primarily minority, low-SES population.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n In this prospective cohort pilot study, patients with uncontrolled primary hypertension (defined via Joint National Committee 8 guidelines) were randomly selected from a single academically affiliated primary care clinic. Patients were enrolled on a rolling basis for 90\u2009days. Patients were given blood pressure cuffs and transmission hubs and asked to transmit daily blood pressure readings. Patients were called weekly by research assistants and concerns were escalated to the primary care physician. The control group was the remaining 299 uncontrolled hypertensive patients from the same clinic population analyzed via retrospective chart records at the conclusion of the interventional study period. The primary outcome was blood pressure control. Secondary outcomes were relative improvement in systolic pressure and direct costs.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 13 patients were enrolled into the RPM intervention; these patients were 54% female, 100% African American, and 77% Medicaid. When assessed via intention-to-treat analysis, patients in the intervention group had non-inferior blood pressure control at 90\u2009days (46% experimental vs 31% control, P\u2009=\u2009.33) and average change in systolic blood pressure at 90\u2009days (13.5 vs 3.7\u2009mmHg, P\u2009=\u2009.174) while experiencing a significant reduction in office-based visits at 90\u2009days (1.5 vs 5.9, P\u2009<\u2009.001) as compared to control. Results on per-protocol analysis also showed non-inferior BP control (63% vs 31%, P\u2009=\u2009.135). Financially, the program generated margins of $29\u2009per patient at 90\u2009days.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Patients in our minority- and Medicaid-predominant cohort achieved noninferior blood pressure control as compared to retrospective control at 90\u2009days and a significant reduction in all-cause clinic visits at 90\u2009days. The program generated little revenue per patient, with main barriers to implementation including patient compliance and payor denial.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/21501319231204586","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T07:06:30Z","timestamp":1696921590000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Remote Patient Monitoring for Hypertension: Feasibility and Outcomes of a Clinic-Based Pilot in a Minority Population"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5973-6301","authenticated-orcid":false,"given":"Michael","family":"Makutonin","sequence":"first","affiliation":[{"name":"The George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Dare","sequence":"additional","affiliation":[{"name":"Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9833-8189","authenticated-orcid":false,"given":"Mary","family":"Heekin","sequence":"additional","affiliation":[{"name":"The George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Salancy","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colton","family":"Hood","sequence":"additional","affiliation":[{"name":"The George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis W.","family":"Dominguez","sequence":"additional","affiliation":[{"name":"The George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"bibr1-21501319231204586","unstructured":"Centers for Disease Control and Prevention. Hypertension cascade: hypertension prevalence, treatment and control estimates among US adults aged 18 years and older applying the criteria from the American College of Cardiology and American Heart Association\u2019s 2017 Hypertension Guideline\u2014NHANES 2017\u20132020. May 12, 2023. Accessed May 30, 2023. https:\/\/millionhearts.hhs.gov\/data-reports\/hypertension-prevalence.html"},{"key":"bibr2-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.008731"},{"key":"bibr3-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.121.17570"},{"key":"bibr4-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.111.171272"},{"key":"bibr5-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2015.0140"},{"key":"bibr6-21501319231204586","doi-asserted-by":"publisher","DOI":"10.2196\/13229"},{"key":"bibr7-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2015.32"},{"key":"bibr8-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30309-X"},{"key":"bibr9-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m4858"},{"key":"bibr10-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1177\/2047487315618784"},{"key":"bibr11-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2022.0418"},{"key":"bibr12-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284427"},{"key":"bibr13-21501319231204586","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.05.011"}],"container-title":["Journal of Primary Care & Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319231204586","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319231204586","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319231204586","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:24:17Z","timestamp":1777508657000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319231204586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":13,"alternative-id":["10.1177\/21501319231204586"],"URL":"https:\/\/doi.org\/10.1177\/21501319231204586","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"21501319231204586"}}