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| Name | Class |
|---|---|
| Omron Healthcare Co., Ltd. | INDUSTRY |
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A longer-term follow-up of patients with remote patient monitoring ordered from the initial six pilot primary care clinics (from the prior study periods: Study 1 and Study 2) will be performed and compared to a cohort of patients without RPM orders, matched on clinical and demographic characteristics, from the same six pilot primary care clinics, to serve as contemporary controls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case |
| ||
| Control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Controls-ususal care | Behavioral | Controls: patients who did not receive remote patient monitoring for blood pressure prescribed during routine care delivery, with multivariable matching to cases |
| Measure | Description | Time Frame |
|---|---|---|
| Controlling High Blood Pressure (NQF 0018) | Proportion of patients who satisfy the performance measure Controlling High Blood Pressure (NQF 0018), last BP done within 1 year and is less than 140/90 mm Hg | 18 months |
| Controlling High Blood Pressure (NQF 0018) | Proportion of patients who satisfy the performance measure Controlling High Blood Pressure (NQF 0018), last BP done within 1 year and is less than 140/90 mm Hg | 15 months |
| Controlling High Blood Pressure (NQF 0018) | Proportion of patients who satisfy the performance measure Controlling High Blood Pressure (NQF 0018), last BP done within 1 year and is less than 140/90 mm Hg | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Antihypertensive medication intensification | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued | 18 months |
| Antihypertensive medication intensification |
| Measure | Description | Time Frame |
|---|---|---|
| Mean SBP at most recent office visit | Mean SBP at most recent office visit | 18 months |
| Mean SBP at most recent office visit | Mean SBP at most recent office visit |
Inclusion Criteria Cases Patients from any of 6 primary care sites that participated in remote monitoring pilots who had remote patient monitoring (RPM) ordered by a primary care clinician between November 18, 2018 and August 14, 2021
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Exclusion Criteria:
Matching cohort Inclusion
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Case population includes patients with RPM for blood pressure ordered from the six pilot primary care clinics between November 18, 2018 and August 14, 2021, are 65 to 85 years old, and have Medicare insurance.
Control population are patients selected from the same practices using propensity score matching who were not prescribed RPM for blood pressure.
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| Name | Affiliation | Role |
|---|---|---|
| Stephen D Persell, MD/MPH | Northwestern University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University | Chicago | Illinois | 60611 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41428418 | Derived | Winkler CJ, Petito LC, Peprah Y, Lee JY, Sato H, Persell SD. Hypertension Medication Changes in Patients Prescribed Remote Monitoring. Am J Hypertens. 2026 Apr 1;39(4):563-569. doi: 10.1093/ajh/hpaf228. | |
| 37479812 | Derived | Petito LC, Anthony L, Peprah Y, Lee JY, Li J, Sato H, Persell SD. Blood pressure outcomes at 12 months in primary care patients prescribed remote physiological monitoring for hypertension: a prospective cohort study. J Hum Hypertens. 2023 Dec;37(12):1091-1097. doi: 10.1038/s41371-023-00850-w. Epub 2023 Jul 21. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Cases-remote patient monitoring prescribed | Behavioral | Cases: patients prescribed remote patient monitoring for blood pressure during routing care delivery |
|
Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued
| 15 months |
| Antihypertensive medication intensification | Count of antihypertensive medication drug classes added or increased during the time frame minus the number decreased or discontinued | 12 months |
| 15 months |
| Mean SBP at most recent office visit | Mean SBP at most recent office visit | 12 months |
| Mean SBP on most recent measurement date (office or out of office) | Mean SBP on most recent measurement date (office or out of office) | 18 months |
| Mean SBP on most recent measurement date (office or out of office) | Mean SBP on most recent measurement date (office or out of office) | 15 months |
| Mean SBP on most recent measurement date (office or out of office) | Mean SBP on most recent measurement date (office or out of office) | 12 months |
| Ambulatory care utilization--office visits | Count of primary care office visits during time frame | 18 months |
| Ambulatory care utilization--telephone calls | Count of primary care telephone encounters during time frame | 18 months |
| Ambulatory care utilization--patient portal messages | Count of primary care patient portal encounters during time frame | 18 months |
| Proportion of patients with an increase in serum creatinine of ≥30% | Proportion of patients with an increase in serum creatinine of ≥30% | 18 months |