Abstract: SA-PO510
Does Home Blood Pressure Monitoring Improve Blood Pressure in CKD?
Session Information
- Hypertension and CVD: Clinical - II
November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Hypertension and CVD
- 1602 Hypertension and CVD: Clinical
Authors
- Eisenbeisz, McKenna, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
- Carey, Nathan, University of Leicester, Leicester, United Kingdom
- Sambharia, Meenakshi, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
- Akbari, Sadaf, University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
- Mustafa, Reem, Kansas University Medical Center, Kansas City, Kansas, United States
- Jalal, Diana I., University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
- Wilkinson, Thomas James, University of Leicester, Leicester, United Kingdom
Background
Uncontrolled hypertension is a well-established risk factor for kidney disease progression, cardiovascular disease, and death in patients with chronic kidney disease (CKD). Home blood pressure monitoring (HBPM) is commonly utilized to optimize blood pressure (BP) control in the general population with hypertension. However, it is unclear whether HBPM improves BP control in CKD. We conducted a systematic review and meta-analysis of studies assessing the efficacy of HBPM in reducing BP in patients with CKD.
Methods
A multi-database search was completed to identify interventional studies that included HBPM as an intervention and included change in BP as an outcome. Additional studies were identified by internet and citation searches. Studies were not limited by country but were restricted to those printed in English.
Results
Of 12,100 abstracts screened, 13 manuscripts met the inclusion criteria and included 883 patients across the spectrum of CKD. Six studies included subjects with pre-dialysis CKD, 4 included subjects on hemodialysis, 2 included transplant patients, and one with a mixture of these groups. Eight out of the 10 manuscripts reported a significant change in systolic BP and 5 reported a significant change in diastolic BP. Two manuscripts reported increased achievement of goal BP. Notably, only 5 studies included a control arm and were included in the meta-analysis. Our results, shown in the Figure, indicate that HBPM improves systolic BP. Similar results were obtained for diastolic BP.
Conclusion
While few studies have evaluated if utilization of HBPM is effective in reducing BP in patients with CKD, results of this meta-analysis suggest that HBPM may improve BP control in CKD.