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Review: self monitoring interventions modestly reduce diastolic blood pressure (BP) but do not improve BP control in hypertension

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Q How effective are various models of care for improving blood pressure (BP) control in patients with hypertension?

METHODS

Embedded ImageData sources:

Medline and EMBASE/Excerpta Medica (2000 to November 2002), Cochrane Library (Issue 3, 2002); hand searches of references of retrieved articles; and experts.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) in any language that included patients ⩾18 years of age with primary hypertension (treated or not currently treated with BP lowering drugs) in a primary care, outpatient, or community setting; and compared self monitoring, patient education, physician education, health professional (nurse or pharmacist) led care, protocol driven care (organisational interventions to improve delivery of care), or appointment reminders with no intervention or usual care. Study quality was assessed …

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Footnotes

  • For correspondence: Professor T P Fahey, Division of Community Health Sciences, University of Dundee, Dundee, UK. t.p.faheydundee.ac.uk

  • Sources of funding: no external funding.