{"id":11116,"date":"2011-08-24T07:22:05","date_gmt":"2011-08-24T11:22:05","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=news&#038;p=11116"},"modified":"2011-08-24T07:22:05","modified_gmt":"2011-08-24T11:22:05","slug":"ambulatory-bp-monitoring-gains-nice-recommendation-in-uk","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/08\/24\/ambulatory-bp-monitoring-gains-nice-recommendation-in-uk\/","title":{"rendered":"Ambulatory BP Monitoring Gains NICE Recommendation in UK"},"content":{"rendered":"<p>Ambulatory blood pressure (ABP) monitoring is receiving a strong endorsement in the UK from NICE (National Institute for Health and Clinical Excellence). The recommendation is based on\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)61184-7\/abstract\">a cost-effectiveness study\u00a0published in the <em>Lancet<\/em><\/a>.<\/p>\n<p>Kate Lovibond and colleagues found that compared with additional measurements in the clinic or home measurements, ABP monitoring was highly cost-effective in patients 40 years or older with a screening blood pressure measurement over 140\/90 mm Hg. The results were consistent in men and women, across all age groups, and across a broad range of assumptions.<\/p>\n<p>In most subgroups, ABP monitoring both improved health and reduced costs, the authors reported. For men and for women over 50, the use of ABP resulted in cost savings, prompting the investigators to write that ABP monitoring &#8220;was the dominant strategy for men and women of most ages.&#8221;<\/p>\n<p>The savings in cost were largely due to the greater specificity of ABP, resulting in fewer people undergoing treatment. The authors concluded that &#8220;for most people&#8221; ABP monitoring &#8221; should be seriously considered&#8221; before antihypertensive treatment is initiated.<\/p>\n<p>In a <em>Lancet<\/em> press release, senior author of the paper, Richard McManus said that\u00a0\u201cambulatory monitoring allows better targeting of blood pressure treatment to those who will receive most benefit.\u00a0 It is already undertaken in some general practices and whilst implementation on a wide scale will need to be phased in to allow training and acquisition of new equipment, it is cost saving in the long term as well as more effective and so will be good for patients and doctors alike.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ambulatory blood pressure (ABP) monitoring is receiving a strong endorsement in the UK from NICE (National Institute for Health and Clinical Excellence). The recommendation is based on\u00a0a cost-effectiveness study\u00a0published in the Lancet. Kate Lovibond and colleagues found that compared with additional measurements in the clinic or home measurements, ABP monitoring was highly cost-effective in patients [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,7],"tags":[960,454],"class_list":["post-11116","post","type-post","status-publish","format-standard","hentry","category-general","category-prevention","tag-ambulatory-blood-pressure","tag-hypertension"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/11116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=11116"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/11116\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=11116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=11116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=11116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}