Details:

Alternative Title:
Am J Prev Med
Personal Author:
Jacob, Verughese ; Chattopadhyay, Sajal K. ; Proia, Krista K. ; Hopkins, David P. ; Reynolds, Jeffrey ; ... More +
Jacob, Verughese ; Chattopadhyay, Sajal K. ; Proia, Krista K. ; Hopkins, David P. ; Reynolds, Jeffrey ; Thota, Anilkrishna B. ; Jones, Christopher D. ; Lackland, Daniel T. ; Rask, Kimberly J. ; Pronk, Nicolaas P. ; Clymer, John M. ; Goetzel, Ron Z. Less -
Corporate Authors:
Community Preventive Services Task Force
Description:
Context

The health and economic burden of hypertension, a major risk factor for cardiovascular disease, is substantial. This systematic review evaluated the economic evidence of self-measured blood pressure (SMBP) monitoring interventions to control hypertension.

Evidence acquisition

The literature search from database inception to March 2015 identified 22 studies for inclusion with three types of interventions: SMBP used alone, SMBP with additional support, and SMBP within team-based care (TBC). Two formulae were used to convert reductions in systolic BP (SBP) to quality-adjusted life years (QALYs) to produce cost per QALY saved. All analyses were conducted in 2015, with estimates adjusted to 2014 U.S dollars.

Evidence synthesis

Median costs of intervention were $60 and $174 per person for SMBP alone and SMBP with additional support, respectively, and $732 per person per year for SMBP within TBC. SMBP alone and SMBP with additional support reduced healthcare cost per person per year from outpatient visits and medication (medians $148 and $3, respectively; median follow-up, 12–13 months). SMBP within TBC exhibited an increase in healthcare cost (median, $447 per person per year; median follow-up, 18 months). SMBP alone varied from cost saving to a maximum cost of $144,000 per QALY saved, with two studies reporting an increase in SBP. The two translated median costs per QALY saved were $2,800 and $4,000 for SMBP with additional support and $7,500 and $10,800 for SMBP within TBC.

Conclusions

SMBP monitoring interventions with additional support or within TBC are cost effective. Cost effectiveness of SMBP used alone could not be determined.


Subjects:
[+]
Article Blood Pressure Monitoring, Ambulatory Cost-Benefit Analysis Cost Of Illness Health Care Costs Humans Hypertension Models, Economic Patient Care Team Quality-Adjusted Life Years Stroke
Source:
Am J Prev Med. 53(3):e105-e113.
Pubmed ID:
28818277
Pubmed Central ID:
PMC5657494
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:88e0c4d23fd35f42e23b83523f3a5300a28ada5d923d4f9458824b97a70b7fd7
Download URL:
https://stacks.cdc.gov/view/cdc/49358/cdc_49358_DS1.pdf
File Type:

Supporting Files

• 	NIHMS884605-supplement-Appendix.docx	docx
  	nihms884605.nxml	xml
  	nihms884605f1.gif	gif
  	nihms884605f1.jpg	jpeg
  	nihms884605f2.gif	gif
  	nihms884605f2.jpg	jpeg

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