Hypertension Control Among US Adults, 2009 to 2012 Through 2017 to 2020, and the Impact of COVID-19

Egan, Brent M.

doi:10.1161/hypertensionaha.122.19699

Cited by 5 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent 2017–2020 NHANES BP trends confirm that NHB adults have substantially lower hypertension control rates than white, Hispanic, and non-Hispanic Asian adults [1 ▪▪ ]. Furthermore, commercial, Medicare, and Medicaid data show marked BP control decrease postpandemic [5 ▪▪ ]. The decrease in 2020 hypertension control, below 2018 levels, was associated with a 50% decline of in-office visits.…”

Section: The Burden Of Hypertension In Non-hispanic Black Adults: Con...mentioning

confidence: 98%

“…The decrease in 2020 hypertension control, below 2018 levels, was associated with a 50% decline of in-office visits. Unfortunately, increased telehealth during the pandemic was inadequate for controlling hypertension, as BP readings were only available in 10% of telemedicine encounters and documented hypertension medication prescriptions declined [5 ▪▪ ]. Despite several prior decades of heart disease mortality decline, the distressing 11.2% increase between 2010 and 2020 in NHB heart disease mortality is a setback representing over 10 years of lost progress [6].…”

Section: The Burden Of Hypertension In Non-hispanic Black Adults: Con...mentioning

confidence: 99%

See 1 more Smart Citation

Eliminating hypertension disparities in U.S. non-Hispanic black adults: current and emerging interventions

Ferdinand

Charbonnet

Laurent

et al. 2023

Current Opinion in Cardiology

View full text Add to dashboard Cite

Purpose of reviewHypertension in non-Hispanic black (NHB) adults in the United States has an earlier onset, higher prevalence, and increased severity compared with other racial/ethnic populations. Uncontrolled hypertension is responsible for the increased burden of cardiovascular disease (CVD) morbidity and mortality and decreased longevity in NHB adults. Unfortunately, eliminating the persistent hypertensionassociated disparities and the white/black mortality gap, worsened by the COVID-19 pandemic, has been challenging. Overcoming the social determinants of health (SDOH), implementing therapeutic lifestyle changes (TLC), and using intensive guideline-directed medical therapy are required. Moreover, novel approaches, including community-based interventions and self-measured blood pressure (SMBP) monitoring, may mitigate U.S. disparities in hypertension. Recent findingsIn this review, we discuss recent data regarding the U.S. NHB adult disparate hypertension control and CVD morbidity and mortality. We note current approaches to address disparities, such as TLC, evidencebased pharmacotherapy, community-based interventions and SMBP. Finally, we explore future research and initiatives to seek hypertension-related health equity.

show abstract

Section: The Burden Of Hypertension In Non-hispanic Black Adults: Con...mentioning

confidence: 98%

Section: The Burden Of Hypertension In Non-hispanic Black Adults: Con...mentioning

confidence: 99%

Eliminating hypertension disparities in U.S. non-Hispanic black adults: current and emerging interventions

Ferdinand

Charbonnet

Laurent

et al. 2023

Current Opinion in Cardiology

View full text Add to dashboard Cite

show abstract

“…8 Yet, National Health and Nutrition Examination Surveys (NHANES) data suggest that hypertension control to <140/<90 fell dramatically during 2015 to 2018, 2,3 a decline that extended into early 2020 (pre-COVID) and the remainder of that year. 9,10…”

Section: Hypertension Control Remains a National Prioritymentioning

confidence: 99%

Trends in Hypertension Control Among United States Adults: Is NHANES the Outlier?

Egan,

Myftari

2023

Hypertension

Self Cite

View full text Add to dashboard Cite

Self-Measured Blood Pressure Telemonitoring Programs: A Pragmatic How-to Guide

McGrath¹,

Meador

Wall

et al. 2023

American Journal of Hypertension

View full text Add to dashboard Cite

Self-measured blood pressure (SMBP) telemonitoring is the process of securely storing and tele-transmitting reliably measured, patient self-performed blood pressure (BP) measurements to healthcare teams, while ensuring that these data are viewable and clinically actionable for the purposes of improving hypertension diagnosis and management. SMBP telemonitoring is a vital component of an overall hypertension control strategy. Herein, we present a pragmatic guide for implementing SMBP in clinical practice and provide a comprehensive list of resources to assist with implementation. Initial steps include defining program goals and scope, selecting the target population, staffing, choosing appropriate (clinically validated) BP devices with proper cuff sizes, and selecting a telemonitoring platform. Adherence to recommended data transmission, security, and data privacy requirements is essential. Clinical workflow implementation involves patient enrollment and training, review of telemonitored data, and initiating or titrating medications in a protocolized fashion based upon this information. Utilizing a team-based care structure is preferred and calculation of average BP for hypertension diagnosis and management is important to align with clinical best practice recommendations. Many stakeholders in the US are engaged in overcoming challenges to SMBP program adoption. Major barriers include affordability, clinician and program reimbursement, availability of technological elements, challenges with interoperability, and time/workload constraints. Nevertheless, it is anticipated that uptake of SMBP telemonitoring, still at a nascent stage in many parts of the world, will continue to grow, propagated by increased clinician familiarity, broader platform availability, improvements in interoperability, and reductions in costs that occur with scale, competition, and technological innovation.

show abstract

Hypertension Control Among US Adults, 2009 to 2012 Through 2017 to 2020, and the Impact of COVID-19

Cited by 5 publications

References 9 publications

Eliminating hypertension disparities in U.S. non-Hispanic black adults: current and emerging interventions

Eliminating hypertension disparities in U.S. non-Hispanic black adults: current and emerging interventions

Trends in Hypertension Control Among United States Adults: Is NHANES the Outlier?

Self-Measured Blood Pressure Telemonitoring Programs: A Pragmatic How-to Guide

Contact Info

Product

Resources

About