Telemonitoring-based service redesign for the management of uncontrolled hypertension (HITS): cost and cost-effectiveness analysis of a randomised controlled trial

Stoddart, Andrew; Hanley, Janet; Wild, Sarah; Pagliari, Claudia; Paterson, Mary; Lewis, Steff; Sheikh, Aziz; Krishan, Ashma; Padfield, Paul; McKinstry, Brian

Abstract

Objectives To compare the costs and cost-effectiveness of managing patients with uncontrolled blood pressure (BP) using telemonitoring versus usual care from the perspective of the National Health Service (NHS).


Design Within trial post hoc economic evaluation of data from a pragmatic randomised controlled trial using an intention-to-treat approach.


Setting 20 socioeconomically diverse general practices in Lothian, Scotland.


Participants 401 primary care patients aged 29–95 with uncontrolled daytime ambulatory blood pressure (ABP) (≥135/85, but

Citation

Stoddart, A., Hanley, J., Wild, S., Pagliari, C., Paterson, M., Lewis, S., …McKinstry, B. (2013). Telemonitoring-based service redesign for the management of uncontrolled hypertension (HITS): cost and cost-effectiveness analysis of a randomised controlled trial. BMJ Open, 3(5), https://doi.org/10.1136/bmjopen-2013-002681

• Journal Article Type: Article
• Online Publication Date: May 23, 2013
• Publication Date: 2013-05
• Deposit Date: Mar 27, 2014
• Publicly Available Date: Mar 27, 2014
• Print ISSN: 2044-6055
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 5
• Article Number: e002681
• DOI: https://doi.org/10.1136/bmjopen-2013-002681
• Keywords: uncontrolled blood pressure; hypertension monitoring; telemonitoring; randomised control trial; NHS costs
• Public URL: http://researchrepository.napier.ac.uk/id/eprint/6663
• Publisher URL: http://dx.doi.org/10.1136/bmjopen-2013-002681