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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

Authors

Andrew Stoddart

Sarah Wild

Claudia Pagliari

Steff Lewis

Aziz Sheikh

Ashma Krishan

Paul Padfield

Brian McKinstry



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

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
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
Contract Date Mar 27, 2014

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