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Updated: Mar 22, 2026
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Home blood pressure monitor use in patients with chronic kidney disease
Xiaojing Ye1, Salman Shafi2, Andrea Negrete3
1a Department of Internal Medicine , Saint Elizabeth Health Center , Youngstown , Ohio , USA ;
Insights
Home blood pressure monitoring (HBPM) is common in chronic kidney disease (CKD) patients with hypertension (HTN). HBPM users show better adherence to medications and lifestyle changes for managing blood pressure.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Public Health
Background:
- Home blood pressure monitoring (HBPM) is recommended for patients with chronic kidney disease (CKD) and hypertension (HTN).
- Limited data exists on HBPM utilization patterns within the CKD population.
- Understanding HBPM use is crucial for optimizing hypertension management in CKD.
Purpose of the Study:
- To investigate the prevalence and patterns of HBPM in out-patient nephrology clinic patients with CKD and HTN.
- To identify factors associated with HBPM use in this patient cohort.
- To explore patient perceptions and reasons for HBPM use or non-use.
Main Methods:
- A cross-sectional study design was employed.
- Data collected from 285 patients in an out-patient nephrology clinic.
- Surveys assessed HBPM usage, medication compliance, lifestyle modifications, and patient beliefs.
Main Results:
- 66% of CKD patients with HTN reported using HBPM.
- HBPM users demonstrated significantly higher self-reported compliance with BP medications, regular exercise, and sodium-restricted diets.
- Most HBPM users received education on device use and believed HBPM aids hypertension management; physician advice was the primary barrier for non-users.
Conclusions:
- HBPM is frequently utilized by CKD patients with hypertension.
- HBPM use is associated with improved adherence to therapeutic lifestyle changes and medication.
- Encouraging HBPM and providing proper education may enhance blood pressure control in CKD patients.
Abstract:
Home blood pressure monitoring (HBPM) is recommended in patients with chronic kidney disease (CKD) and hypertension (HTN). However, little is known about the use and pattern of HBPM in CKD patients. A cross-sectional study was conducted in an out-patient nephrology clinic. A total of 285 patients participated in the study. Of all patients, 66% reported using HBPM. Self-reported compliance with BP medications (93.9% vs. 85.1%, p 0.03), exercise >3 days/week (45.9 vs. 26.3%, p <0.001) and dietary sodium restriction (85.6% vs. 71.6%, p < 0.001) were more common in HBPM users vs. non-HBPM users. Most patients with HBPM used upper arm cuff (82.3%), reported receiving education on correct use of HBPM (82.5%), had perception that home BP was controlled (75.4%) and believed that HBPM is helpful in managing hypertension (85.4%). Most common reason for not using HBPM was lack of advice by a physician (43.4%). HBPM use is common in patients with CKD and HTN. HBPM users are more likely to follow life-style and dietary modifications for blood pressure control.
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