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Operationalizing Home Blood Pressure Monitoring for Dialysis Patients: An Effectiveness-Implementation Hybrid Study.

Yoshitsugu Obi1, Yunxi Zhang2,3, Maria Clarissa Tio1

  • 1Division of Nephrology, The University of Mississippi Medical Center, Jackson, MS.

Kidney Medicine
|January 14, 2026
PubMed
Summary
This summary is machine-generated.

Remote blood pressure monitoring (RBPM) in hemodialysis patients showed potential for improved BP control and reduced medication needs. However, long-term patient adherence to home BP monitoring remains a challenge.

Keywords:
Hypertensionend-stage kidney diseasehemodialysishome blood pressureremote patient monitoringtelehealth

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Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Health Informatics

Background:

  • Inadequate blood pressure (BP) control is a significant issue for dialysis patients.
  • Lack of standardized home BP monitoring contributes to poor BP management in this population.

Purpose of the Study:

  • To implement and evaluate a remote blood pressure monitoring (RBPM) program for patients undergoing incenter hemodialysis (HD).
  • To assess the impact of RBPM on BP control, medication use, and patient engagement.

Main Methods:

  • An effectiveness-implementation hybrid study was conducted as a quality improvement program.
  • 79 kidney failure patients receiving thrice-weekly incenter HD were screened.
  • An RBPM program integrated into the electronic medical record was initiated.

Main Results:

  • Home systolic BP postmidweek HD was significantly lower than pre-HD measurements in the first month.
  • The median number of BP medications decreased by month 3.
  • While 67% of participants actively monitored BP in month 3, median monthly measurements declined, indicating potential adherence challenges.

Conclusions:

  • The RBPM program demonstrated potential for identifying discrepancies between home and pre-HD BP measurements.
  • Sustaining long-term patient engagement and adherence in remote monitoring programs presents a significant challenge.