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Setting the UK research priorities for hypertension using a modified Delphi approach: a British and Irish

Pauline A Swift1, Allyson Arnold2, Anthony Heagerty3

  • 1Renal Services, Epsom and St Helier University Hospitals NHS Trust, Carshalton.

Journal of Hypertension
|January 15, 2026
PubMed

Insights

This study identified the top 10 hypertension research priorities in the UK and Ireland. Key areas include digital monitoring, reducing health inequalities, and improving treatment adherence for better cardiovascular health outcomes.

Area of Science:

  • Cardiovascular Research
  • Public Health Initiatives
  • Health Services Research

Background:

  • Hypertension is a major modifiable risk factor for cardiovascular disease in the UK and Ireland.
  • Persistent gaps exist in hypertension management and health equity.
  • The British and Irish Hypertension Society (BIHS) led a national initiative to define future research priorities.

Purpose of the Study:

  • To establish national research priorities for hypertension in the UK and Ireland.
  • To address implementation gaps and health inequalities in hypertension management.
  • To guide future research funding and policy decisions.

Main Methods:

  • A modified Delphi approach, incorporating James Lind Alliance methodology.
  • Involved a multidisciplinary steering group, clinicians, allied health professionals, researchers, and patients.
  • Utilized iterative surveys and a consensus workshop for question refinement and ranking.

Main Results:

  • A Top 10 list of national hypertension research priorities was established from 66 initial questions.
  • Key themes include digital/remote monitoring, reducing health inequalities, and treatment adherence.
  • Priorities also cover dementia, frailty, kidney disease prevention, treatment targets, and obesity therapies' impact.

Conclusions:

  • This is the first consensus-driven initiative defining UK and Ireland hypertension research priorities.
  • The Top 10 priorities emphasize person-centered, implementation-focused, and digitally innovative research.
  • These priorities offer a roadmap to address unmet needs and improve hypertension patient outcomes.
Abstract

Keywords:
adherencedementiahypertensionobesitytarget

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