GuidelineJournal of hypertension2019
Optimizing observer performance of clinic blood pressure measurement: a position statement from the Lancet Commission on Hypertension Group.
Guideline in Journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment of Hypertension Using Clinical Electrocardiogram Features: A First-Ever Review.Frontiers in medicine · 2020Pooled it
- Reliability and device objectivity in oscillatory blood pressure measurement - a measurement error analysis to inform clinical decision making.BMC cardiovascular disorders · 2026Article
- Assessing and Optimizing Blood Pressure Measurement Technique in Clinical Practice The BPRIGHT Project (Blood Pressure Reliability through Implementation of Guidelines and Holistic Training).Journal of human hypertension · 2026Article
- Evidence-Based, Streamlined Approach to Measure Blood Pressure in Primary Care Settings.Hypertension (Dallas, Tex. : 1979) · 2026Review
- The effect of blood pressure measurement in different postures on blood pressure values and anxiety levels in 3rd trimester pregnant women with preeclampsia.Journal of human hypertension · 2025Review
- Attention to blood pressure cuff sizes is important for home and in-clinic blood pressure measurement.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Blood pressure measurement in dental offices and dentists' cardiovascular risk management: A cross-sectional study.Journal of clinical and experimental dentistry · 2025Article
- Investigating aging trajectories and determinants in Northern Italy through the Novara cohort study.Scientific reports · 2025Article
- Oscillometric blood pressure measurement: modeling and analysis of the area oscillogram and height oscillogram.Frontiers in physiology · 2025Article
- Validation of combiomed hipermax-BF model A7101 automatic oscillometric upper-arm sphygmomanometer in general population: AAMI/ESH/ISO universal standard (ISO 81060-2:2018/Amd 1:2020).Journal of human hypertension · 2024Article
- What Constitutes Adequate Control of High Blood Pressure? Current Considerations.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- First-in-Human Study for Evaluating the Accuracy of Smart Ring Based Cuffless Blood Pressure Measurement.Journal of Korean medical science · 2024Article
- Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study.Tropical medicine and health · 2024Article
- Validity of Home Blood Pressure Devices Sold in Canada.CJC open · 2024Article
- Pilot Study of Intelligent Office Blood Pressure Measurement Model in Shanghai, China, 2022.Global heart · 2024Article
- Capturing the pulse: a state-of-the-art review on camera-based jugular vein assessment.Biomedical optics express · 2023Review
- Accuracy of cuff blood pressure and systolic blood pressure amplification.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Utilization obstacles to hypertension services provided at comprehensive health centers: a content analysis study.Health research policy and systems · 2023Article
- International Consensus on Standardized Clinic Blood Pressure Measurement - A Call to Action.The American journal of medicine · 2023Article
- Quality is not an act, it is a habit-Aristotle.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
: High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-to-middle-income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging. Many measurement errors can be minimized by appropriate patient preparation and standardized techniques. Validated semi-automated/automated upper arm cuff devices should be used instead of auscultation to simplify measurement and prevent observer error. Task sharing, creating a dedicated measurement workstation, and using semi-automated or solar-charged devices may help. Ensuring observer training, and periodic re-training, is critical. Low-cost, easily accessible certification programs should be considered to facilitate best BP measurement practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.