Evidence map›Paper›PMID 39812880›Full record

ReviewCurrent cardiology reports2025

Closing the Gap: Digital Innovations to Address Hypertension Disparities.

Bassel M Shanab, Allison E Gaffey, Lee Schwamm, Matthew Zawalich, Daniel F Sarpong, Rafael Pérez-Escamilla, Jocelyn Dorney, Charlotte Cooperman, Ryan Schafer, Heather S Lipkind and 3 more

Abstract readReview
In one paragraph

Review in Current cardiology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Bassel M ShanabYale School of Medicine, New Haven, CT, USA.
Allison E GaffeySection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Lee SchwammDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Matthew ZawalichDigital Strategy and Transformation, Yale Medicine/Yale New Haven Health, New Haven, CT, USA.
Daniel F SarpongOffice of Health Equity, Yale School of Medicine, New Haven, CT, USA.
Rafael Pérez-EscamillaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
Jocelyn DorneySection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Charlotte CoopermanDigital Strategy and Transformation, Yale Medicine/Yale New Haven Health, New Haven, CT, USA.
Ryan SchaferDigital Strategy and Transformation, Yale Medicine/Yale New Haven Health, New Haven, CT, USA.
Heather S LipkindDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA.
Yuan LuSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA.
Oyere K OnumaYale School of Medicine, New Haven, CT, USA.
Erica S SpatzSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA. erica.spatz@yale.edu.

Funding

Social Vulnerability, Sleep, and Early Hypertension Risk in Younger AdultsK23HL168233 · NHLBI · YALE UNIVERSITY · PI Allison Gaffey · 2023 to 2026
$517k
NCCDPHP CDC HHS U48 DP006380NHLBI NIH HHS K23 HL168233
6 · The paper itself

Abstract

purpose of reviewSignificant inequities persist in hypertension detection and control, with minoritized populations disproportionately experiencing organ damage and premature death due to uncontrolled hypertension. Remote blood pressure monitoring combined with telehealth visits (RBPM) is proving to be an effective strategy for controlling hypertension. Yet there are challenges related to technology adoption, patient engagement and social determinants of health (SDoH), contributing to disparities in patient outcomes. This review summarizes the evidence to date for RBPM, focusing on the potential to advance health equity in blood pressure control and the existing levers for largescale implementation. RECENT

findingsSeveral studies demonstrate the promise of RBPM programs to address health disparities through: (1) the use of cellular-enabled blood pressure machines that do not require internet access or smart devices to connect readings into the medical record; (2) emphasis on home blood pressure monitoring to illuminate the daily factors that influence blood pressure control, thereby increasing patient empowerment; (3) adoption of standardized algorithms for hypertension management; and (4) integration of services to address SDoH. Multidisciplinary, non-physician care teams that include nurses, pharmacists, and community health workers are integral to this model. However, most studies have not embraced all aspects of RBPM, and implementation is challenging as current payment models do not support the digital components of RBPM or a diverse workforce of hypertension providers.

conclusionTo address hypertension disparities, RBPM programs need to integrate digital technology that is accessible to all users as well as multidisciplinary care teams that attend to the medical and social needs of populations experiencing health inequities.

Indexed as

Healthcare DisparitiesHypertensionTelemedicineBlood Pressure Monitoring, AmbulatoryHealth Status DisparitiesHumansSocial Determinants of HealthDigital healthHealth inequitiesHypertensionMHealthPreventionRemote patient monitoring

Identifiers

PMID39812880
PMCPMC12919887

What Socratic holds

Textmetadata
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Registered trials

None linked

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.