Het belang van thuis bloeddruk meter

Electronic monitoring of patient adherence to oral antihypertensive medical treatment: a systematic review.

J Hypertens. 2009 May 26 Christensen A, Osterberg LG, Hansen EH. aSection for Social Pharmacy, Department for Pharmacology and Pharmacotherapy, Faculty of Pharmaceutical Sciences, University of Copenhagen, Denmark bResearch Centre for Quality in Medicine Use, Copenhagen, Denmark cBang & Olufsen Medicom A/S, Struer, Denmark dSection of General Internal Medicine, Department of Medicine, Stanford University, USA eVA Palo Alto Healthcare System, Palo Alto, California, USA.

Poor patient adherence is often the reason for suboptimal blood pressure control. Electronic monitoring is one method of assessing adherence. The aim was to systematically review the literature on electronic monitoring of patient adherence to self-administered oral antihypertensive medications.

We searched the Pubmed, Embase, Cinahl and Psychinfo databases and websites of suppliers of electronic monitoring devices. The quality of the studies was assessed according to the quality criteria proposed by Haynes et al. Sixty-two articles were included; three met the criteria proposed by Haynes et al. and nine reported the use of electronic adherence monitoring for feedback interventions.

Adherence rates were generally high, whereas average study quality was low with a recent tendency towards improved quality. One study detected investigator fraud based on electronic monitoring data. Use of electronic monitoring of patient adherence according to the quality criteria proposed by Haynes et al. has been rather limited during the past two decades. Electronic monitoring has mainly been used as a measurement tool, but it seems to have the potential to significantly improve blood pressure control as well and should be used more widely.