Clinical value of blood pressure measurement in the community pharmacy
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Aim of the study To investigate whether the measurement of blood pressure in the community pharmacy is a valuable method to diagnose hypertension, to assess the need and the effectiveness of anti-hypertensive treatments, or, in general, to make clinical decisions. Method Information has been extracted from articles published in English and in Spanish, from January 1989 to December 2009, in indexed magazines in MEDLINE and EMBASE. To perform the search, multiple and specified terms related to the community pharmacy setting, to blood pressure measurement and to the comparison and agreement between blood pressure measurement methods were used. Selected articles were those that: (1) compared and/or measured the agreement (concordance) between community pharmacy blood pressure measurements obtained in repeated occasions, or (2) compared and/or measured the agreement between the community pharmacy blood pressure measurement method and other measurement methods used in clinical practice for decision-making purposes: blood pressure measurement by a physician, by a nurse and home or ambulatory blood pressure monitoring. Articles were included and analyzed by two investigators independently, who essentially extracted the main results of the manuscripts, emphasizing the assessment of the blood pressure measurement methods used and the completed statistical analysis. Results Only three studies comparing the community pharmacy blood pressure measurement method with other methods and one comparing repeated measurements of community pharmacy blood pressure were found. Moreover, these works present significant biases and limitations, both in terms of method and statistical analysis, which make difficult to draw consistent conclusions. Conclusion Further research of high quality is needed, which results can guide the clinical decision-making based on the community pharmacy blood pressure measurement method.
KeywordsBlood pressure Blood pressure measurement Community pharmacy services Concordance Hypertension Pharmaceutical services
To LACER laboratories, for their collaboration in the translation of this paper and to Eleonora Feletto for assistance in editing the text.
Conflicts of interest
There are no conflicts of interest to declare by the authors.
- 5.Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, et al. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2007;25:1105–87.CrossRefPubMedGoogle Scholar
- 13.Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D. Call to action on use and reimbursement for home blood pressure monitoring: a joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:10–29.CrossRefPubMedGoogle Scholar
- 15.Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, et al. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens. 2008;26:1505–26.CrossRefPubMedGoogle Scholar
- 19.Sabater-Hernández D, Baena MI, Sánchez-Villegas P, Amariles P, García-Corpas JP, Faus MJ, et al. Magnitude and variability of the white coat effect at multiple visits to community pharmacies. Preliminary results of the blood pressure measurement study in community pharmacies: the MEPAFAR study (abstract). Pharm World Sci. 2010;32:262.CrossRefGoogle Scholar