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Original Articles

Value-based approach to blood pressure telemonitoring and remote counseling in hypertensive patients

ORCID Icon, , , , , , & show all
Pages 20-30 | Received 13 Jul 2020, Accepted 15 Aug 2020, Published online: 21 Sep 2020

Figures & data

Figure 1. Blood pressure telemonitoring system. The icon “Doctor” was created by Wilson Joseph and the Authors purchased the license at www.thenounproject.com to use this icon for unlimited amount of time.

Figure 1. Blood pressure telemonitoring system. The icon “Doctor” was created by Wilson Joseph and the Authors purchased the license at www.thenounproject.com to use this icon for unlimited amount of time.

Figure 2. Study profile.

Figure 2. Study profile.

Table 1. Baseline data.

Figure 3. Reduction of office and 24-hour systolic blood pressure and diastolic blood pressure.

Figure 3. Reduction of office and 24-hour systolic blood pressure and diastolic blood pressure.

Figure 4. According to the results the derived cost-effectiveness acceptability curves show that with BPTM strategy is almost 10% more effective than usual care (55% versus 45%) at a willingness-to-pay threshold of 100 000 RUB. When this threshold comes to 300 000 RUB the gap between two strategies comes to a linear function, while the probability of effectiveness also reaches a plateau. It appears from the curves that there is a probability of BPTM being cost-effective is 76% if decision makers were willing to pay at least 300 000 RUB per 24-hour BP decrease.

Figure 4. According to the results the derived cost-effectiveness acceptability curves show that with BPTM strategy is almost 10% more effective than usual care (55% versus 45%) at a willingness-to-pay threshold of 100 000 RUB. When this threshold comes to 300 000 RUB the gap between two strategies comes to a linear function, while the probability of effectiveness also reaches a plateau. It appears from the curves that there is a probability of BPTM being cost-effective is 76% if decision makers were willing to pay at least 300 000 RUB per 24-hour BP decrease.

Figure 5. The sensitivity analysis was performed with the single but crucial parameter – the cost of BPTM service. The results were robust when increasing or decreasing the cost of BPTM by 50% because these changes lead to only 7.7% change in cumulative costs. BPTM strategy therefore remained cost-effective. BP: blood pressure; BPTM: blood pressure telemonitoring and remote counseling.

Figure 5. The sensitivity analysis was performed with the single but crucial parameter – the cost of BPTM service. The results were robust when increasing or decreasing the cost of BPTM by 50% because these changes lead to only 7.7% change in cumulative costs. BPTM strategy therefore remained cost-effective. BP: blood pressure; BPTM: blood pressure telemonitoring and remote counseling.
Supplemental material

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