Agreement Between Different Types of Blood Pressure Monitoring : A Systematic Review and Network Meta-analysis
Authors' conclusion
Our analysis found differences among BPM methods that varied from the recommendations of current hypertension guidelines. Furthermore, discrepancies were more pronounced at elevated BP levels.
Study context
- Population
- Adults (>18 years) in studies comparing BP values between measurement methods; MEDLINE and Scopus to October 2024
- Participants
- 40,022 adults65 studies
- Comparison
- Different BP measurement methods vs research office blood pressure measurement (BPM)
- Outcome
- Mean difference in systolic BP vs research OBPM
Methodological detailsmeta-regression
- Meta-regression
Pooled result
As reported in the abstract
Systolic BP difference vs research OBPM
Each group vs research OBPMPooled mean difference, mm Hg (95% CI)
Convenient OBPM
2.69(−0.13 to 5.51)
Automated OBPMlower
4.57(2.54–6.60)
Home BPMlower
4.59(2.83–6.34)
Daytime ABPMlower
4.22(2.62–5.82)
Nighttime ABPMlower
18.14(16.21–20.06)
24-hour ABPMlower
8.63(6.97–10.28)
Further pooled results
Differences by reference research office BPM (OBPM) level (meta-regression)
- Higher reference BP levels associated with larger differences between research office and other BPM methods
Original publication
Agreement Between Different Types of Blood Pressure Monitoring : A Systematic Review and Network Meta-analysis. Ann Intern Med. Published 19 August 2025. doi:10.
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