A retrospective analysis of 176 adults with uncontrolled hypertension found meaningful reductions in systolic and diastolic blood pressure after Remote Patient Monitoring was added to standard care.
The Challenge
Blood pressure management is a critical component of nephrology care, yet traditional office visits provide only periodic snapshots of a patient’s condition. For patients with uncontrolled hypertension and complex chronic needs, meaningful changes can occur between visits — when care teams may have limited visibility into blood pressure trends, adherence, and emerging concerns.
Remote Patient Monitoring (RPM) offers a way to extend care beyond the clinic by connecting home blood pressure data with ongoing patient support.
The Approach
A retrospective analysis evaluated blood pressure outcomes among 176 adults with uncontrolled hypertension receiving care across nephrology/internal medicine and family medicine settings.
Patients ranged in age from 18 to 100 and participated in a structured RPM program for at least three months. They continued standard medical care, including antihypertensive medication management and lifestyle recommendations, while using digitally connected devices to submit home blood pressure readings.
The RPM program included:
- Digitally connected home blood pressure monitoring
- Ongoing transmission of patient-generated readings
- Continued medication and lifestyle management by the treating clinic
- At least monthly patient outreach to support adherence and accountability
- Longitudinal monitoring, with a minimum of 20 reported blood pressure readings required for inclusion in the analysis
The retrospective analysis covered data collected from February 2023 through May 2025.
The Results
Across the full 176-patient population, Remote Patient Monitoring alongside standard care was associated with meaningful improvement in blood pressure control:
12.8 mmHg
Average reduction in systolic blood pressure
7.23 mmHg
Average reduction in diastolic blood pressure
176 patients
Included in the retrospective analysis
Improvement was observed across every analyzed age and gender group, with average systolic reductions ranging from 7.3 mmHg to 22.05 mmHg and average diastolic reductions ranging from 5.5 mmHg to 10.95 mmHg across patient subgroups.
What This Means for Nephrology Practices
For nephrology practices, effective blood pressure management often requires visibility beyond the clinic. Connected home readings can provide a more longitudinal view of patient trends, while structured outreach creates additional opportunities to reinforce adherence and maintain engagement between visits.
In this analysis, adding RPM to standard care was associated with improved blood pressure control across the overall study population and every analyzed age and gender group.
The findings demonstrate the potential value of a more connected approach to hypertension management — one that combines standard medical care with longitudinal home blood pressure data and ongoing patient support.
The Takeaway
Remote Patient Monitoring can help extend blood pressure management beyond episodic office visits, giving nephrology care teams greater visibility into patient trends over time.
For practices managing patients with hypertension and complex chronic needs, RPM provides a structured way to support more continuous monitoring, ongoing engagement, and data-informed care between visits.
Explore how CoachCare supports Remote Patient Monitoring for nephrology practices.
