A remotely delivered, home-based HTN and lipid program using nonlicensed navigators and licensed pharmacists led to reductions in BP and LDL-C in a single-center cohort study of more than 10,000 patients. MedTwitter
The team enrolled 10,803 patients in the remote hypertension and cholesterol management program: 3658 with hypertension, 8103 with hypercholesterolemia, and 958 with both conditions.
The remote program included education, a home BP device that automatically sent measurements, and medication titration. Nonlicensed navigators and pharmacists, supported by cardiovascular clinicians, coordinated care using standardized algorithms, task management and automation software, omnichannel communication, and active BP monitoring.Altogether, 424,482 BP readings and 139,263 laboratory reports were collected.
The median time in the hypertension program was 103 days. At the time of data lock, 524 patients remained active in the program, 1064 were unreachable, 302 had returned to their primary care physician because of adherence problems or communication challenges, 276 had dropped out, and 1492 had achieved their goal and had entered maintenance.program, patients enrolled in remote medication management experienced a mean reduction in LDL-C of 35.4 mg/dL at 6 months and 37.5 mg/dL at 12 months.
Although the study was not randomized,"it is a very pragmatic evaluation that provides useful real-world information," she said. However, the findings may be"slightly more magnified" because the patients self-selected, in comparison with what the findings might have shown had the program been offered to the population at large.
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