Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Are Automated Office BP Readings More Accurate?

JAMA Intern Med; ePub 2019 Feb 4; Roerecke, et al

Automated office blood pressure (AOBP) readings are more accurate than office BP readings in routine clinical practice for identifying patients with possible hypertension, a new study found. The systematic review and meta-analysis examined the association between AOBP and office BP readings measured in routine clinical practice and in research studies, and ambulatory BP recorded during awake hours. Among the findings:

  • Data were compiled from 31 articles and 9,279 participants (4,736 men and 4,543 women).
  • In samples with systolic AOBP of ≥130 mm Hg, routine office and research systolic BP readings were substantially higher than AOPB readings.
  • Systolic awake ambulatory BP and AOBP readings were similar.
  • Mean AOBP did not exhibit any white coat effect.


Roerecke M, Kaczorowski J, Myers MG. Comparing automated office blood pressure readings with other methods of blood pressure measurement for identifying patients with possible hypertension: A systematic review and meta-analysis. [Published online ahead of print February 4, 2019]. JAMA Intern Med. doi:10.1001/jamainternmed.2018.6551.