Table 1 Differences in methods between the 2011 and 2019 NICE guideline systematic reviews.

From: Options for the diagnosis of high blood pressure in primary care: a systematic review and economic model

 

2011 Review [1]

2011 Review (sensitivity analysis) [1]

2019 Review [4]

Population

Adults

Adults (excluding studies with low-mean BP, i.e., excluding normotensive sample)

Adults with suspected hypertension

Target condition

Hypertension

Hypertension

Hypertension

Index tests

• Home BP

• Clinic BP

• Home BP

• Clinic BP

• Home BP without telemonitoring

• Home BP with telemonitoring

• Clinic BP

• Pharmacy monitoring

Reference standard

Ambulatory BP (threshold 135/85 mmHg)

Ambulatory BP (threshold 135/85 mmHg)

Ambulatory BP (threshold 135/85 mmHg)

Outcomes

• Sensitivity

• Specificity

• Raw data to calculate 2 × 2 data

• Sensitivity

• Specificity

• Raw data to calculate 2 × 2 data

• Sensitivity

• Specificity

• Raw data to calculate 2 × 2 data

• Studies where 2 × 2 data couldn’t be derived were included but not meta-analysed

Search strategy (data limits)

1950 onwards

1950 onwards

2000 onwards

Other exclusion criteria

• Studies where 2 × 2 data couldn’t be derived

• Home with telemonitoring

• Studies where 2 × 2 data couldn’t be derived

• Home with telemonitoring

– People with:

• Established (already diagnosed) hypertension

• Type-2 diabetes

• Established cardiovascular disease

• Chronic kidney disease