TC led to a greater decrease in systolic and diastolic BP  than UC .
The differences between TC and UC for systolic BP tend to become larger when no treatment modification is applied .
TC seems a valuable tool for hypertension management
There is an increasing interest for using telecare(TC ) in the management of hypertension .
Accuracy of telemedicine in detecting uncontrolled hypertension and its impact on patient management.
This study was aim ed at assessing the diagnostic accuracy of telemedicine among hypertensive patients . This was a cross-sectional analysis of patients attending a hypertension clinic over a year-long study . Patients were seen both by telemedicine and in-person on the same day with order of the encounters r and omly determined . A telemedicine system , which utilized phone lines , was employed . For each type of encounter , whether telemedicine ( TM ) or in-person ( IP ) , clinical data on blood pressure ( BP ) control as well as physician ordering patterns were collected . Receiver Operator Characteristic ( ROC ) curves were used to assess the validity of TM as compared to IP in the assessment of uncontrolled hypertension .  Sixty-two patients participated result ing in 107-paired visits over the year-long study period . The mean age of the 62 participants was 67.1 + /- 11.4 years ; 56.6 % were men . ROC curves for detecting elevated mean blood pressure provided an area under the curve ( auc ) of 0.87 ( 95 % CI , 0.80 - 0.95 ) . ROC curves for the detection of uncontrolled systolic hypertension provided an auc of 0.86 ( 95 % CI , 0.78 - 0.93 ) . Telemedicine-determined BP differed slightly , but statistically significant ( p < 0.05 ) , from IP assessment s. Meanwhile , there was no difference in ordering diagnostic tests or therapeutics detectable between the two encounter types . Telemedicine proved to be a valid means for detecting uncontrolled BP among hypertensive patients
TC led to a greater decrease in systolic and diastolic BP  than UC .
The differences between TC and UC for systolic BP tend to become larger when no treatment modification is applied .
TC seems a valuable tool for hypertension management
There is an increasing interest for using telecare(TC ) in the management of hypertension .