Feasibility of the extended, 48-h ambulatory blood pressure monitoring in hemodialysis patients: a multicenter study

Despite strong guideline recommendations, 48-h ABPM is feasible in only about half of hemodialysis patients, with discomfort and sleep disturbance being the most frequently cited reasons for refusal among those declining ABPM and important barriers to both acceptance and completion in a subset of patients. These findings highlight the need for patient-centered approaches, supportive measures, and careful selection when implementing ABPM in the hemodialysis population, as well as the importance of integrating patient perspectives into clinical practice guidelines.