Increased costs are due to personnel and clinic time utilization. Routine of ce BP measurements are generally higher than standardized of ce BP measurements.5,6 Therefore, the use of routine of ce BP measurements for BP management could lead to overtreatment of BP and possibly result in a higher incidence of hypotension-related adverse events. Conversely, for some persons for whom routine of ce BP is lower than standardized of ceBP,useofroutineof ceBPcouldleadtoundertreatmentof high BP and result in a higher risk of future cardiovascular (CV) events. Routine and standardized BP measurements have poor agreement, including those in the CKD population.5,6 It is therefore not possible to convert a routine of ce BP into a standardized of ce BP using a correction factor in an individual. Thus, in the opinion of the Work Group, most well-informed patients would accept the additional time required for stan- dardized of ce BP measurement. Resource use and costs. Standardized of ce BP does not necessarily require additional equipment beyond the existing BP measurement devices. However, standardized of ce BP takes longer to perform than routine of ce BP, given the need to follow proper preparatory procedures (Figure 2). There- fore, there may be an increased time burden on patients, providers, and staff. This approach also requires staff training and retraining to ensure that a standardized BP measurement approach is followed. Adequate access to a quiet clinic space that allows for an adequate rest period prior to BP mea- surement may also be an issue in certain settings. However, in the opinion of the Work Group, this recommendation is likely to be cost-effective as it may avert consequences of over- treatment and undertreatment, though an economic analysis has not been published. Considerations for implementation. 