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November 10, 2020JAMAOpen Access

Screening for High Blood Pressure in Children and Adolescents

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Why the study?

To update the 2013 USPSTF recommendation on screening for high blood pressure in children and adolescents.

Does screening for high blood pressure improve outcomes in asymptomatic children and adolescents aged 3 to 18 years?

Population

Children and adolescents aged 3 to 18 years not known to have hypertension or who are asymptomatic

Comparison

Screening for high blood pressure vs no screening

Design

Systematic review and recommendation statement

Authors

AKAlex H. KristArkansas Foundation for Medical Care
Karina W. Davidson
Karina W. DavidsonPreventive Cardiology
Carol M. Mangione
Carol M. MangioneBoston University

Discussion

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Member takes

Implication

Does not support routine screening in asymptomatic youth; leaves open the need for trials clarifying long-term benefits and harms.

Study Design

Type

Systematic Review

Structured PICO

Does screening for high blood pressure improve outcomes in asymptomatic children and adolescents aged 3 to 18 years?

P
Population
Children and adolescents aged 3 to 18 years not known to have hypertension or who are asymptomatic.
I
Intervention
Screening for high blood pressure
O
Outcome
Benefits and harms of screening

Current evidence is insufficient to recommend for or against routine screening for high blood pressure in asymptomatic children and adolescents.

Cite This Study

Krist et al. (2020) conducted a systematic review in High blood pressure. Screening for high blood pressure was evaluated on Balance of benefits and harms of screening. Screening for high blood pressure in asymptomatic children and adolescents aged 3 to 18 years has insufficient evidence to assess the balance of benefits and harms.

synapsesocial.com/papers/6a8adaa3eada60f85de3a730https://doi.org/10.1001/jama.2020.20122

Topics

Hypertension managementWomen and heart disease
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