Screening for elevated blood pressure in children and adolescents: a critical appraisal.

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State: Public
Version: Final published version
Serval ID
serval:BIB_19E6C67E4DC5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Screening for elevated blood pressure in children and adolescents: a critical appraisal.
Journal
JAMA Pediatrics
Author(s)
Chiolero Arnaud, Bovet Pascal, Paradis Gilles
ISSN
2168-6211 (Electronic)
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
167
Number
3
Pages
266-273
Language
english
Notes
Publication types: JOURNAL ARTICLE
Abstract
Although screening for elevated blood pressure (BP) in adults is beneficial, evidence of its beneficial effects in children is not clear. Elevated BP in children is associated with atherosclerosis early in life and tracks across the life course. However, because of the high variability in BP, tracking is weak, and having an elevated BP in childhood has a low predictive value for having elevated BP later in life. The absolute risk of cardiovascular diseases associated with a given level of BP in childhood and the long-term effect of treatment beginning in childhood are not known. No study has experimentally evaluated the benefits and harm of BP screening in children. One modeling study indicates that BP screen-and-treat strategies in adolescents are moderately cost-effective but less cost-effective than population-wide interventions to decrease BP for the reduction of coronary heart diseases. The US National Heart, Lung, and Blood Institute and the European Society of Hypertension recommend that children 3 years of age and older have their BP measured during every health care visit. According to the US Preventive Services Task Force, there is no sufficient evidence to recommend for or against screening, but their recommendations have to be updated. Whether the benefits of universal BP screening in children outweigh the harm has to be determined. Studies are needed to assess the absolute risk of cardiovascular diseases associated with elevated BP in childhood, to evaluate how to simplify the identification of elevated BP, to evaluate the long-term benefits and harm of treatment beginning in childhood, and to compare universal and targeted screening strategies.
Pubmed
Web of science
Open Access
Yes
Create date
11/01/2013 14:39
Last modification date
20/08/2019 13:51
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