ArticleArchives of pediatrics & adolescent medicine2012
Use of diagnostic tests in adolescents with essential hypertension.
Article in Archives of pediatrics & adolescent medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Prevalence of Target Organ Damage in Chinese Hypertensive Children and Adolescents.Frontiers in pediatrics · 2018Article
- Clinicians' Adherence to Guidelines on Evaluation of Hypertension in Children and Adolescents.World journal for pediatric & congenital heart surgery · 2016Article
- Left ventricular mass and diastolic function in obese children and adolescents.Pediatric nephrology (Berlin, Germany) · 2015Article
- Left ventricular hypertrophy and diastolic function in children and adolescents with essential hypertension.Clinical hypertension · 2015Article
- Use of antihypertensive medications and diagnostic tests among privately insured adolescents and young adults with primary versus secondary hypertension.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2014Article
- Left ventricular hypertrophy in hypertensive children and adolescents: predictors and prevalence.Current hypertension reports · 2013Review
- Underlying Rationale and Approach to Treat Hypertension in Adolescents by Physicians of Different Specialty.Annals of pediatrics & child healthArticle
Corrections and comments
- Commented on by
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo describe the use of diagnostic tests in adolescents with essential hypertension.
designLongitudinal analysis of administrative claims data.
settingMichigan Medicaid program during 2003 to 2008.
participantsAdolescents with 3 or more years of Medicaid eligibility (≥ 11 months/y) who had a diagnosis of essential hypertension and 1 or more antihypertensive medication pharmacy claims.
main outcome measuresWe examined adolescents' echocardiogram use and compared it with electrocardiogram (EKG) and renal ultrasonography use. We examined timing of the 3 diagnostic tests in relation to the first pharmacy claim. We examined patient demographics and presence of obesity-related comorbidities.
resultsDuring 2003 to 2008, there were 951 adolescents with essential hypertension who had antihypertensive pharmacy claims; 24% (226) had echocardiograms; 22% (207) had renal ultrasonography; and 50% (478) had EKGs. Males (odds ratio [OR], 1.53; 95% CI, 1.06-2.21), younger adolescents (OR, 1.69; 95% CI, 1.17-2.44), those who had EKGs (OR, 5.79; 95% CI, 4.02-8.36), and those who had renal ultrasonography (OR, 2.22; 95% CI, 1.54-3.20) were more likely to obtain echocardiograms compared with females, older adolescents, and adolescents who did not have EKGs or renal ultrasonography.
conclusionsGuideline-recommended diagnostic tests-echocardiograms and renal ultrasonography-were equally poorly used by adolescents with essential hypertension. Sex and age differences exist in the use of echocardiograms by adolescents with essential hypertension. The decision and choice of diagnostic tests to evaluate adolescents with essential hypertension warrant further study to understand the underlying rationale for those decisions and to determine treatment effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.