Trial reportPediatrics2018
Clinical Decision Support for Recognition and Management of Hypertension: A Randomized Trial.
Trial report in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Electronic Health Record-Driven Approaches in Primary Care to Strengthen Hypertension Management Among Racial and Ethnic Minoritized Groups in the United States: Systematic Review.Journal of medical Internet research · 2023Pooled it
- High Blood Pressure in Children Aged 3 to 12 Years Old With Overweight or Obesity.Childhood obesity (Print) · 2024Trial
- Comparison of percentile tables and algorithm-based calculators for classification of blood pressures in children and adolescents with obesity: A secondary analysis of a clinical trial.Journal of paediatrics and child health · 2023Trial
- Effects of Testing and Disclosing Ancestry-Specific Genetic Risk for Kidney Failure on Patients and Health Care Professionals: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Effect of Clinical Decision Support on Cardiovascular Risk Among Adults With Bipolar Disorder, Schizoaffective Disorder, or Schizophrenia: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Clinical Decision Support for Recognizing and Managing Hypertensive Blood Pressure in Youth: No Significant Impact on Medical Costs.Academic pediatrics · 2020Trial
- Sociodemographic Determinants of Timely Hip Dysplasia Ultrasound Screening.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Improving Documentation and Follow-Up of Elevated Blood Pressure in a Family Clinic: A Quality Improvement Project.Cureus · 2025Article
- Accuracy of Electronic Health Record Phenotypes to Detect Recognition of Hypertension in Pediatric Primary Care.Academic pediatrics · 2025Article
- The Construction and Application of a Clinical Decision Support System for Cardiovascular Diseases: Multimodal Data-Driven Development and Validation Study.JMIR medical informatics · 2025Article
- Pediatric High Blood Pressure Recognition Associated With Electronic Decision Support: A Cohort Analysis.Hypertension (Dallas, Tex. : 1979) · 2024Article
- Screening and Management of Pediatric High Blood Pressure-Challenges to Implementing the Clinical Practice Guideline.Current hypertension reports · 2024Review
- The Impact of Stimulant Medications on Blood Pressure and Body Mass Index in Children with Attention Deficit Hyperactivity Disorder.Academic pediatrics · 2024Observational
- Pediatric High Blood Pressure Follow-Up Guideline Adherence in a Massachusetts Health Care System.Academic pediatrics · 2024Article
- A CKD Clinical Decision Support System: A Cluster Randomized Clinical Trial in Primary Care Clinics.Kidney medicine · 2024Article
- Using Clinical Decision Support Systems to Decrease Intravenous Acetaminophen Use: Implementation and Lessons Learned.Applied clinical informatics · 2024Article
- Mobile health management among end stage renal disease patients: a scoping review.Frontiers in medicine · 2024Article
- Governance of Electronic Health Record Modification at U.S. Academic Medical Centers.Applied clinical informatics · 2023Article
- Adapting a clinical decision support system to improve identification of pediatric hypertension in a rural health system: Design of a pragmatic trial.Contemporary clinical trials · 2023Article
- Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers.JAMIA open · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesAlthough blood pressure (BP) is routinely measured in outpatient visits, elevated BP and hypertension are often not recognized. We evaluated whether an electronic health record-linked clinical decision support (CDS) tool could improve the recognition and management of hypertension in adolescents.
methodsWe randomly assigned 20 primary care clinics within an integrated care system to CDS or usual care. At intervention sites, the CDS displayed BPs and percentiles, identified incident hypertension on the basis of current or previous BPs, and offered tailored order sets. The recognition of hypertension was identified by an automated review of diagnoses and problem lists and a manual review of clinical notes, antihypertensive medication prescriptions, and diagnostic testing. Generalized linear mixed models were used to test the effect of the intervention.
resultsAmong 31 579 patients 10 to 17 years old with a clinic visit over a 2-year period, 522 (1.7%) had incident hypertension. Within 6 months of meeting criteria, providers recognized hypertension in 54.9% of patients in CDS clinics and 21.3% of patients in usual care (
conclusionsThe CDS had a significant, beneficial effect on the recognition of hypertension, with a moderate increase in guideline-adherent management.
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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.