ArticleAcademic pediatrics2020
Pediatrician Communication About High Blood Pressure in Children With Overweight/Obesity During Well-Child Visits.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed.
- "Let me take the lead": Qualitative Findings From the Parent-Preferred Topics for Childhood Obesity Study.AJPM focus · 2025Article
- Accuracy of Electronic Health Record Phenotypes to Detect Recognition of Hypertension in Pediatric Primary Care.Academic pediatrics · 2025Article
- Clinician response after receipt of abnormal pediatric ambulatory blood pressure monitoring - characteristics associated with inertia and action.Pediatric nephrology (Berlin, Germany) · 2024Article
- Screening and Management of Pediatric High Blood Pressure-Challenges to Implementing the Clinical Practice Guideline.Current hypertension reports · 2024Review
- Pediatric High Blood Pressure Follow-Up Guideline Adherence in a Massachusetts Health Care System.Academic pediatrics · 2024Article
- Clinical Decision Support for the Diagnosis and Management of Adult and Pediatric Hypertension.Current hypertension reports · 2020Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveDespite recognition that hypertension is associated with childhood obesity, data suggest that high blood pressure (BP) is infrequently diagnosed in children. This study sought to examine provider communication with overweight school-age children regarding BP measurements that were high at well-child visits.
methodsCross-sectional mixed-methods analysis of audio-recorded communication from well-child visits with overweight 6-12-year-olds. Data from the subset of children with elevated BPs were used for this study. Three BP measures obtained at the audio-recorded visit were averaged, paired with historical BPs stored in the health record, and compared to contemporary/Fourth-Report thresholds to determine if children had elevated/hypertensive BPs only at the audio-recorded visit or met hypertension-diagnostic criteria (hypertension-level BP ≥3 separate visits). Two reviewers used visit transcripts to categorize communication about BP as "absent," "unclear," or "direct." Provider use of a billing diagnosis for elevated BP/hypertension in visits with direct-BP-communication was explored.
resultsIn 36 of 126 (29%) visit-audio-recordings, children had elevated/hypertensive BPs. Thirty-three of the 36 eligible (92%) had intelligible audio-recordings. Of these, 9 (25%) were overweight and 24 (75%) had obesity. Seventeen (52%) had elevated BPs, and 16 (48%) hypertensive BPs. Ten (30%) met criteria for hypertension diagnosis. BP communication was absent in 20 visits (61%), unclear in 8 (24%), and direct in 5 visits (15%). Billing diagnoses for elevated BP/hypertension were entered at 4 of 5 (80%) visits with direct-BP communication.
conclusionsMost overweight children with elevated BPs did not receive communication that BP is high at well-child visits. Relevant billing diagnoses may indicate direct-BP communication.
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