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GuidelineHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2020

How to Apply European and American Guidelines on High Blood Pressure in Children and Adolescents. A Position Paper Endorsed by the Italian Society of Hypertension and the Italian Society of Pediatrics.

Simonetta Genovesi, Gianfranco Parati, Marco Giussani, Gianni Bona, Cristiano Fava, Claudio Maffeis, Claudio Ferri, Ugo Giordano

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In one paragraph

Guideline in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Simonetta GenovesiSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Milan, MB, Italy. simonetta.genovesi@unimib.it.
Gianfranco ParatiSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Milan, MB, Italy.
Marco GiussaniATS Milan, Milan, Italy.
Gianni BonaDepartment of Medical Sciences, University of Piemonte Orientale, Novara, Italy.
Cristiano FavaDepartment of Medicine, University of Verona, Verona, Italy.
Claudio MaffeisDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
Claudio FerriDepartment of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Ugo GiordanoArterial hypertension unit Pediatric Cardiology and cardiac Surgery Department, Bambino Gesù Children's Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children are defined as hypertensive when their blood pressure values equal or exceed the 95th percentile of the blood pressure value distribution in a pediatric population, according to gender, age and height. The population on which reference tables are based is of fundamental importance to establish the threshold values for the diagnosis of hypertension in pediatric age. Before 2017, both American and European guidelines used nomograms created in the same reference population which included children of all weight classes. Given the close and well-known association between hypertension and excess weight in childhood, the 2017 American guidelines proposed new reference nomograms excluding subjects with overweight and obesity from the "historical" reference population. Furthermore, the new American guidelines suggested a fixed cut-off of 130/80 mmHg, starting from 13 years and regardless of gender and height, to make the diagnosis of hypertension. In this document, the Italian Hypertension Society (SIIA) and the Italian Pediatric Society (SIP) jointly discuss a number of issues raised by the new American guidelines that involve the entire medical community, and also address the definition of arterial hypertension in the transition phase between childhood and adulthood.

Indexed as

Arterial PressureAdolescentAge FactorsBlood Pressure DeterminationBody HeightChildFemaleHumansHypertensionItalyMaleNomogramsPredictive Value of TestsReference ValuesSex FactorsChildrenGuidelinesHypertensionItalian Society of HypertensionItalian Society of Pediatrics

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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.