ArticleJournal of clinical hypertension (Greenwich, Conn.)2021
Under-recognition of pediatric hypertension diagnosis: Examination of 1 year of visits to community health centers.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 31 citations in OpenAlex.
- Prevalence and predictors of pediatric high blood pressure: an Egyptian school-based survey.BMC public health · 2026Article
- Dietl Syndrome Misattributed to Gastrointestinal Disease in a Child: A Pediatric Diagnostic Pitfall.Cureus · 2026Article
- Clinician Perceptions of Barriers and Strategies to Improve Pediatric Hypertension Detection.JAMA network open · 2026Article
- Placental epigenetic age and adolescent blood pressure: the Extremely Low Gestational Age Newborn cohort.Pediatric research · 2025Article
- Parent Needs, Recommendations, and Systemic Challenges Affecting Pediatric Hypertension Detection.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Article
- Alteration of gut microbiota associated with hypertension in children.BMC microbiology · 2025Article
- Accuracy of Electronic Health Record Phenotypes to Detect Recognition of Hypertension in Pediatric Primary Care.Academic pediatrics · 2025Article
- Blood pressure measurement practices in children and adolescents within primary care setting.Frontiers in pediatrics · 2025Article
- The global health burden of pediatric chronic kidney disease: An analysis of the Global Burden of Disease database from 1990 to 2021.PloS one · 2025Article
- Parent and Primary Care Clinician Perceptions About Pediatric Hypertension.JAMA network open · 2024Article
- 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
- Undiagnosed Pediatric Elevated Blood Pressure Is Characterized by Induction of Proinflammatory and Cytotoxic Mediators.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Adherence to the 2017 Clinical Practice Guidelines for Pediatric Hypertension in Safety-Net Clinics.JAMA network open · 2023Article
- Sudden-Onset Blindness in a Child With Hypertensive Emergency: Unmasking of Chronic Kidney Disease.Cureus · 2022Article
- A stakeholder-driven method for selecting implementation strategies: a case example of pediatric hypertension clinical practice guideline implementation.Implementation science communications · 2022Article
- Hypertension in Children and Adolescents with Turner Syndrome (TS), Neurofibromatosis 1 (NF1), and Williams Syndrome (WS).Current hypertension reports · 2021Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Pediatric hypertension is associated with significant target organ damage in children and cardiovascular morbidity in adulthood. Appropriate diagnosis and management per guideline recommendations are inconsistent. In this study, we determined the proportion of missed diagnosis of hypertension and prehypertension and appropriate follow-up in pediatric patients, stratified by sex, age, race/ethnicity, and weight status. Based on the electronic health record (EHR) data from eight federally qualified health centers, among 62,982 children aged 3 to 18 years, 6233 (10%) had at least one abnormal blood pressure (BP) measurement over twelve months. Among those children whose recorded BPs met the criteria for prehypertension (N = 6178), 14.6% had a diagnosis in the EHR. These children were more likely to be White and have obesity compared with children who met the criteria but were not diagnosed with prehypertension. Among those who met the criteria for hypertension (N = 55), 41.8% had a diagnosis of hypertension in the EHR. Being diagnosed with hypertension was not associated with any examined patient characteristics. Over eleven months, 2837 children had BP ≥ 95th percentile on ≥ 1 visit. Only 13% had guideline-adherent follow-up within 1 month and were more likely to be older, female, and of Hispanic ethnicity or "other" race. Over six months, 2902 children had BP ≥ 90th percentile on one visit. 41% had guideline-adherent follow-up within 6 months and were more likely to be older, of either White, Hispanic, Asian race, or Hispanic ethnicity. In a community-based setting, pediatric hypertension and prehypertension were persistently underdiagnosed with low adherence to recommended follow-up.
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Registered trials
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