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Established in 1927 by the American College of Physicians

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8 October 2013 Annals of Internal Medicine Tip Sheet

Below is information about articles being published in the September 17 issue of Annals of Internal Medicine. The information is not intended to substitute for the full article as a source of information. Annals of Internal Medicine attribution is required for all coverage.

The United States Preventive Services Task Force publishes updated recommendation on blood pressure screening for children

The United States Preventive Services Task Force (USPSTF) found insufficient evidence to recommend for or against routine screening for primary hypertension in asymptomatic children and adolescents. Hypertension in children and adolescents has increased over the past several decades, which may be attributable to the climb in childhood overweight and obesity rates. An estimated 11 percent of obese children in the United States suffer from hypertension, putting them at increased risk for hypertension in adulthood. One rationale for screening young patients is that it could lead to interventions that reduce blood pressure and reduce the risk for cardiovascular events and death in adulthood. However, there might also be harms associated with early treatment. A review of evidence published since the Task Force’s 2003 recommendation found insufficient evidence to draw conclusions about the balance of the benefits and harms of screening. The full recommendation statement is being published in Annals of Internal Medicine and also in Pediatrics.