![]() The guidelines are based on a comprehensive review of nearly 15,000 published articles from Jan 2004 – Aug 2015 using the PICOT format to address the diagnosis, workup and management of hypertension (HTN). ![]() A detailed description of the methodology will be published as a technical report but the authors explain in good detail their selection process. This is the first CPG I’ve seen of this quality that has patient experience front and centre along with implementation science and health economics making it an incredible resource for systemic change. In brief, the Clinical Practice Guideline (CPG) subcommittee was co-chaired by a paediatric nephrologist and a general paediatrician and was made up of 17 members including a parent representative. Ordinarily, we would spend more time in journal club discussing the methods and approaches to the problem but this paper is so vast that I think it’s best to cover this briefly and then skip straight to the recommendations. You’ll most likely find you’ll need to print or save it for future reference including the new blood pressure (BP) normative values, recommended investigations and treatment algorithms. ![]() First off, this is a beast of a paper but required reading if you work with kids or adolescents.
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