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2015 ; 61
(11
): 957-61
Nephropedia Template TP
gab.com Text
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English Wikipedia
Diagnosing hypertension: Evidence supporting the 2015 recommendations of the
Canadian Hypertension Education Program
#MMPMID26564654
Gelfer M
; Dawes M
; Kaczorowski J
; Padwal R
; Cloutier L
Can Fam Physician
2015[Nov]; 61
(11
): 957-61
PMID26564654
show ga
OBJECTIVE: To highlight the 2015 Canadian Hypertension Education Program (CHEP)
recommendations for the diagnosis and assessment of hypertension. QUALITY OF
EVIDENCE: A systematic search was performed current to August 2014 by a Cochrane
Collaboration librarian using the MEDLINE and PubMed databases. The search
results were critically appraised by the CHEP subcommittee on blood pressure (BP)
measurement and diagnosis, and evidence-based recommendations were presented to
the CHEP Central Review Committee for independent review and grading. Finally,
the findings and recommendations were presented to the Recommendations Task Force
for discussion, debate, approval, and voting. The main recommendations are based
on level II evidence. MAIN MESSAGE: Based on the most recent evidence, CHEP has
made 4 recommendations in 2 broad categories for 2015 to improve BP measurement
and the way hypertension is diagnosed. A strong recommendation is made to use
electronic BP measurement in the office setting to replace auscultatory BP
measurement. For patients with elevated office readings, CHEP is recommending
early use of out-of-office BP measurement, preferably ambulatory BP measurement,
in order to identify early in the process those patients with white-coat
hypertension. CONCLUSION: Improvements in diagnostic accuracy are critical to
optimizing hypertension management in Canada. The annual updates provided by CHEP
ensure that practitioners have up-to-date evidence-based information to inform
practice.