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Title: | Approaches of Pediatric Nephrologists to Hypertensive Patients in Turkey (Turkish Pediatric Hypertension Working Group Study) [Article] | Authors: | Kasap Demir, Belde Taşdemir, Mehmet Övünç Hacihamdioğlu, Duygu Girişgen, İlknur Dursun, Hasan Çivilibal, Mahmut Benzer, Meryem Karaaslan Bıyıklı, Nese Özkayın, Nese Sönmez, Ferah |
Keywords: | Hypertension children adolescents guidelines clinical practice patterns Pulse-Wave Velocity Adolescents Reference Values Intima-Media Thickness Blood-Pressure Healthy-Children Age |
Publisher: | AVES | Abstract: | Objective: We aimed to evaluate the approaches of pediatric nephrologists in our country to the management of childhood hypertension. Methods: The pediatric nephrologists in our country were invited to fill out an online questionnaire including 24 questions. The answers were compared between those working in the field for <= 10 years (Group 1, n =74) and >10 years (Group 2, n = 62). Results: Of 136 participants (M/F = 101/35), 52% were following a single guideline [31% Fourth Report of 2004, 17% European Society of Hypertension in 2016, and 52% American Academy of Pediatrics in 2017], which is more common in Group 1 (P =.035). The most commonly used guideline was American Academy of Pediatrics of 2017 and Group 2 used Fourth Report of 2004 more commonly (P =.042). The most common choice to diagnose hypertension was office + home + ambulatory blood pressure monitoring (59%). The frequency of screening for end-organ damage at first evaluation was 96%. The time to wait for the effect of lifestyle modifications was 3 months in 52%. The first choice medication was angiotensin-converting enzyme inhibitors (49%) or calcium-channel blockers (48%) in non-obese and angiotensin-converting enzyme inhibitors (74%) in obese children. Calcium-channel blockers were more commonly prescribed as the first choice in non-obese children in Group 1 (P =.035). The most accessible emergency drug was esmolol. Conclusion: Despite following recent guidelines, the time spent in the proficiency would change the practices. | URI: | https://doi.org/10.5152/turkjnephrol.2022.21112 https://search.trdizin.gov.tr/yayin/detay/531308 https://hdl.handle.net/11499/50490 |
ISSN: | 2667-4440 |
Appears in Collections: | Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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Approaches of Pediatric Nephrologists.pdf | 899.49 kB | Adobe PDF | View/Open |
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