Screening for high blood pressure: a review of the evidence for the U.S. Preventive Services Task Force.
BACKGROUND
In 1996, the U.S. Preventive Services Task Force (USPSTF) recommended screening adults for hypertension. Since that time, the published literature on hypertension has expanded rapidly, necessitating a new examination of the evidence supporting screening.


OBJECTIVE
Update the 1996 evidence review on screening for hypertension.


METHODS
The 1996 Guide to Clinical Preventive Services, recent systematic reviews, and focused searches of MEDLINE were used to identify new evidence relevant to detecting and treating hypertension.


METHODS
When a good quality, recent systematic review was available, it was used to summarize previous research; MEDLINE was searched only for more recent articles. Two authors reviewed abstracts (and full texts, if necessary) of potentially relevant articles to determine if they should be included.


METHODS
One author extracted data from included studies into evidence tables.


RESULTS
Hypertension can be effectively detected through office measurement of blood pressure. Treatment of elevated blood pressure in adults can reduce cardiovascular events. The magnitude of risk reduction depends on the degree of hypertension and the presence of other cardiovascular risk factors. Available studies have found no important adverse effects on psychological well-being and mixed effects on the absenteeism rates of adults who are screened and labeled as being hypertensive.


CONCLUSIONS
Substantial indirect evidence supports the effectiveness of screening adults to detect hypertension and treating them to reduce cardiovascular disease.
Sheridan
Stacey
S
Department of Medicine, Division of General Medicine and Clinical Epidemiology, University of North Carolina-Chapel Hill, 5039 Old Clinic Building, CB 7110, Chapel Hill, NC 27599, USA. ssherida@email.unc.edu
Pignone
Michael
M
Donahue
Katrina
K
D000328:Adult; D026683:Advisory Committees; D001795:Blood Pressure Determination / Q000379:methods / Q000592:standards*; D018660:Blood Pressure Monitoring, Ambulatory; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D003955:Diagnostic Tests, Routine / Q000379:methods / Q000592:standards*; D019317:Evidence-Based Medicine; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis*; D017410:Practice Guidelines as Topic; D014481:United States