title: Recommendations on screening for high blood pressure in Canadian adults.
abstract: OBJECTIVE
  To provide recommendations on screening for hypertension in adults aged 18 years and older without previously diagnosed hypertension.
  
  
  METHODS
  Evidence was found through a systematic search of MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews (EBM Reviews), from January 1985 to September 2011. Study types were limited to randomized controlled trials, systematic reviews, and observational studies with control groups.
  
  
  RESULTS
  Three strong recommendations were made based on moderate-quality evidence. It is recommended that blood pressure measurement occur at all appropriate primary care visits, according to the current techniques described in the Canadian Hypertension Education Program recommendations for office and ambulatory blood pressure measurement. The Canadian Hypertension Education Program criteria for assessment and diagnosis of hypertension should be applied for people found to have elevated blood pressure.
  
  
  CONCLUSIONS
  After review of the most recent evidence, the Canadian Task Force on Preventive Health Care continues to recommend blood pressure measurement during regular physician visits.
authors.affiliation: Department of Family Medicine, Queen's University, 220 Bagot St, Kingston, ON K7L 5E9. richard.birtwhistle@dfm.queensu.ca.
authors.forename: Patrice
authors.initials: P
authors.lastname: Lindsay
authors.forename: Sarah
authors.initials: S
authors.lastname: Connor Gorber
authors.forename: Michel
authors.initials: M
authors.lastname: Joffres
authors.forename: Richard
authors.initials: R
authors.lastname: Birtwhistle
authors.forename: Donald
authors.initials: D
authors.lastname: McKay
authors.forename: Lyne
authors.initials: L
authors.lastname: Cloutier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001795:Blood Pressure Determination / Q000592:standards; D002170:Canada; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D055815:Young Adult
references.citation: CMAJ. 2008 May 20;178(11):1441-9
references.pmid: 18490640
references.citation: Can Med Assoc J. 1984 May 15;130(10):1278-85
references.pmid: 6722691
references.citation: Open Med. 2010;4(3):e143-53
references.pmid: 21687334
references.citation: BMJ. 2008 Apr 26;336(7650):924-6
references.pmid: 18436948
references.citation: CMAJ. 2010 Dec 14;182(18):E839-42
references.pmid: 20603348
references.citation: BMJ. 2009 May 19;338:b1665
references.pmid: 19454737
references.citation: BMJ. 2011 Feb 07;342:d442
references.pmid: 21300712
references.citation: Lancet. 2000 Dec 9;356(9246):1955-64
references.pmid: 11130523
references.citation: Circulation. 2010 Aug 10;122(6):579-84
references.pmid: 20660802
references.citation: CMAJ. 2012 Oct 2;184(14):1575-81
references.pmid: 22891209
references.citation: CMAJ. 2011 Jun 14;183(9):1007-13
references.pmid: 21576297
references.citation: Can J Cardiol. 2008 Jun;24(6):477-81
references.pmid: 18548144
references.citation: Am J Prev Med. 2003 Aug;25(2):151-8
references.pmid: 12880884
references.citation: Ann Intern Med. 2007 Dec 4;147(11):787-91
references.pmid: 18056663
references.citation: Nephrol Dial Transplant. 2006 Feb;21(2):264-7
references.pmid: 16311261
references.citation: Health Rep. 2010 Mar;21(1):37-46
references.pmid: 20426225
references.citation: BMC Public Health. 2011 Jan 11;11:24
references.pmid: 21223580
references.citation: N Engl J Med. 2001 Nov 1;345(18):1291-7
references.pmid: 11794147
references.citation: Ann Intern Med. 2007 Dec 4;147(11):783-6
references.pmid: 18056662
references.citation: Hypertension. 2000 Feb;35(2):539-43
references.pmid: 10679494