{"id":"2bb523083dba","type":"article","url":"https://hartvaat.nl/2021/04/27/screening-op-hypertensie-bij-volwassenen-uspstf-herbevestiging-2021/","title":"Screening op hypertensie bij volwassenen: USPSTF herbevestiging 2021","title_en":"Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement.","category":"hypertensie","category_label":"Hypertensie","professions":["cardioloog","huisarts"],"tags":[],"journal":"JAMA","doi":"10.1001/jama.2021.4987","source_url":"https://doi.org/10.1001/jama.2021.4987","authors":["Alex H Krist","Karina W Davidson","Carol M Mangione","Michael Cabana","Aaron B Caughey","Esa M Davis","Katrina E Donahue","Chyke A Doubeni","Martha Kubik","Li Li","Gbenga Ogedegbe","Lori Pbert","Michael Silverstein","James Stevermer","Chien-Wen Tseng","John B Wong"],"significance":7,"published":"2021-04-27","source_date":"2021-04-27","image":"","kennis":[],"congress":"","summary_en":"The 2021 USPSTF reaffirmed the recommendation for screening for hypertension in adults, maintaining a Grade A recommendation for office blood pressure measurement as part of routine care.","created":"2026-07-03T10:29:09Z","updated":"2026-07-03T13:28:18Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"USPSTF 2021 herbevestiging van de aanbeveling voor screening op hypertensie bij volwassenen.","abstract_original":"IMPORTANCE: Hypertension is a prevalent condition that affects approximately 45% of the adult US population and is the most commonly diagnosed condition at outpatient office visits. Hypertension is a major contributing risk factor for heart failure, myocardial infarction, stroke, and chronic kidney disease. OBJECTIVE: To reaffirm its 2015 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for hypertension in adults, the accuracy of office blood pressure measurement for initial screening, and the accuracy of various confirmatory blood pressure measurement methods. POPULATION: Adults 18 years or older without known hypertension. EVIDENCE ASSESSMENT: Using a reaffirmation deliberation process, the USPSTF concludes with high certainty that screening for hypertension in adults has substantial net benefit. RECOMMENDATION: The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement. The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment. (A recommendation)."}