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First, 2 subcommittee members reviewed the titles and abstracts of references identified for each key question.

The epidemiologist provided a deciding vote when required.

(See Table 1 for a complete list of KASs.)A detailed description of the methodology used to conduct the literature search and systematic review for this clinical practice guideline will be included in the forthcoming technical report.

In brief, reference selection involved a multistep process.

It is primarily directed at clinicians caring for children and adolescents in the outpatient setting.

This guideline is endorsed by the American Heart Association.

The subcommittee was co-chaired by a pediatric nephrologist and a general pediatrician and consisted of 17 members, including a parent representative.

Interest in childhood hypertension (HTN) has increased since the 2004 publication of the “Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents” (Fourth Report).

Recognizing ongoing evidence gaps and the need for an updated, thorough review of the relevant literature, the American Academy of Pediatrics (AAP) and its Council on Quality Improvement and Patient Safety developed this practice guideline to provide an update on topics relevant to the diagnosis, evaluation, and management of pediatric HTN.

Next, 2 subcommittee members and the epidemiologist conducted full-text reviews of the selected articles.

Although many subcommittee members have extensively published articles on topics covered in this guideline, articles were not preferentially selected on the basis of authorship.

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