Screening for Hypertensive Disorders of Pregnancy: US Preventive Services Task Force Final Recommendation Statement

被引：44

作者：

Barry, Michael J. ^{[1
]}

Nicholson, Wanda K. ^{[2
]}

Silverstein, Michael ^{[3
]}

Cabana, Michael D. ^{[4
]}

Chelmow, David ^{[5
]}

Coker, Tumaini Rucker ^{[6
]}

Davis, Esa M. ^{[7
]}

Donahue, Katrina E. ^{[8
]}

Jaen, Carlos Roberto ^{[9
]}

Li, Li ^{[10
]}

Ogedegbe, Gbenga ^{[11
]}

Rao, Goutham ^{[12
]}

Ruiz, John M. ^{[13
]}

Stevermer, James ^{[14
]}

Tsevat, Joel ^{[9
]}

Underwood, Sandra Millon ^{[15
]}

Wong, John B. ^{[16
]}

机构：

[1] Harvard Med Sch, Boston, MA USA

[2] George Washington Univ, Washington, DC USA

[3] Brown Univ, Providence, RI USA

[4] Albert Einstein Coll Med, New York, NY USA

[5] Virginia Commonwealth Univ, Richmond, VA USA

[6] Univ Washington, Seattle, WA USA

[7] Univ Maryland, Sch Med, Baltimore, MD USA

[8] Univ N Carolina, Chapel Hill, NC USA

[9] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX USA

[10] Univ Virginia, Charlottesville, VA USA

[11] NYU, New York, NY USA

[12] Case Western Reserve Univ, Cleveland, OH USA

[13] Univ Arizona, Tucson, AZ USA

[14] Univ Missouri, Columbia, MO USA

[15] Univ Wisconsin, Milwaukee, WI USA

[16] Tufts Univ, Sch Med, Boston, MA USA

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2023年 / 330卷 / 11期

关键词：

LOW-RISK WOMEN; UNITED-STATES; BLOOD-PRESSURE; CARE; PREECLAMPSIA; DISPARITIES; MANAGEMENT; FREQUENCY; DIAGNOSIS; DEATHS;

D O I：

10.1001/jama.2023.16991

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Importance Hypertensive disorders of pregnancy are among the leading causes of maternal morbidity and mortality in the US. The rate of hypertensive disorders of pregnancy has been increasing from approximately 500 cases per 10000 deliveries in 1993 to 1021 cases per 10000 deliveries in 2016 to 2017. Objective The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for hypertensive disorders of pregnancy. Population Pregnant persons without a known diagnosis of a hypertensive disorder of pregnancy or chronic hypertension. Evidence Assessment The USPSTF concludes with moderate certainty that screening for hypertensive disorders in pregnancy with blood pressure measurements has substantial net benefit. Recommendation The USPSTF recommends screening for hypertensive disorders in pregnant persons with blood pressure measurements throughout pregnancy. (B recommendation)

引用

页码：1074 / 1082

页数：9

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