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When it was not possible to identify sufficient evidence, recommendations are based on the consensus opinion of the expert members of the Screening and Management of High Blood Pressure in Children Clinical Practice Guideline Subcommittee (henceforth, “the subcommittee”).

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Implementation tools for this guideline are available on the AAP Web site (https://org/en-us/about-the-aap/Committees-Councils-Sections/coqips/Pages/Implementation-Guide.aspx).

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

Articles selected at this stage were mapped back to the relevant main topic in the outline.

Subcommittee members were then assigned to writing teams that evaluated the evidence quality for selected topics and generated appropriate KASs in accordance with an AAP grading matrix (see Fig 1 and the detailed discussion in the forthcoming technical report).

Each Key Action Statement includes level of evidence, benefit-harm relationship, and strength of recommendation.

This clinical practice guideline, endorsed by the American Heart Association, is intended to foster a patient- and family-centered approach to care, reduce unnecessary and costly medical interventions, improve patient diagnoses and outcomes, support implementation, and provide direction for future research.

The process used to conduct the systematic review was consistent with the recommendations of the Institute of Medicine for systematic reviews.

For the topics not researched by using the PICOT format, separate searches were conducted.

Not all topics (eg, economic aspects of pediatric HTN) were appropriate for the PICOT format.

A third and final search was conducted at the time the Key Action Statements (KASs) were generated to identify any additional relevant articles published between August 2015 and July 2016.

A detailed list of subcommittee members and affiliations can be found in the Consortium section at the end of this article.

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