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Comment & Response |

Rates of Cholesterol Screening of Youth

Sean T. Gregory, PhD, MBA, MS1; Catherine J. McNeal, MD, PhD2; Laurel A. Copeland, PhD3
[+] Author Affiliations
1Health Policy & Management, Texas A&M University, College Station
2Department of Pediatrics, Baylor Scott & White Health, Temple, Texas
3Center for Applied Health Research, Baylor Scott & White Health, Temple, Texas
JAMA. 2014;312(13):1353-1354. doi:10.1001/jama.2014.10354.
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To the Editor The recent analysis by Mr Vinci and colleagues1 provides insights into the rates of cholesterol screening of youth in the United States, accounting for key demographic and geographic covariates. Even though these data are of value, there are deficits in the analysis and findings, meriting further examination.

First, the analyses reflect rates of screening among youth during well-child visits only. Well-child visits represent approximately 30% of all visits as documented by an American Academy of Pediatrics analysis.2 Screening at well-child visits is encouraged but not explicitly mandated. Targeted screening is recommended if, at any time, family history pertinent to cardiovascular disease risk is documented.

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October 1, 2014
Sarah D. de Ferranti, MD, MPH; Samuel R. Vinci, BA; Matthew W. Gillman, MD, SM
1Department of Cardiology, Boston Children’s Hospital, Boston, Massachusetts
2Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts
3Department of Population Medicine, Harvard Medical School, Boston, Massachusetts
JAMA. 2014;312(13):1354. doi:10.1001/jama.2014.10357.
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