In Reply Dr Gregory and colleagues raise the concern that because our analysis used only health maintenance visits, we may have underestimated a substantial proportion of cholesterol testing. In fact, we consciously excluded subspecialist, urgent care, or other visits because we suspected those visits had a higher chance of including testing performed in follow-up of a known cholesterol disorder or to look for adverse events from medications that can affect lipid levels.
de Ferranti SD, Vinci SR, Gillman MW. Rates of Cholesterol Screening of Youth—Reply. JAMA. 2014;312(13):1354. doi:10.1001/jama.2014.10357