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Comment & Response
October 1, 2014

Rates of Cholesterol Screening of Youth

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

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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