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Overcoming the real and imagined barriers to cholesterol screening in pediatrics

Tyler J Schubert1, Samuel S Gidding2, Laney K Jones3

  • 1Department of Genomic Health, Geisinger, Danville, PA, USA; Geisinger Commonwealth School of Medicine, Scranton, PA, USA.

Journal of Clinical Lipidology
|March 14, 2024
PubMed

Insights

Pediatric lipid screening guidelines are debated, with real challenges hindering child cholesterol screening. Overcoming these barriers requires implementation science for better uptake.

Area of Science:

  • Public Health
  • Preventive Medicine
  • Pediatrics

Background:

  • Recent United States Preventive Services Task Force guidance has reignited discussion on pediatric lipid screening.
  • The commentary traces the history of US pediatric lipid screening recommendations.
  • It examines obstacles to optimal cholesterol screening in children.

Discussion:

  • Real-world challenges significantly impede the adoption of current pediatric lipid screening guidelines.
  • Imagined challenges, like optimal screening age, are context-specific but solvable.
  • International experiences offer insights into facilitators and barriers for improved screening.

Key Insights:

  • Distinguishes between practical barriers and surmountable, context-dependent challenges in pediatric lipid screening.
  • Highlights the role of implementation science in addressing practical barriers.
  • Emphasizes learning from international practices to enhance screening facilitators and overcome barriers.

Outlook:

  • Application of implementation science is crucial for translating evidence into practice.
  • Future efforts should focus on developing novel solutions to persistent screening challenges.
  • Continued evaluation of international strategies may inform US pediatric lipid screening improvements.

Keywords:
Implementation scienceLipid screeningOpportunistic screeningPediatrics

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