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Current Practice of Children With Primary Hypertension: A Survey of Pediatricians in Thailand

Suvaree Saelee1, Kwanchai Pirojsakul1

  • 1Mahidol University, Bangkok, Thailand.

Sage Open Pediatrics
|July 16, 2025
PubMed

Insights

Pediatricians in Thailand showed varied proficiency in managing primary hypertension in children, with diagnostic experience being key. Enhancing diagnostic skills is crucial for improving care for pediatric hypertension.

Area of Science:

  • Pediatric Nephrology
  • Public Health
  • Medical Education

Background:

  • Primary hypertension in children is a growing concern.
  • Detecting, assessing, and managing pediatric primary hypertension is a core competency for Thai pediatric residents.
  • Current practices among Thai pediatricians require evaluation.

Purpose of the Study:

  • To survey the current practices of Thai pediatricians in diagnosing, investigating, and treating children with primary hypertension.
  • To identify factors influencing appropriate management of pediatric primary hypertension.

Main Methods:

  • An online survey was distributed to pediatric residents, general pediatricians, and pediatric subspecialists in Thailand.
  • Survey data included demographic information, educational background, and clinical practices.
  • Appropriate answers were defined by adherence to American Academy of Pediatrics guidelines.

Main Results:

  • 342 pediatricians participated, with 55% demonstrating appropriate diagnosis skills, 55.6% appropriate investigation skills, and 49.4% appropriate treatment skills.
  • Only 12.6% of participants met all criteria for appropriate practice.
  • Experience in diagnosis was significantly associated with appropriate practice (44.2% vs 28.4%, P=0.036).

Conclusions:

  • Thai pediatricians' management of primary hypertension in children shows room for improvement.
  • Diagnostic experience is a critical factor in ensuring appropriate care for pediatric hypertension.
  • Further training and emphasis on diagnostic skills are recommended to enhance pediatric hypertension management.
Abstract

Keywords:
Thailandchildrenpracticeprimary hypertensionsurvey

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