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Optimal hypertension screening frequency in adults: a systematic review
Valentin Daguisy1,2, Nassir Messaadi3, Judith Ollivon3
1University of Lille, Lille, France. docteur.valentin.daguisy@gmail.com.
BMC Primary Care
|June 4, 2026
Summary
Determining the optimal frequency for hypertension screening remains challenging due to limited research. Current guidelines lack robust evidence, highlighting a need for more studies on hypertension screening intervals.
Area of Science:
- Cardiology
- Preventive Medicine
- Public Health
Background:
- Hypertension (HTN) screening is standard in primary care.
- Optimal frequency for HTN screening is not well-established.
- Balancing accurate diagnosis with avoiding unnecessary assessments is key.
Purpose of the Study:
- To determine the optimal frequency for hypertension screening in adults.
- To synthesize current evidence on HTN screening intervals.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched PubMed, Embase, Cochrane CENTRAL, and LiSSa databases.
- Qualitative synthesis and critical appraisal of included studies.
Main Results:
- Identified two primary studies: one prospective cohort and one case-control study.
- Analyzed six additional guideline publications for international recommendations.
- Existing recommendations are largely based on expert opinion (Grade C).
Conclusions:
- Significant paucity of primary research on optimal HTN screening frequency.
- No studies evaluated the impact of screening frequency on HTN complications.
- Available evidence is limited and indirect, necessitating further research.
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