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Examen de detección de trastornos lipídicos en niños y adolescentes: Declaración de recomendación del grupo de
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|July 18, 2023
Resumen
La detección de trastornos lipídicos en niños y adolescentes no tiene pruebas suficientes. El Grupo de Trabajo de Servicios Preventivos de los Estados Unidos (USPSTF) encontró que no se pueden determinar los beneficios y los daños del cribado.
Área de la Ciencia:
- Cardiología Pediátrica
- La medicina preventiva
- Salud pública
Sus antecedentes:
- La hipercolesterolemia familiar y la dislipidemia multifactorial causan altos niveles de lípidos en los niños.
- Estas condiciones aumentan el riesgo de eventos cardiovasculares prematuros y muerte prematura.
Objetivo del estudio:
- Evaluar los beneficios y perjuicios de la detección de trastornos lipídicos en niños y adolescentes asintomáticos.
- Revisión sistemática encargada por el Grupo de Trabajo de Servicios Preventivos de los Estados Unidos (USPSTF).
Principales métodos:
- Revisión sistemática de las pruebas de detección de trastornos lipídicos.
- Centrado en niños y adolescentes asintomáticos de 20 años o menos sin un diagnóstico conocido de trastorno lipídico.
Principales resultados:
- La evidencia actual es insuficiente para determinar el equilibrio entre los beneficios y los daños del cribado.
- El USPSTF emitió una declaración "I", indicando pruebas insuficientes.
Conclusiones:
- El USPSTF concluyó que las pruebas son insuficientes para evaluar los beneficios y los daños del cribado.
- Se necesitan más investigaciones para determinar las directrices de detección adecuadas para los trastornos lipídicos pediátricos.
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