Table 1.

Survey Questions

Q1: Does your center have a pediatric hypertension clinic? Yes. No.

Q2: What is the availability of ambulatory blood pressure (BP) monitoring (ABPM)? ABPM is available whenever a provider wishes to order it. ABPM is available but sometimes patients have to wait. We do not offer ABPM.

Q3: How may ABPM machines does your program have? (free text)

Q4: I make a diagnosis of white‐coat hypertension by (check all that apply): Home BP readings. School BP readings. ABPM study. Other methods (free text).

Q5: The ABPM studies are analyzed/interpreted by: Nephrologist. Cardiologist. RN or NP. Other individual (free text).

Q6: Which criteria do you use to read the ABPM? 2008 American Heart Association (AHA) guidelines. 2014 AHA guidelines. Not applicable (ie, data are analyzed by another provider). Other (free text).

Q7: If you make a diagnosis of WCH based on ABPM, which criteria do you use? Normal day and night mean systolic and diastolic pressures and BP loads <25%. Normal day mean systolic BP and daytime systolic BP load <25%. Normal awake mean pressures with BP load <25%. Not applicable (ie, data are analyzed by another provider). Other (free text).

Q8: If you make a diagnosis of white‐coat hypertension (WCH) based on readings outside of the office, which criteria do you use? BP <Fourth Report 95th percentile. BP <Fourth Report 90th percentile. Other (free text).

Q9: Prior to making a diagnosis of WCH, which diagnostic evaluations do you perform (check all that apply)? Laboratory studies. Imaging. Echocardiogram. None. Other (free text).

Q10: Is any diagnostic evaluation performed after establishing a diagnosis of WCH? No. Yes (free text).

Q11: Is any intervention provided after establishing a diagnosis of WCH? Lifestyle counseling. None. Other (free text).

Q12: Once a diagnosis of WCH is made, do you recommend home BP monitoring? No. Yes (specify frequency).

Q13: What follow‐up do you recommend for WCH? Return to primary care doctor. Return to primary care doctor with PRN pediatric nephrology. Planned return to pediatric nephrology in 6 mo to 1 y. Planned return to pediatric nephrology in other time interval. Other (free text).

Q14: If seen back in nephrology for follow‐up of WCH at a later point, what does follow‐up involve? (check all that apply) Repeat ABPM. Review of outside clinic BP readings. Review of home BP readings. Review of school BP readings. Lifestyle counseling. Other (free text).

Q15: If you repeat ABPM after making a diagnosis of WCH, what is the frequency of these follow‐up studies? 6 mo 1 y 18 mo 2 y > 2 y Other (free text).