Experts from Johns Hopkins Children’s Center participated in various sessions and presentations during the 2024 Pediatric Academic Societies Meeting. In this video, pediatric nephrology fellow John Hammond discusses his research titled Interval Healthcare Provider Contact and Blood Pressure Control in Children with Chronic Kidney Disease and Hypertension .
Hi, my name is John Hammond. I'm a second year pediatric nephrology fellow at Johns Hopkins Children's Center. I'm also a master's student at the Johns Hopkins Bloomberg School of Public Health. And I presented at the pediatric Academic Society's meeting uh on a project entitled, Interval, health, interval health care provider contact uh and blood pressure control in Children with chronic kidney disease and hypertension. The impetus for this project was really something that, that myself and that Doctor Brady, one of the attending uh nephrologists here at Hopkins, something that we were seeing in our clinical practice. And that was that, you know, even in our kids with chronic kidney disease, blood pressure remains poorly controlled. We also know from the literature that blood pressure control is, is really suboptimal in the general pediatric population as well. Um This trend persists despite the fact that we know that hypertension um is associated with cardiovascular comorbidities and also in kids with chronic kidney kidney disease, hypertension is associated with more accelerated progression of their underlying kidney disease. Great things about working at Hopkins is that you uh have access to experts across the university. Doctor Derek works at the School of Public Health and is uh a principal investigator um at the data coordinating center for the chronic kidney disease and Children cohort, um which is this large um uh cohort in which I think 1100 kids are enrolled from over 50 sites across the country. And is really an invaluable research resource um for for data in the in the pediatric chronic kidney disease population. Um And luckily for us, this, this cohort collects data um or has collected data both about um frequency of health care provider contact over the prior year and also measures annual blood pressures. And so that the data was was there um to answer one of the targets that we identify for um better controlling blood pressure, which is just to see if, if we saw Children more frequently, if um those increased encounters would, would allow for better blood pressure control. And what we ultimately found was that kids who saw their kids with chronic kidney disease and underlying hypertension who saw their health care provider um 3 to 5 times over the prior year, were more likely to have their blood pressure controlled compared to kids. You didn't see their a health care provider at all over the prior year. Um which in the end, hopefully uh helps us identify another target and another uh potential intervention um for controlling blood pressure in the pediasure chronic disease population. Thank you for listening to my presentation.
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