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United States Preventive Services Task Force - Wikipedia, the free encyclopedia
United States Preventive Services Task Force
From Wikipedia, the free encyclopedia
The United States Preventive Services Task Force (USPSTF) is "an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services." The task force, a panel of primary care physicians and epidemiologists, is funded, staffed, and appointed by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality. 
1 Methods 2 Grade definitions 3 Mammography recommendations 4 Prostate cancer screening 5 History 6 References 7 External links
The methods of evidence synthesis used by the Task Force have been described in detail. In 2007, their methods were revised.The USPSTF explicitly does not consider cost as a factor in its recommendations.
The Task Force assigns the letter grades A, B, C, D, or I to each of its recommendations, and includes "suggestions for practice" for each grade. The Task Force also defined levels of certainty regarding net benefit. Grade A. Recommended. There is high certainty that the net benefit is substantial. Grade B. Recommended. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. Grade C. No recommendation. Clinicians may provide the service to selected patients depending on individual circumstances. However, for most individuals without signs or symptoms there is likely to be only a small benefit. Grade D. The Task Force recommends against this service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits. I statement. The current evidence is insufficient to assess the balance of benefits and harms. Levels of certainty vary from high to low according to the evidence. High. Consistent results from welldesigned studies in representative populations that assess the effect of the service on health outcomes.
Patients in this age group should be educated about the risks and benefits of screening. the former chair of the American College of Physicians.S. Low. such as the individual woman's personal risk of breast cancer. or routine mammograms. but confidence is limited. the chief medical officer for the American Cancer Society. The new advice is based on improved scientific evidence about the benefits and harms associated with mammography and is consistent with recommendations by the World Health Organization and other major medical bodies. which focuses solely on clinical effectiveness without regard to cost. and requires them to provide free annual mammograms. Most American women who are diagnosed with breast cancer are diagnosed after age 60. such as Donna Sweet. as very little research has been performed in this age group. suspicionless mammograms for younger women does not change the advice for screening women at aboveaverage risk for developing breast cancer or for testing women who have a suspicious lump or any other symptoms that might be related to breast cancer. formally reduces the grade given for evidence quality from "B" to "C" (limited evidence prevents a one sizefitsall recommendation) for routine mammograms in women under the age of 50. who currently serves on its Clinical Efficacy Assessment Subcommittee. The conclusion might change as more information becomes available. they have recommended routine mammograms once every two years in the absence of symptoms. Screening mammograms. Pending health care legislation would require insurance companies to cover any and all preventive services that receive an "A" or "B" grade. The advice about using mammography in the presence of symptoms (such as a palpable lump in the breast) is unchanged. but permit them to use discretion on preventive services that receive a worse grade.wikipedia. The USPSTF recommendation. are Xrays given to apparently healthy women with no symptoms or evidence of breast cancer in the hope of detecting the disease in an early. For women between the ages of 50 and 74. With a grade C recommendation. Mammography recommendations In 2009. Their recommendation against routine. such as Otis Brawley. and praised by physicians and medical organizations that support individualized and evidencebased medicine. even for lowrisk women. No recommendation is made about mammograms in women over the age of 75. The change in the recommendation for younger women has been criticized by some physicians and cancer advocacy groups. The Task Force recommended against routine mammography to screen asymptomatic women aged 40 to 49 years for breast cancer. Senate instructs insurers to disregard the task force's recommendation against frequent routine mammograms in asymptomatic younger women. the USPSTF updated its advice for screening mammograms. The old advice was based on "weak" evidence for this age group.Wikipedia.1/10/2014 United States Preventive Services Task Force . the free encyclopedia Moderate. The evidence is sufficient to determine the effects of the service. The previous advice was for all women over the age of 40 to receive a mammogram every one to two years. easily treatable stage. The new advice is more detailed. The Vitter amendment to pending legislation in the U. and the decision whether to screen or not should be based on the individual situation and preferences. The evidence is insufficient to assess effects on health outcome. based on the outdated 2002 http://en. physicians are required to consider additional factors.org/wiki/United_States_Preventive_Services_Task_Force 2/4 .
uspreventiveservicestaskforce. American College of Physicians.1/10/2014 United States Preventive Services Task Force .S.uspreventiveservicestaskforce. Preventive Services Task Force: refining evidencebased recommendation development". (2007). ^ Barton MB.S. et al. "How to read the new recommendation statement: methods update from the U. Calonge N. (eds). 19752006 (http://seer. PMID 17576997 (//www. Med.recommendation. summarizing Horner MJ. National Cancer Institute.yahoo. CNN Medical Producer http://www.1059%2F0003481915110 20091117000008). Ann. W–236. SEER Stat Fact Sheets.nih. ^ "U. 2 December 2009.nlm.html 13.gov/statfacts/html/breast. ^ GuirguisBlake J.gov/clinic/uspstmeth. ^ "Screening for breast cancer: U.full). 4.S. Ann.htm).org/10. 7. Preventive Services Task Force works (http://news.htm Agency for Healthcare Research Quality 2.org/uspstf/uspsbrca.gov/pubmed/17576998). the free encyclopedia report.nlm. 8. "Current processes of the U. 9.htm). Miller T. the Task Force recommended against prostatespecific antigen (PSA)based screening for prostate cancer. Ries LAG.html). Siu A. Med.org/uspstf/grades.acponline. MD. By Alina Selyukh | Reuters via Yahoo News – Sun. Preventive Services Task Force: Grade Definitions" (http://www. Preventive Services Task Force recommendation statement" (http://www.gov/clinic/uspstfix. "Senate Affirms Screening Mammography for 40YearOlds" (http://abcnews. ^ "U. Wolff T.htm) 2002 10.gov/clinic/uspstfab.com/Health/OnCallPlusBreastCancerNews/senateaffirmsscreeningmammography40year http://en.org/wiki/United_States_Preventive_Services_Task_Force 3/4 .Wikipedia.doi.wikipedia. Intern. ^ Cancer of the breast (http://seer." References 1.com/2009/HEALTH/11/16/mammography.htmlHow).nih. the task force's stated purpose was to "develop recommendations for primary care clinicians on the appropriate content of periodic health examinations. PMID 19920272 (//www. Teutsch S. 14. Preventive Services Task Force".ncbi. Retrieved 20070823. Whitlock E (2007).ahrq. Emily (3 December 2009). ^ a b Stubbs.acponline. SEER Cancer Statistics Review. 147 (2): 117–22.com/factboxupreventive servicestaskforceworks131521046.htm).cancer.gov/csr/1975_2006/). et al. 2009. Ann. Retrieved November 2009. 151 (10): 716–26. doi:10. American College of Physicians.annals. ^ "Task force opposes routine mammograms for women age 4049" Danielle Dellorto. The task force gave PSA screening a D recommendation.gov/pubmed/17576997). (24 November 2009). 3.htm 12. Intern. 2011. ^ "Role of evidence based medicine in clinical decisionmaking addressed by ACP in testimony" (http://www.ahrq.S. ^ http://www.cancer. 147 (2): 123–7. Joseph W.go. Dec 18.S. "Statement On the Politicization of Evidencebased Clinical Research" (http://www. ^ a b Screening for Breast Cancer: Recommendations and Rationale (http://www.cnn.ahrq.S.ncbi. Krapcho M.ncbi. Miller T.changes/index.gov/clinic/3rduspstf/breastCancer/brcanrr.org/pressroom/sweet_testimony.htm?hp). ^ a b c Walker. Prostate cancer screening In May 2012.1059/000348191511020091117000008 (http://dx. ^ Factbox: the U. 5.S.ahrq. 11. November 2009. History From 1984 to 1989. Bethesda. Preventive Services Task Force: About USPSTF" (http://www.org/content/151/10/716. ^ http://www.nlm.htm). This proposal is not yet law and may change.nih. 6. posted to the SEER web site. Preventive Services Task Force: Methods and Background" (http://www. 15. The efforts by politicians to reject the committee's scientific findings have been condemned as an example of unwarranted political interference in scientific research. PMID 17576998 (//www. based on November 2008 SEER data submission.org/pressroom/pol_ebcr.gov/pubmed/19920272). ^ "U. Med. Intern.