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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hepatitis-c-screening
December 21, 2017 - Excludes persons living with HIV, transplant recipients, and patients with renal failure. † Defined … Contextual Questions
Contextual … Patients who are coinfected with the hepatitis B virus or HIV will be excluded from the review, since … life, HCV transmission (KQ 5), harms of treatment (KQ 7); behavioral outcomes will be included for Contextual … The USPSTF also added a KQ on the yield of repeat HCV screening and revised Contextual Question 3 to
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-3-topic-work-plan-development
This definition acknowledges the importance of the patient clinician relationship as facilitated and … To be feasible in primary care, the intervention should target patients seeking care in primary care … The population appears at the left margin of the diagram and specifies the type(s) of patients to whom … Similarly, analytic frameworks do not guide clinical decisionmaking for an individual patient, nor do … A clinical "sign" is not a health outcome that is not sensed by the patient; a clinical sign is analogous
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/prostate-cancer-screening
April 28, 2016 - Contextual Questions
Contextual … Can patient- or physician-level interventions (e.g., decision aids) successfully align prostate cancer … screening and treatment decisions with patients’ informed personal preferences? … Do model estimates of net benefit depend on patients’ values and/or preferences for various health states … and treatment of screen-detected or early-stage prostate cancer will assess for differences within patient
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-testing
April 11, 2024 - . § Genetic testing may be done on the index patient, a relative with cancer, or a relative with highest … Contextual Questions
Contextual … Additionally, Contextual Question 1 is designed to address other important health equity considerations … surgery or procedures (e.g. , mastectomy, salpingo-oophorectomy) performed for preventive purposes in patients … outcomes of posttest counseling (improved patient knowledge, understanding of benefits and harms of
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/breast-cancer-medications-for-risk-reduction
July 20, 2017 - Contextual Questions
Contextual … What are current clinician and patient attitudes and practices regarding use of medications to reduce … This KQ was replaced with a contextual question about current clinician and patient attitudes and practices … Finally, comments related to risk assessment suggested that risk stratification for patients without
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hypertensive-disorders-pregnancy-screening
September 02, 2021 - Contextual Questions
Contextual … United Nations Development Programme)
Clinics and study sites treating only high-risk maternity patients … response, the USPSTF modified the Research Plan to clarify the population of interest, the wording of the contextual
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/aspirin-to-prevent-cardiovascular-disease-preventive-medication
May 14, 2020 - Does regular aspirin use in patients … Contextual Questions
Contextual … Are there patient populations for whom CVD risk is underestimated or overestimated using the Pooled Cohort … USPSTF criteria
KQ 1: Randomized, controlled trials; controlled clinical trials; and individual patient … data meta-analyses
KQ 2: Randomized, controlled trials; controlled clinical trials; individual patient
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QTkyWhfQHqFUy4He2B6HU4
Research Gap
Key
Questions* or
Contextual
Questions
Direct/
Indirect
Pathway† Type of Gap … Research is needed to help clinicians and
patients understand the best strategy for breast
cancer screening … Settings
applicable to
U.S. primary
care.
3
Research Gap
Key
Questions* or
Contextual … Settings
applicable to
U.S. primary
care.
4
Research Gap
Key
Questions* or
Contextual … Research Gap
Key
Questions* or
Contextual
Questions
Direct/
Indirect
Pathway† Type of Gap
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan-aspirin-to-prevent-cancer/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
October 07, 2013 - Contextual Questions
Contextual … women
Institutionalized persons (psychiatric inpatients)
Persons in long-term care
Postsurgical patients … Persons who are contraindicated or not eligible for aspirin chemoprevention
Symptomatic patients … trials
Systematic reviews and meta-analyses for evidence of harms
Large prospective cohort studies
Patient … As part of the increased scope, three Key Questions (KQs 1, 2, and 6) and two Contextual Questions (1
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/tobacco-and-nicotine-use-prevention-in-children-and-adolescents-primary-care-interventions
October 12, 2017 - Contextual Question
The contextual … children or adolescents with health issues that would limit generalizability to general primary care patients … USPSTF changed pharmacotherapy use for tobacco and nicotine cessation in children and adolescents from a contextual
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan102/chronic-obstructive-pulmonary-disease-screening-2016
May 15, 2014 - nonsymptom–oriented questionnaires or other maneuvers, such as peak flow testing; or by identification of certain patient … Contextual Questions
Contextual … diagnosed COPD or other respiratory conditions; patients with COPD-related symptoms; patients with identified … disease; those in whom the disease is present but who have physical symptoms that are undetected by the patient … In response, a contextual question on the rescreening interval was added; the rescreening interval is
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan54/colorectal-cancer-screening-june-2016
April 17, 2014 - Contextual Questions
Contextual … Minor adverse events defined as those not necessarily needing or resulting in medical attention (e.g., patient … Based on the comments received, the USPSTF and the Evidence-based Practice Center decided to add contextual … In sensitivity analyses, the model will also investigate how individual patient factors—such as comorbid
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/skin-cancer-counseling
June 30, 2016 - Specifically, it illustrates the following questions: whether counseling patients in skin cancer prevention … *
Does counseling patients … Contextual Question
Contextual … In the contextual question, the USPSTF replaced “sunscreen use” with “sun protection behaviors.”
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan95/syphilis-infection-in-nonpregnant-adults-and-adolescents-june-2016
September 18, 2014 - Contextual Questions
Contextual … modality
Populations
Asymptomatic, nonpregnant adolescents and adults, including patients … coinfected with other STIs, including HIV
Symptomatic patients; neonates, infants, and children … ; pregnant women; contacts of cases; studies of HIV patients, for whom syphilis testing is disease management … The contextual questions will be addressed by studies reporting rates and trends of syphilis rather than
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-anxiety-children-adolescents
March 29, 2022 - Contextual questions will not be systematically reviewed and are not shown in the Analytic Framework … What are the minimal clinically important differences (the smallest value of benefit to patients) for … Interventions
KQs 1–3: Screening interventions with or without additional provider or patient-facing … KQ 3:
False alarm
False reassurance
KQs 3, 5:
Treatment avoidance
Deterioration in patient-provider … Commenters suggested edits to the contextual questions (CQs) to improve clarity.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-depression-suicide-risk-children-adolescents
August 13, 2020 - Contextual Questions
Contextual … Interventions
KQs 1–3: Screening interventions with or without additional provider or patient-facing … KQ 3:
False alarm
False reassurance
KQs 3, 5:
Treatment avoidance
Deterioration in patient-provider … Poor-quality studies
* We will summarize the effect of other non-CBT interventions for anxiety as a contextual … Commenters suggested edits to the contextual questions (CQs) to improve clarity.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/hypertension-in-adults-screening
October 04, 2018 - Contextual Questions
Contextual … What is the clinically appropriate rescreening interval for patients who have previously been screened … with secondary hypertension, and highly selected groups of patients (e.g., those with chronic kidney … pectoris (chest pain), revascularization, carotid intima-media thickness, left ventricular hypertrophy, or patient … The USPSTF also added a contextual question about the prevalence and prognosis of white coat hypertension
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/chronic-kidney-disease-screening
July 13, 2023 - *For screening, studies in which patients were selected on the basis of having conditions associated … However, studies are not required to exclude patients with these conditions. … CKD, or whether patients are eligible for evaluated treatments for reasons other than CKD (e.g., presence … Contextual Questions
Contextual … Additionally, the proposed contextual questions are designed to address other important health equity
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vTHBrY6VuqjoouJvUmtkr4
May 01, 2018 - Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. … Models: A Contextual Review for the U.S. … Overview of Prostate Cancer Screening Decision Models: A
Contextual Review for the U.S. … Optimization of PSA screening policies: a
comparison of the patient and societal perspectives. … Prostate cancer diagnosis: the impact on
patients' mental health.
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www.uspreventiveservicestaskforce.org/Home/GetFile/1/16813/prostate-cancer-models-overview/pdf
May 01, 2018 - Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. … Models: A Contextual Review for the U.S. … Overview of Prostate Cancer Screening Decision Models: A
Contextual Review for the U.S. … Optimization of PSA screening policies: a
comparison of the patient and societal perspectives. … Prostate cancer diagnosis: the impact on
patients' mental health.