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www.uspreventiveservicestaskforce.org/home/getfilebytoken/NZ_RQWxMMR8Vym-yJuqru-
May 23, 2019 - Treatment with Antihypertensive Medications*
Study, Year
(Reference)
Quality Population Length of Study Patient … Drug effects that vary by patient group
make it more difficult to identify the effects of a single
drug … One Antihypertensive Drug with Another*
Study, Year
(Reference)
Quality Population Length of
Study
Patient … outcome assessment
7.4% vs. 7.2% (P � 0.2) 6.5% vs. 12.9% for all-cause
mortality (P � 0.034)
NR One patient … of 1000 patient-years in each group;
prespecified outcomes
8
Pahor et al., 2000 (73) Good Patients
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/skin-cancer-screening-july-2016
July 26, 2016 - older groups, 13 which suggests a potential excess burden of diagnostic workup in younger people, who experience … Socioeconomic status and survival in older patients with melanoma. … Patients were examined every 3–6 mo for 10 y. … All patients included had follow-up time of >3 mo and >10 y. … Patient-reported data on cosmetic harms is important.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/wKfFrTpC8VtforKLrqGpjQ
April 18, 2023 - 1307. doi:10.1001/jama.2023.3262
Editorial page 1259
Multimedia
Related article page 1290 and
JAMA Patient … Studies of patient skin self-examination were excluded be-
cause this topic is covered in the 2018 USPSTF … Overdiagnosis can result in overtreatment
that may not benefit the patient.14
Data Extraction and Quality … Studies used large databases with patient information from
the US (SEER [Surveillance, Epidemiology, … Routine
skin cancer screening in Germany: four years of
experience from the dermatologists’ perspective
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions-september-2015
September 21, 2015 - The “5 A's” include: 1) Asking every patient about tobacco use, 2) Advising them to quit, 3) Assessing … Clinicians should understand the evidence but individualize decision making to the specific patient or … This program includes the following: 1) Asking every patient about tobacco use, 2) Advising all tobacco … is positive evidence of fetal risk based on adverse reaction data from investigational or marketing experience … American College of Preventive Medicine practice policy: tobacco-cessation patient counseling.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/HQGXw2wkcM7q6TA5eWzdT5
January 01, 2010 - trial evidence is needed for
both lower-intensity behavioral counseling interventions and lower-
risk patient … ,
1998 (17);
Project RESPECT
Fair n � 5758; median age,
25 y; 57% male
STI clinics Enhanced CDC’s client-centered … age, 25 y; 57% male;
59% black; 19% Hispanic; 6% other
nonwhite; 32% with STI (current)
Enhanced CDC client-centered … suboptimal follow-up) STI clinics n 5 764 (subgroup analysis of 5758);
subgroup age ,20 y
Enhanced CDC client-centered … Sexually active adults age $18 y Brief 23-min waiting room educational video vs. standard
waiting room experience
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/b-rsH7WPpNC3uL9NeoXBfF
May 08, 2018 - Pooled RRs were used to estimate the
number of patients needed to be treated for 1 patient to be
harmed … No RCTs evaluated the clinical effect of risk calculator use
on patient outcomes.
Figure 5. … will expe-
rience urinary difficulties, while approximately 36% of men
receiving radiation therapy experience … erectile problems and many
will experience adverse bowel symptoms.66 Nevertheless, com-
pared with conservative … Patient-reported outcomes after
monitoring, surgery, or radiotherapy for prostate
cancer.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing-2013
December 24, 2013 - Clinicians should understand the evidence but individualize decision making to the specific patient or … Patient Educ Couns . 2006;64(1-3):96-103. 46. Bowen DJ, Burke W, Culver JO, Press N, Crystal S. … Patient Educ Couns . 2011;85(3):425-31. 50. … Patient Educ Couns . 2008;70(1):135-42. 52. … Clinical experience of prophylactic mastectomy followed by immediate breast reconstruction in women at
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/9H5mgkBCjNQVZZ4pnkNo6B
February 01, 2016 - Synthesis: Limited evidence from 5 studies showed that
such tools as the Beck Depression Inventory and Patient … discomfort with screening for and
diagnosing depression, citing lack of self-efficacy, train-
ing, or experience … These 5 studies ex-
amined such instruments as the Patient Health Ques-
tionnaire for Adolescents, Beck … In summary, the Patient Health Questionnaire for
Adolescents and BDI reported the highest sensitivity … The patients eligible for these
trials may not be representative of all patients with
MDD seen in primary
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/chlamydia-and-gonorrhea-screening
September 14, 2021 - Data Abstraction and Quality Rating
A single investigator abstracted details about study design, patient … median, 85%), with specificities ranging from 96% to 100%. 23 , 29 , 30 , 34 , 37 Vaginal testing using patient … Three studies 20-22 in asymptomatic patients that found fair discrimination require further validation … These results were largely based on asymptomatic patient populations, increasing relevance to screening … While most studies were primarily conducted in heterosexual populations, several groups continue to experience
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary44/sexually-transmitted-infections-behavioral-counseling-2008
October 15, 2008 - trial evidence is needed for both lower-intensity behavioral counseling interventions and lower-risk patient … 17 ; Project RESPECT
Fair
n = 5758; median age, 25 y; 57% male
STI clinics
Enhanced CDC's client-centered … Fair
n = 764 (subgroup analysis of 5758); subgroup age < 20 y
STI clinics
Enhanced CDC's client-centered … 25 y; 57% male; 59% black; 19% Hispanic; 6% other nonwhite; 32% with STI (current)
Enhanced CDC's client-centered … Sexually active adults age ≥18 y
Brief 23-min waiting room educational video vs. standard waiting room experience
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/z8AVsCHJEZUBSJtdSx424H
May 23, 2019 - Harmful drinkers experience harm associated
with their alcohol use but do not meet criteria for alcohol … Harmful
drinkers experience physical, social, or psychological harm
from their above-threshold alcohol … We also ex-
cluded studies among comorbid patient populations be-
cause of limited generalizability to … simple treatment recommendations yields
mixed results in terms of alcohol advice and discussions or
patient … Unit of randomization was the primary
care practice; unit of analysis was the patient.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary30/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening-july-2015
July 07, 2015 - who had speech and language disorders as children may hold lower-skilled jobs and are more likely to experience … and recruitment source and applicability of the intervention/screening (i.e., how well the clinical experience … or disorder being considered, used inconsistent measurement of risk factors, included heterogeneous patient
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/B-qVy6dbC25L-KAR5GvLpw
January 01, 2010 - In this report, counseling
is defined as a cooperative mode of interaction
between the patient and primary … Explanatory
factors included the intensity of the intervention, the
risk status of the patient, the setting … Higher intensity studies enrolled either
patients at risk for chronic disease or selected
motivated patients … Risk Status of Patients
Twenty-one study arms were conducted using
unselected patients, and 13 were … Experience in changing food habits of
hyperlipidemic men and women.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/osteoporosis-screening
January 14, 2025 - Management of patients with high baseline hip fracture risk by FRAX reduces hip fractures—a post hoc … Methods for assessing fracture risk prediction models: experience with FRAX in a large integrated health … Fracture experience among participants from the FROCAT study: what thresholding is appropriate using … Korean experience with the OSTA risk index for osteoporosis: a validation study. … precise
Heterogeneity in BMD sites measured; all but 1 fair quality because of unclear methods for patient
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/teeHcmNgvNBSj4-E9SN5QK
February 01, 2005 - In the Western Australia trial, each patient
attending screening received a letter with his
results, … Subsequent
examinations and vascular surgery referral were
left to the discretion of the patient and … The Western Australia screening
study also included patients 75 to 83 years of age. … Experience in the United
States with intact abdominal aortic aneurysm repair. … A meta-analysis of individual patient data from
randomized, controlled trials.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction-2013
September 15, 2013 - (USPSTF) makes recommendations about the effectiveness of specific clinical preventive services for patients … Effects
In general, women taking medications for breast cancer risk reduction are less likely to experience … bcrisktool ) and the BCSC model ( https://tools.bcsc-scc.org/BC5yearRisk ) can be used by clinicians and patients … benefits of risk-reducing medications could outweigh potential risks, clinicians should first identify patients … Clinicians should then strive to ensure that patients make a fully informed decision that incorporates
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary--html/cardiovascular-disease-screening-using-nontraditional-risk-assessment
July 10, 2018 - Two studies, both for KQ2, were excluded as poor quality because of nonrepresentative sampling of patients … with the Pooled Cohort Equations or Framingham Risk Score applies, the majority of people will not experience … A systematic review for the screening for peripheral arterial disease in asymptomatic patients. … IPD meta-analysis in white patients only
Discrimination
10 studies, n = 79,583 (1 IPD meta-analysis … IPD meta-analysis in white patients only
KQ2: hsCRP Risk Prediction
Calibration
9 studies
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/impaired-visual-acuity-screening-older-adults
May 24, 2022 - Data Abstraction and Quality Rating
One investigator abstracted details about the study design, patient … What is the accuracy of instruments for identifying patients at higher risk of impaired visual acuity … The USPSTF previously determined that a very high proportion of patients experience favorable vision-related … Utility of a patient-response screening question for visual impairment. … = .25
Bilateral visual impairment: 35% vs 47%; P = .17
Abbreviations: ACCS, Aged Care Client
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Q__nXYQ7cWPBuwvt27sQ42
July 01, 2013 - Patients who meet or exceed a screening threshold
(usually 7.2 mmol/L [130 mg/dL] or 7.8 mmol/L [140 … high or unclear risk of bias because the result of the
screening test was used to determine whether patients … However, 18%
were assessed as having high risk of partial verification bias
because not all patients … What are the results and will
they help me in caring for my patients? … Screening for gestational diabetes mellitus: the Sri Lankan experience. Ceylon
Med J. 2006;51:53-8.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-prevention-counseling-1996
January 01, 1996 - is recommended as an adjunct for selected patients. … number of variables, including lack of confidence in the ability to provide adequate counseling, lack of patient … If the patient is not contemplating cessation, then the clinician should try to motivate the patient … If the patient is contemplating stopping, then the clinician should try to get agreement on a specific … "quit date" and should prepare the patient for withdrawal symptoms.