Update on the methods of the U.S. Preventive Services Task Force: insufficient evidence.

Abstract:

:The U.S. Preventive Services Task Force (USPSTF) seeks to provide reliable and accurate evidence-based recommendations to primary care clinicians. However, clinicians indicate frustration with the lack of guidance provided by the USPSTF when the evidence is insufficient to make a recommendation. This article describes a new USPSTF plan to commission its Evidence-based Practice Centers to collect information in 4 domains pertinent to clinical decisions about prevention and to report this information routinely. The 4 domains are potential preventable burden, potential harm of the intervention, costs (both monetary and opportunity), and current practice. The process and rationale used to select these domains are presented, along with examples of how clinicians might use the information to guide clinical decision making when evidence is insufficient.

journal_name

Ann Intern Med

authors

Petitti DB,Teutsch SM,Barton MB,Sawaya GF,Ockene JK,DeWitt T,U.S. Preventive Services Task Force.

doi

10.7326/0003-4819-150-3-200902030-00010

subject

Has Abstract

pub_date

2009-02-03 00:00:00

pages

199-205

issue

3

eissn

0003-4819

issn

1539-3704

pii

150/3/199

journal_volume

150

pub_type

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