Saturday, November 15, 2014

U.S. Preventive Services Task Force Recommendations

Summarized version of the latest USPS Task force recommendation. This is used in the USMLE Step 2 CK as well as Step 3.

Link to the post as well as PDF copy at the end of the post :)

Population
Recommendation
Abdominal Artery Aneurysm
Men Ages 65 to 75 Years who Have Ever Smoked
The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked. 
Breast Cancer
Women, Age 50-74 Years
The USPSTF recommends yearly screening mammography for women 50-74 years.
Women, Before the Age of 50 Years
The decision to start regular, yearly screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms. 
Women, 75 Years and Older
The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of screening mammography in women 75 years and older.
Women who have Family Members with Breast, Ovarian, Tubal, or Peritoneal Cancer
The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with 1 of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.
Women, Increased Risk for Breast Cancer
The USPSTF recommends that clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk. For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene. 
Cervical Cancer
Women 21 to 65 (Pap Smear) or 30-65 (in combo with HPV testing)
The USPSTF recommends screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. 
Chlamydia and Gonorrhea
Sexually Active Women
The USPSTF recommends screening for chlamydia in sexually active women age 24 years and younger and in older women who are at increased risk for infection.
Sexually Active Women
The USPSTF recommends screening for gonorrhea in sexually active women age 24 years and younger and in older women who are at increased risk for infection.
Colon Cancer
Adults, beginning at age 50 years and continuing until age 75 years
The USPSTF recommends screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risks and benefits of these screening methods vary.  
Prostate Cancer
Men, Screening with PSA
The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer.
Lipid disorder screening for Men
Men 35 and Older
The USPSTF strongly recommends screening men aged 35 and older for lipid disorders. 
Men 20-35 at Increased Risk for CHD
The USPSTF recommends screening men aged 20-35 for lipid disorders if they are at increased risk for coronary heart disease. 
Lipid screening Women at Increased Risk
Women 45 and Older at Increased Risk for CHD
The USPSTF strongly recommends screening women aged 45 and older for lipid disorders if they are at increased risk for coronary heart disease. 
Women 20-45 at Increased Risk for CHD
The USPSTF recommends screening women aged 20-45 for lipid disorders if they are at increased risk for coronary heart disease. 
Lung Cancer
Adults Aged 55-80, with a History of Smoking
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. 
Osteoporosis
Women, 65 and Older
The USPSTF recommends screening for osteoporosis in women aged 65 years and older and in younger women whose fracture risk is equal to or greater than that of a 65-year old white women who has no additional risk factors. 
RH Testing
Pregnant Women, During First Pregnancy-Related Care Visit
The USPSTF strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care. 
Antibody Testing Unsensitized Rh (D)-Negative Pregnant Women
The USPSTF recommends repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24-28 weeks gestation, unless the biological father is known to be Rh (D)-negative.

Information collected from http://www.uspreventiveservicestaskforce.org/BrowseRec/Index

PDF format file:

1 comment:

  1. Great Article. its is very very helpful for all of us and I never get bored while reading your article because, they are becomes a more and more interesting from the starting lines until the end.

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