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Coronary Heart Disease (Electrocardiography) Title Screening for Coronary Heart Disease with Electrocardiography Population Recommendation Asymptomatic adults at low risk for coronary heart disease (CHD) events Do not screen with resting or exercise electrocardiography (ECG). Grade: D Asymptomatic adults at intermediate or high risk for CHD events No recommendation. Grade: I (Insufficient Evidence) Risk Assessment Several factors are associated with a higher risk for CHD events, including older age, male sex, high blood pressure, smoking, abnormal lipid levels, diabetes, obesity, and sedentary lifestyle. Calculators are available to ascertain a person’s 10-year risk for a CHD event. Persons with a 10-year risk >20% are considered to be high-risk, those with a 10-year risk
Depression in Adults Title Population Recommendation Screening for Depression in Adults Nonpregnant adults 18 years or older Screen when staff-assisted depression care supports 1 are in place to assure accurate diagnosis, effective treatment, and followup. Grade: B Do not automatically screen when staff-assisted depression care supports 1 are not in place. Grade: C Risk Assessment Persons at increased risk for depression are considered at risk throughout their lifetime. Groups at increased risk include persons with other psychiatric disorders, including substance misuse; persons with a family history of depression; persons with chronic medical diseases; and persons who are unemployed or of lower socioeconomic status. Also, women are at increased risk compared with men. However, the presence of risk factors alone cannot distinguish depressed patients from nondepressed patients. 27 Screening Tests Simple screening questions may perform as well as more complex instruments. Any positive screening test result should trigger a full diagnostic interview using standard diagnostic criteria. Timing of Screening Balance of Benefits and Harms Suggestions for Practice Relevant USPSTF Recommendations The optimal interval for screening is unknown. In older adults, significant depressive symptoms are associated with common life events, including medical illness, cognitive decline, bereavement, and institutional placement in residential or inpatient settings. Limited evidence suggests that screening for depression in the absence of staff-assisted depression care does not improve depression outcomes. “Staff-assisted depression care supports” refers to clinical staff that assists the primary care clinician by providing some direct depression care and/or coordination, case management, or mental health treatment. Related USPSTF recommendations on screening for suicidality and screening children and adolescents for depression are available at http://www.uspreventiveservicestaskforce.org. 1 Go to the Suggestions for Practice section of this figure for further explanation. For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting documents, please go to http://www.uspreventiveservicestaskforce.org.
Page 1 and 2: The Guide to Clinical Preventive Se
Page 3: The Guide to Clinical Preventive Se
Page 7 and 8: Preface The U.S. Preventive Service
Page 9: Selector (ePSS), available via PDA,
Page 12 and 13: Hemochromatosis, Screening.........
Page 15: Preventive Services Recommended by
Page 18 and 19: Section 1: Preventive Services Reco
Page 20 and 21: 4 13 Asymptomatic adults with susta
Page 23 and 24: Abdominal Aortic Aneurysm Title Scr
Page 25 and 26: Aspirin for the Prevention of Cardi
Page 27 and 28: Bacterial Vaginosis in Pregnancy Ti
Page 29 and 30: Bladder Cancer Title Population Rec
Page 31 and 32: Breast Cancer (Preventive Medicatio
Page 33 and 34: Breastfeeding Title Primary Care In
Page 35 and 36: Cervical Cancer Title Screening for
Page 37 and 38: Chronic Kidney Disease Title Popula
Page 39 and 40: Cognitive Impairment Title Populati
Page 41: Coronary Heart Disease (Risk Assess
Page 45 and 46: Falls in Older Adults Title Populat
Page 47 and 48: Genital Herpes Time Screening for G
Page 49 and 50: Glaucoma Title Population Recommend
Page 51 and 52: Healthful Diet and Physical Activit
Page 53 and 54: Hemochromatosis Title Population Re
Page 55 and 56: Hepatitis C Virus Infection Title S
Page 57 and 58: HIV Infection Title Population Reco
Page 59 and 60: Impaired Visual Acuity in Older Adu
Page 61 and 62: Lipid Disorders in Adults Title Scr
Page 63 and 64: Menopausal Hormone Therapy Title Me
Page 65 and 66: Obesity in Adults Title Population
Page 67 and 68: Osteoporosis Title Screening for Os
Page 69 and 70: Peripheral Artery Disease Title Pop
Page 71 and 72: Sexually Transmitted Infections Tit
Page 73 and 74: Skin Cancer (Screening) Title Scree
Page 75 and 76: Syphilis (Pregnant Women) Title Pop
Page 77 and 78: Tobacco Use in Adults Title Counsel
Page 79: Vitamin Supplementation to Prevent
Page 83 and 84: Blood Lead Levels in Children and P
Page 85 and 86: Congenital Hypothyroidism Title Scr
Page 87 and 88: Gonococcal Ophthalmia Neonatorum Ti
Page 89 and 90: High Blood Pressure (Children) Titl
Page 91 and 92: Illicit and Prescription Drug Use i
Page 93 and 94:
Iron Deficiency Anemia (Supplementa
Page 95 and 96:
Major Depressive Disorder in Childr
Page 97 and 98:
Phenylketonuria (PKU) Title Populat
Page 99 and 100:
Speech and Language Delay Title Pop
Page 101:
Visual Impairment in Children Ages
Page 105:
Immunizations for Adults and Childr
Page 109 and 110:
Topics in Progress Each USPSTF reco
Page 111:
Appendixes and Index
Page 114 and 115:
Grade Definitions What the Grades M
Page 116 and 117:
Grade Definitions Prior to May 2007
Page 118 and 119:
David Grossman, M.D., M.P.H. Center
Page 120 and 121:
Appendix C Acknowledgements AHRQ St
Page 122 and 123:
Liaisons to the USPSTF Primary care
Page 124 and 125:
The Task Force does not explicitly
Page 126 and 127:
■■ ■■ Access the Electronic
Page 128 and 129:
Appendix E More Resources AHRQ’s
Page 130 and 131:
Healthy People 2020 Healthy People
Page 133 and 134:
Index 2-hour postload plasma (see D
Page 135 and 136:
Coronary Heart Disease (Risk Assess
Page 137 and 138:
*Illicit and Prescription Drug Use
Page 139:
Syphilis Infection (Pregnant Women)
Page 143 and 144:
The U.S. Preventive Services Task F
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