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uspstf reco grade a AND b - mitrasen - ArchivalUser - 09-16-2010

Topic- Description- Grade- Date in Effect
Abdominal aortic aneurysm screening: men The USPSTF recommends one-time screening for abdominal aortic aneurysm by ultrasonography in men aged 65 to 75 who have ever smoked. B


Alcohol misuse counseling The USPSTF recommends screening and behavioral counseling interventions to reduce alcohol misuse by adults, including pregnant women, in primary care settings. B


Anemia screening: pregnant women The USPSTF recommends routine screening for iron deficiency anemia in asymptomatic pregnant women. B


Aspirin to prevent CVD: men The USPSTF recommends the use of aspirin for men age 45 to 79 years when the potential benefit due to a reduction in myocardial infarctions outweighs the potential harm due to an increase in gastrointestinal hemorrhage. A March 2009



Aspirin to prevent CVD: women The USPSTF recommends the use of aspirin for women age 55 to 79 years when the potential benefit of a reduction in ischemic strokes outweighs the potential harm of an increase in gastrointestinal hemorrhage. A March 2009



Bacteriuria screening: pregnant women The USPSTF recommends screening for asymptomatic bacteriuria with urine culture for pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit, if later. A July 2008


Blood pressure screening The USPSTF recommends screening for high blood pressure in adults aged 18 and older. A December 2007


BRCA screening, counseling about The USPSTF recommends that women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes be referred for genetic counseling and evaluation for BRCA testing. B September 2005



Breast cancer preventive medication The USPSTF recommends that clinicians discuss chemoprevention with women at high risk for breast cancer and at low risk for adverse effects of chemoprevention. Clinicians should inform patients of the potential benefits and harms of chemoprevention. B July 2002



Breast cancer screening The USPSTF recommends screening mammography for women, with or without clinical breast examination, every 1-2 years for women aged 40 and older. B September 2002*



Breastfeeding counseling The USPSTF recommends interventions during pregnancy and after birth to promote and support breastfeeding. B October 2008


Cervical cancer screening The USPSTF strongly recommends screening for cervical cancer in women who have been sexually active and have a cervix. A January 2003


Chlamydial infection screening: non-pregnant women The USPSTF recommends screening for chlamydial infection for all sexually active non-pregnant young women aged 24 and younger and for older non-pregnant women who are at increased risk. A June 2007


Chlamydial infection screening: pregnant women The USPSTF recommends screening for chlamydial infection for all pregnant women aged 24 and younger and for older pregnant women who are at increased risk. B June 2007



Cholesterol abnormalities screening: men 35 and older The USPSTF strongly recommends screening men aged 35 and older for lipid disorders. A June 2008


Cholesterol abnormalities screening: men younger than 35 The USPSTF recommends screening men aged 20 to 35 for lipid disorders if they are at increased risk for coronary heart disease. B June 2008


Cholesterol abnormalities screening: women 45 and older The USPSTF strongly recommends screening women aged 45 and older for lipid disorders if they are at increased risk for coronary heart disease. A June 2008



Cholesterol abnormalities screening: women younger than 45 The USPSTF recommends screening women aged 20 to 45 for lipid disorders if they are at increased risk for coronary heart disease. B June 2008


Colorectal cancer screening 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. A October 2008



Dental caries chemoprevention: preschool children The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation at currently recommended doses to preschool children older than 6 months of age whose primary water source is deficient in fluoride. B April 2004


Depression screening: adolescents The USPSTF recommends screening of adolescents (12-18 years of age) for major depressive disorder when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral or interpersonal), and follow-up. B March 2009


Depression screening: adults The USPSTF recommends screening adults for depression when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up. B December 2009


Diabetes screening The USPSTF recommends screening for type 2 diabetes in asymptomatic adults with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. B June 2008


Folic acid supplementation The USPSTF recommends that all women planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid. A May 2009


Gonorrhea prophylactic medication: newborns The USPSTF strongly recommends prophylactic ocular topical medication for all newborns against gonococcal ophthalmia neonatorum. A May 2005


Gonorrhea screening: women The USPSTF recommends that clinicians screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection (that is, if they are young or have other individual or population risk factors). B May 2005


Healthy diet counseling The USPSTF recommends intensive behavioral dietary counseling for adult patients with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease. Intensive counseling can be delivered by primary care clinicians or by referral to other specialists, such as nutritionists or dietitians. B January 2003
Hearing loss screening: newborns The USPSTF recommends screening for hearing loss in all newborn infants. B July 2008


Hemoglobinopathies screening: newborns The USPSTF recommends screening for sickle cell disease in newborns. A September 2007
Hepatitis B screening: pregnant women The USPSTF strongly recommends screening for hepatitis B virus infection in pregnant women at their first prenatal visit. A June 2009
HIV screening The USPSTF strongly recommends that clinicians screen for human immunodeficiency virus (HIV) all adolescents and adults at increased risk for HIV infection. A July 2005

Hypothyrodism screening: newborns The USPSTF recommends screening for congenital hypothyroidism in newborns. A March 2008

Iron supplementation in children The USPSTF recommends routine iron supplementation for asymptomatic children aged 6 to 12 months who are at increased risk for iron deficiency anemia. B May 2006


Obesity screening and counseling: adults The USPSTF recommends that clinicians screen all adult patients for obesity and offer intensive counseling and behavioral interventions to promote sustained weight loss for obese adults. B December 2003


Obesity screening and counseling: children The USPSTF recommends that clinicians screen children aged 6 years and older for obesity and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status. B January 2010


Osteoporosis screening: women The USPSTF recommends that women aged 65 and older be screened routinely for osteoporosis. The USPSTF recommends that routine screening begin at age 60 for women at increased risk for osteoporotic fractures. B September 2002
PKU screening: newborns The USPSTF recommends screening for phenylketonuria (PKU) in newborns. A March 2008


Rh incompatibility screening: first pregnancy visit The USPSTF strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care. A February 2004


Rh incompatibility screening: 24-28 weeks gestation 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. B February 2004
STIs counseling The USPSTF recommends high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk for STIs. B October 2008



Tobacco use counseling and interventions: non-pregnant adults The USPSTF recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products. A April 2009


Tobacco use counseling: pregnant women The USPSTF recommends that clinicians ask all pregnant women about tobacco use and provide augmented, pregnancy-tailored counseling to those who smoke. A April 2009


Syphilis screening: non-pregnant persons The USPSTF strongly recommends that clinicians
screen persons at increased risk for syphilis infection. A July 2004


Syphilis screening: pregnant women The USPSTF recommends that clinicians screen all pregnant women for syphilis infection. A May 2009


Visual acuity screening in children The USPSTF recommends screening to detect amblyopia, strabismus, and defects in visual acuity in children younger than age 5 years. B May 2004