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Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care

May 22, 2014 Comments off

Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care (PDF)
Source: U.S. Preventive Services Task Force

The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care.

This final recommendation statement applies to teens, adults, and older adults who do not have a diagnosed mental illness and who are not showing signs or symptoms of mental health concerns.

The final recommendation statement summarizes what the Task Force learned about the potential benefits and harms of suicide screening by primary care clinicians: There is not enough evidence to weigh the benefits and harms of screening the general population for suicide risk.

This fact sheet explains this recommendation and what it might mean for you.

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Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse

August 8, 2013 Comments off

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
Source: U.S. Preventive Services Task

The USPSTF recommends that clinicians screen adults aged 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening and behavioral counseling interventions in primary care settings to reduce alcohol misuse in adolescents.

U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Screening for Lung Cancer

July 30, 2013 Comments off

U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Screening for Lung Cancer (PDF)
Source: U.S. Preventive Services Task Force

The U.S. Preventive Services Task Force (Task Force) today posted its final evidence report and draft recommendation statement on screening for lung cancer. The Task Force is providing an opportunity for public comment on this draft recommendation statement until August 26. All public comments will be considered as the Task Force develops its final recommendation.

Based on the available evidence, the Task Force recommends screening people who are at high risk for lung cancer with annual low-dose CT scans, which can prevent a substantial number of lung cancer- related deaths. This is a grade B draft recommendation.

Smoking is the biggest risk factor for developing lung cancer, resulting in about 85 percent of lung cancers in the United States. The risk for developing lung cancer also increases with age, with most lung cancers occurring in people age 55 or older.

After reviewing the evidence, the Task Force determined that you can reach a reasonable balance of benefits and harms by screening people who are 55 to 80 years old and have a 30 pack year or greater history of smoking, who are either current smokers or have quit in the past fifteen years. A “pack year” means that someone has smoked an average of one pack of cigarettes per day for a year. For example, a person reaches 30 pack years of smoking history by smoking a pack a day for 30 years or two packs a day for 15 years.

+ Draft Recommendation Statement

Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement

July 24, 2012 Comments off

Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force Recommendation Statement
Source: Annals of Internal Medicine

Description:
Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent household and recreational injuries, including falls.

Methods:
The USPSTF reviewed new evidence on the effectiveness and harms of primary care–relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories: multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.

Recommendations:
The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)

The USPSTF does not recommend automatically performing an in-depth multifactorial risk assessment in conjunction with comprehensive management of identified risks to prevent falls in community-dwelling adults aged 65 years or older because the likelihood of benefit is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of the circumstances of prior falls, comorbid medical conditions, and patient values. (Grade C recommendation)

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