APPENDIX E-2: USPSTF GRADE A AND GRADE B SCREENING RECOMMENDATIONS FOR ADULTS

Disease

Screening Test

Comments

Abdominal aortic aneurysm

Abdominal ultrasound

Men who have ever smoked

Alcohol misuse

History

If present, behavioral counseling

Breast cancer

Mammogram

Age ≥ 40 years

Cervical cancer

Pap smear

Sexually active women with a cervix

Colorectal cancer

Colonoscopy, flexible sigmoidoscopy or FOBT

Age ≥ 50 years

Depression

Two-question quick screen

Mechanism for referral and followup required.

Quality improvement program desirable

Dyslipidemia

Lipid profile

If present, also screen for diabetes

Hypertension

Blood pressure measurement

If present, also screen for diabetes

Obesity

Calculate body mass index (BMI)

Counsel if BMI ≥ 30

Osteoporosis

History, Risk assessment, DEXA

Age ≥ 65 years; ≥ 60 years if high risk

Syphilis infection

VDRL, RDR, or TP-PA

Persons at increased risk

Pregnant Women

Asymptomatic bacteriuria

Urine culture

Chlamydial infection

Culture or Antibody or DNA tests

Hepatitis B infection

HBsAg test

Rh incompatibility

Rh (D) blood typing

Syphilis infection

VDRL, RDR, or TP-PA

REFERENCES

Canadian TF (Canadian Task Force on Preventive Health Care). Evidence-Based Clinical Prevention. Available at: http://www.ctfphc.org/; accessed May 4, 2004.


Harris, R.P., Helfand, M., Woolf, S.H., Lohr, K.N., Mulrow, C.D., Teutsch, S.M., Atkins, D. Current Methods of the U.S. Preventive Services Task Force: A Review of the Process. Am. J. Prev. Med. 20(suppl 3):21-35. 2001.


USPSTF (U.S. Preventive Services Task Force). Guide to Clinical Preventive Services. Available at: http://www.ahrq.gov/clinic/cps3dix.htm#cancer; accessed May 4, 2004.

USPSTF (U.S. Preventive Services Task Force). U.S. Preventive Services Task Force Ratings: Strength of Recommendations and Quality of Evidence. Guide to Clinical Preventive Services, Third Edition: Periodic Updates, 2000-2003. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.ahrq.gov/clinic/3rduspstf/ratings.htm#irec; accessed May 4, 2004.

USPSTF (U.S. Preventive Services Task Force). Preventive Services. U.S. Preventive Services Task Force (USPSTF). Available at: http://www.ahrq.gov/clinic/prevenix.htm; accessed May 4, 2004.



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