You make my heart skip a beat <^3
Screening for high blood pressure is recommended in this age group.
The USPSTF recommends screening for high blood pressure in adults aged 18 years or older. The USPSTF recommends obtaining measurements outside of the clinical setting for diagnostic confirmation before starting treatment. GRADE A. Apr 2021.
Annual full body skin exams are this Grade.
GRADE I: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of visual skin examination by a clinician to screen for skin cancer in adolescents and adults.
GRADE B recommendation on screening for colon cancer in this age group.
The USPSTF recommends screening for colorectal cancer in adults aged 45 to 49 years. GRADE B.
GRADE A: The USPSTF recommends screening for colorectal cancer in all adults aged 50 to 75 years.
Asymptomatic Chlamydia Screening Recommendations... Go!
GRADE B Sept 2021
The USPSTF recommends screening for chlamydia AND gonorrhea in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection.
The USPSTF says this about breastfeeding.
The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.
GRADE B.
The USPSTF recommends AGAINST this test for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk for CHD events.
Resting and Excercise Electrocardiography (ECG). GRADE D. June 2018.
GRADE I: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening with resting or exercise ECG to prevent CVD events in asymptomatic adults at intermediate or high risk of CVD events.
Grade B and Grade C - this makes them different.
GRADE B: There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.
GRADE C: selectively offer or provide this service to individual patients based on professional judgment and patient preferences. There is at least moderate certainty that the net benefit is small.
Screening mammography is recommended at this interval for this age group.
The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
GRADE B. In review.
Screening for T2DM is recommended by the USPSTF if the patient meets these criteria.
The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity.
GRADE B. Aug 2021.
Depression screenings are GRADE B for patients starting at this age.
GRADE B: The USPSTF recommends screening for depression in the adult population, including pregnant and postpartum persons, as well as older adults. The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years.
June 2023
GRADE I: under 12.
The USPSTF recommendation for screening for AAA includes the following 3 criteria:
The USPSTF recommends one-time screening for abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have ever smoked. GRADE B. DEC 2019.
GRADE C: Men, 65-75, never smoked
GRADE D: Women, 65-75, never smoked
GRADE I: Women, 65-75, fam hx or ever smoked
Fluoride...for these patients on this timeline.
GRADE B: The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride.
GRADE B: The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.
DEC 2021
Screening for lung cancer is recommended using this modality in patients who meet the following criteria.
Annual low-dose computed tomography (LDCT)
Adults aged 50 to 80 years
20 pack-year smoking history
Currently smoke or have quit within the past 15 years
D/C once a person has not smoked for 15y or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
GRADE B. May 2021.
This patient population should receive prophylaxis for gonococcal eye infections.
The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum.
GRADE A. Jan 2019.
Age of recommended initiation of Obesity screening.
The USPSTF recommends that clinicians screen for obesity in patients 6y and older.
June 2017. GRADE B. In review.
GRADE C recommendation for initiation of low dose ASA at between these ages for the primary prevention of CVD.
The decision to initiate low-dose aspirin use for the primary prevention of CVD in adults aged 40 to 59 years who have a 10% or greater 10-year CVD risk should be an individual one. Evidence indicates that the net benefit of aspirin use in this group is small. Persons who are not at increased risk for bleeding and are willing to take low-dose aspirin daily are more likely to benefit. April 2022.
The USPSTF recommends the service. There is high certainty that the net benefit is substantial. This recommendation is GRADE *.
A
These are the recommendations for cervical cancer screening.
GRADE A: screen for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years.
Women aged 30 to 65 years, screen every 3 years with cervical cytology alone OR every 5 years with hrHPV testing alone OR every 5 years with hrHPV + cytology (cotesting).
GRADE D: under 21y or over 65y or s/p hysterectomy with cervix removed.
In Review. Aug 2018.
These 3 categories of patients should be screened for HIV.
All pregnant persons, including those who present in labor or at delivery whose HIV status is unknown.
Adolescents and adults aged 15 to 65 years.
Younger adolescents and older adults who are at increased risk of infection.
GRADE A, June 2019
Tobacco Use Screening - Tell me what you know.
Grade B
The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.
Grade A
The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and US Food and Drug Administration (FDA)--approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.
The USPSTF recommends that clinicians ask all pregnant persons about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant persons who use tobacco.
Guidelines on statin use in patients for primary prevention of CVD require a patient meet all of these criteria.
The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e. dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 10% or greater. GRADE B. Aug 2022.
GRADE D: CVD risk 7.5-10%
GRADE I: age over 76
GRADE D vs GRADE I
D: The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits.
I: current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.
The current recommendation for prostate cancer screening is this Grade.
GRADE C, May 2018
Men aged 55 to 69 years, the decision to undergo periodic prostate-specific antigen (PSA)-based screening for prostate cancer should be an individual one.
Including SDM discussion - benefits vs harm vs risk.
Clinicians should not screen men who do not express a preference for screening.
I should consider initiating recommended Hep C screening at this age.
The USPSTF recommends screening for hepatitis C virus (HCV) infection in adults aged 18 to 79 years. GRADE B. March 2020.
State the recommendations for screening for intimate partner violence and/or elder abuse.
GRADE B, Oct 2018, In review.
The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.
GRADE I
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for abuse and neglect in all older or vulnerable adults.