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Potpourri
Cancer screening
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100

USPSTF recommends screening for high blood pressure in what 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

100

What is the USPSTF recommendation for screening for osteoporosis?

The USPSTF recommends screening for osteoporosis to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk for an osteoporotic fracture as estimated by clinical risk assessment. GRADE B

100

What are the USPSTF guidelines for screening for colorectal cancer?

The USPSTF recommends screening for colorectal cancer starting at age 45 years and continuing until age 75 years. GRADE A

100

What are the recommendations for screening for Chlamydia?

The USPSTF recommends screening for chlamydia in sexually active women age 24 years or younger and in older women who are at increased risk for infection. GRADE B

100

What are the recommendation about counseling about skin cancer?

The USPSTF recommends counseling children, adolescents, and young adults ages 6 months to 24 years who have fair skin about minimizing their exposure to ultraviolet radiation to reduce risk for skin cancer. GRADE B

200

What is the USPSTF recommendation for aspirin use during pregnancy to prevent preeclampsia?

The USPSTF recommends the use of low-dose aspirin (81 mg/day) as preventive medication after 12 weeks of gestation in persons who are at high risk for preeclampsia. GRADE B

200

What is the USPSTF recommendation for screening for anxiety in children?

The USPSTF recommends screening for anxiety in children and adolescents aged 8 to 18 years. GRADE B

200

What are the USPSTF recommendations for breast cancer?

For women, with or without clinical breast examination, they recommend a biennial screening in those age 40 years and older. GRADE B

200

What are the recommendations for screening for gonorrhea?

The USPSTF recommends screening for gonorrhea in sexually active women age 24 years or younger and in older women who are at increased risk for infection. GRADE B

200

What are the recommendations for screening for depression?

The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. Grade B

300

What is the USPSTF recommendation for screening for AAA?

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

300

What is the USPSTF recommendation for folic acid supplementation in pregnancy?

The USPSTF recommends that all persons planning to or who could become pregnant take a daily supplement containing 0.4 to 0.8 mg (400 to 800 mcg) of folic acid. GRADE A

300

What are the recommendations for lung cancer screening?

The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults ages 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. GRADE B

300

What are recommendations for all newborns for prevention of gonococcal ophthalmia neonatorum?

The USPSTF recommends prophylactic ocular topical medication (such as erythromycin) for all newborns for the prevention of gonococcal ophthalmia neonatorum. GRADE A

300

Who should be screened for obesity?

The USPSTF recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions. The USPSTF recommends that clinicians screen children age 6 years and older for obesity and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status. GRADE B

400

What are recommendations for ASA initiation, for prevention of what conditions and at what ages?

The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease and colorectal cancer in adults aged 40 to 59 years who have a 10% or greater 10-year cardiovascular risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years. GRADE C

400

Does the USPSTF recommend screening with a PSA level for prostate cancer?

For 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. Before deciding whether to be screened, men should have an opportunity to discuss the potential benefits and harms of screening with their clinician and to incorporate their values and preferences in the decision. Screening offers a small potential benefit of reducing the chance of death from prostate cancer in some men. However, many men will experience potential harms of screening, including false-positive results that require additional testing and possible prostate biopsy; overdiagnosis and overtreatment; and treatment complications, such as incontinence and erectile dysfunction. GRADE C

The USPSTF recommends against PSA-based screening for prostate cancer in men 70 years and older. GRADE D


400

What are the recommendations for cervical cancer screening?

The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. GRADE A

400

What are the recommendations for screening for HIV?

The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults ages 15 to 65 years. Younger adolescents and older adults who are at increased risk should also be screened. Also, the USPSTF recommends that clinicians screen all pregnant women for HIV, including those who present in labor who are untested and whose HIV status is unknown. GRADE A

400

What are the recommendations regarding counseling for tobacco use?

The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco. The USPSTF recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco. The USPSTF recommends that clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents. GRADE A, A, B 

500

What are the USPSTF guidelines on statin preventive medication?

The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a statin for the prevention of CVD events and mortality when all of the following criteria are met: 1) they are ages 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking); and 3) they have a calculated 10-year risk of a cardiovascular event of 10% or greater. Identification of dyslipidemia and calculation of 10-year CVD event risk requires universal lipids screening in adults ages 40 to 75 years. GRADE B

500

What do the different grades in the USPSTF guidelines stand for?

A- The USPSTF recommends the service. There is high certainty that the net benefit is substantial. Offer or provide this service. B- The USPSTF recommends the service. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. Offer or provide this service. C- The USPSTF recommends selectively offering or providing this service to individual patients based on professional judgment and patient preferences. There is at least moderate certainty that the net benefit is small. Offer or provide this service for selected patients depending on individual circumstances. 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. Discourage the use of this service. I- The USPSTF concludes that the 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. Read the clinical considerations section of USPSTF Recommendation Statement. If the service is offered, patients should understand the uncertainty about the balance of benefits and harms.

500

What are the USPSTF recommendations on breast cancer preventive medications?

The USPSTF recommends that clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk. For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene. GRADE B

500

What are the screening guidelines for HEP C virus infection?

The USPSTF recommends screening for hepatitis C virus (HCV) infection in adults aged 18 to 79 years. GRADE B

500

What are the recommendations for screening for intimate partner violence?

The USPSTF recommends that clinicians screen women of childbearing age for intimate partner violence, such as domestic violence, and provide or refer women who screen positive to intervention services. This recommendation applies to women who do not have signs or symptoms of abuse. Grade B