Calonge Ned, Randhawa Gurvaneet
Colorado Department of Public Health and Environment, Denver, Colorado, USA.
Ann Intern Med. 2004 Nov 2;141(9):718-9. doi: 10.7326/0003-4819-141-9-200411020-00014.
The U.S. Preventive Services Task Force (USPSTF) formulates evidence-based recommendations for clinical preventive services. These recommendations are communicated by letter grades that reflect the quality of evidence and the magnitude of net health benefit expected from delivering the preventive service. When the USPSTF finds insufficient evidence to determine the balance of health benefits or harms of delivering a preventive service, because of a lack of studies, poor-quality studies, or good-quality studies with conflicting results, the USPSTF assigns the service an I letter grade. The USPSTF found insufficient evidence to recommend for or against screening for hepatitis C virus infection in high-risk individuals (I letter grade). This recommendation reflects the need for further research that would provide adequate evidence to assess the net health benefit for persons screened for hepatitis C virus infection.
美国预防服务工作组(USPSTF)为临床预防服务制定基于证据的建议。这些建议通过字母等级传达,反映证据质量以及提供预防服务预期的净健康效益大小。当USPSTF因缺乏研究、研究质量差或高质量研究结果相互矛盾而发现没有足够证据来确定提供预防服务的健康效益与危害之间的平衡时,USPSTF会给该服务指定一个I级字母等级。USPSTF发现没有足够证据推荐或反对对高危个体进行丙型肝炎病毒感染筛查(I级字母等级)。这一建议反映了需要进一步开展研究,以提供足够证据来评估对丙型肝炎病毒感染筛查人群的净健康效益。