儿童 1 至 5 岁视力筛查：美国预防服务工作组推荐声明。
Vision screening for children 1 to 5 years of age: US Preventive Services Task Force Recommendation statement.
机构信息
Agency for Healthcare Research and Quality, Center for Primary Care, Prevention, and Clinical Partnerships, 540 Gaither Rd, Rockville, MD 20850.
出版信息
Pediatrics. 2011 Feb;127(2):340-6. doi: 10.1542/peds.2010-3177. Epub 2011 Jan 31.
OBJECTIVE
The goal was to provide an update of the 2004 US Preventive Services Task Force (USPSTF) statement about screening for visual impairment in children <5 years of age.
METHODS
The USPSTF examined evidence on the association of screening for visual impairment in children 1 to 5 years of age with improved health outcomes, the accuracy of risk factor assessment and screening tests, the effectiveness of early detection and treatment, and the harms of screening and treatment.
RECOMMENDATION
The USPSTF recommends vision screening for all children at least once between the ages of 3 and 5 years, to detect the presence of amblyopia or its risk factors (grade B recommendation). The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of vision screening for children <3 years of age (I statement).
目的
更新 2004 年美国预防服务工作组（USPSTF）关于儿童 <5 岁视力障碍筛查的声明。
方法
USPSTF 检查了儿童 1 至 5 岁视力障碍筛查与改善健康结果、危险因素评估和筛查测试的准确性、早期发现和治疗的有效性以及筛查和治疗的危害之间关联的证据。
建议
USPSTF 建议对 3 至 5 岁之间的所有儿童至少进行一次视力筛查，以发现弱视或其危险因素（B 级推荐）。USPSTF 得出结论，目前的证据不足以评估儿童 <3 岁视力筛查的利弊平衡（I 声明）。
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