老年人视力障碍筛查：美国预防服务工作组推荐声明。
Screening for Impaired Visual Acuity in Older Adults: US Preventive Services Task Force Recommendation Statement.
机构信息
Mount Sinai School of Medicine, New York2James J. Peters Veterans Affairs Medical Center, Bronx, New York.
University of California, San Francisco.
出版信息
JAMA. 2016 Mar 1;315(9):908-14. doi: 10.1001/jama.2016.0763.
DESCRIPTION
Update of the US Preventive Services Task Force (USPSTF) recommendation on screening for impaired visual acuity in older adults.
METHODS
The USPSTF reviewed the evidence on screening for visual acuity impairment associated with uncorrected refractive error, cataracts, and age-related macular degeneration among adults 65 years or older in the primary care setting; the benefits and harms of screening; the accuracy of screening; and the benefits and harms of treatment of early vision impairment due to uncorrected refractive error, cataracts, and age-related macular degeneration.
POPULATION
This recommendation applies to asymptomatic adults 65 years or older who do not present to their primary care clinician with vision problems.
RECOMMENDATION
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in older adults. (I statement).
描述
美国预防服务工作组（USPSTF）对老年人视力障碍筛查建议的更新。
方法
USPSTF 审查了在初级保健环境中对 65 岁及以上成年人进行与未经矫正的屈光不正、白内障和年龄相关性黄斑变性相关的视力障碍筛查的证据；筛查的益处和危害；筛查的准确性；以及治疗未经矫正的屈光不正、白内障和年龄相关性黄斑变性引起的早期视力障碍的益处和危害。
人群
本建议适用于无症状的 65 岁及以上成年人，他们没有因视力问题向初级保健临床医生就诊。
建议
USPSTF 得出结论，目前的证据不足以评估对老年人视力障碍筛查的利弊平衡。（I 级声明）。
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