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为不同人群制定基于证据的临床预防服务推荐:美国预防服务工作组的方法。

Developing Recommendations for Evidence-Based Clinical Preventive Services for Diverse Populations: Methods of the U.S. Preventive Services Task Force.

机构信息

From University of California, San Francisco, San Francisco, California; Patient-Centered Outcomes Research Institute, Washington, DC; Agency for Healthcare Research and Quality, Rockville, Maryland; University of Washington and Group Health Research Institute, Seattle, Washington; Columbia University and Mt. Sinai Medical Center, New York, New York; Virginia Commonwealth University, Richmond, Virginia; Kaiser Permanente Research Affiliates Evidence-based Practice Center, Portland, Oregon; University of California, Los Angeles, Los Angeles, California; Yale University, New Haven, Connecticut; Pima County Department of Health, Tucson, Arizona; University of Iowa, Iowa City, Iowa; University of Alabama at Birmingham, Birmingham, Alabama; and State University of New York Upstate Medical University, Syracuse, New York.

出版信息

Ann Intern Med. 2017 Apr 18;166(8):565-571. doi: 10.7326/M16-2656. Epub 2017 Mar 7.

Abstract

The U.S. Preventive Services Task Force (USPSTF) summarizes the principles and considerations that guide development of its recommendations for diverse U.S. populations. It uses these principles through each step in the evidence-based guideline process: developing the research plan, conducting the evidence review, developing the recommendation, and communicating to guideline users. Three recent recommendations provide examples of how the USPSTF has used these principles: the 2015 recommendation on screening for abnormal blood glucose and type 2 diabetes; the 2016 recommendation on screening for breast cancer; and the recommendation on screening for prostate cancer, which is currently in progress. A more comprehensive list of recommendations that includes considerations for specific populations is also provided.

摘要

美国预防服务工作组(USPSTF)总结了指导其为美国不同人群制定建议的原则和考虑因素。它在循证指南制定过程的每一步中都使用这些原则:制定研究计划、进行证据审查、制定建议以及向指南使用者传达建议。最近的三项建议提供了 USPSTF 如何使用这些原则的例子:2015 年关于筛查异常血糖和 2 型糖尿病的建议;2016 年关于筛查乳腺癌的建议;以及目前正在进行的关于前列腺癌筛查的建议。还提供了一份更全面的建议清单,其中包括针对特定人群的考虑因素。

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