Kemper Alex R, Fan Tina, Grossman David C, Phipps Maureen G
Division of Ambulatory Pediatrics, Nationwide Children's Hospital, Columbus, OH;
Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, MD.
Am J Clin Nutr. 2017 Dec;106(Suppl 6):1555S-1558S. doi: 10.3945/ajcn.117.155788. Epub 2017 Oct 25.
The US Preventive Services Task Force (USPSTF) makes recommendations to primary care providers regarding preventive services for asymptomatic patients. Recommendations are based on the scientific evidence that the delivery of the preventive service leads to improvements in meaningful patient outcomes. After a review of the available evidence, the USPSTF found insufficient evidence to recommend routine iron supplementation for pregnant women or routine screening for iron deficiency anemia in pregnant women or young children. The USPSTF identified a critical evidence gap that is related to whether changing hematologic indexes in otherwise asymptomatic pregnant women or in infants within populations who are reflective of the United States leads to an improvement in maternal or child health outcomes. Future research opportunities are described to address these important evidence gaps.
美国预防服务工作组(USPSTF)就无症状患者的预防服务向初级保健提供者提出建议。这些建议基于科学证据,即提供预防服务能改善有意义的患者结局。在对现有证据进行审查后,USPSTF发现证据不足,无法推荐对孕妇进行常规铁补充或对孕妇及幼儿进行缺铁性贫血的常规筛查。USPSTF发现了一个关键的证据空白,即在美国具有代表性的人群中,无症状孕妇或婴儿血液学指标的变化是否能改善母婴健康结局。文中描述了未来的研究机会,以填补这些重要的证据空白。