Harvard Medical School, Boston, Massachusetts.
George Washington University, Washington, DC.
JAMA. 2024 Jan 23;331(4):329-334. doi: 10.1001/jama.2023.26952.
Speech and language delays and disorders can pose significant problems for children and their families. Evidence suggests that school-aged children with speech or language delays may be at increased risk of learning and literacy disabilities, including difficulties with reading and writing.
The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of screening for speech and language delay and disorders in children 5 years or younger.
Asymptomatic children 5 years or younger whose parents or clinicians do not have specific concerns about their speech, language, hearing, or development.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children who do not present with signs or symptoms or parent/caregiver concerns.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children 5 years or younger without signs or symptoms. (I statement).
言语和语言迟缓及障碍可能会给儿童及其家庭带来重大问题。有证据表明，有言语或语言迟缓的学龄儿童可能面临更高的学习和读写障碍风险，包括阅读和写作困难。
美国预防服务工作组（USPSTF）委托进行了一项系统评价，以评估对 5 岁或以下儿童进行言语和语言迟缓及障碍筛查的益处和危害。
无症状的 5 岁或以下儿童，其父母或临床医生对其言语、语言、听力或发育没有具体担忧。
USPSTF 的结论是，目前的证据不足以评估对无症状或无父母/照顾者担忧的儿童进行言语和语言迟缓及障碍筛查的益处和危害的平衡。
USPSTF 的结论是，目前的证据不足以评估对无症状的 5 岁或以下儿童进行言语和语言迟缓及障碍筛查的益处和危害的平衡。（I 级推荐）
