Title

Update on the methods of the U.S. Preventive Services Task Force: insufficient evidence

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Date

2-3-2009

Document Type

Article

Subjects

Advisory Committees; Decision Making; Evidence-Based Medicine; Health Services Research; *Preventive Health Services; United States

Disciplines

Life Sciences | Medicine and Health Sciences | Women's Studies

Abstract

The U.S. Preventive Services Task Force (USPSTF) seeks to provide reliable and accurate evidence-based recommendations to primary care clinicians. However, clinicians indicate frustration with the lack of guidance provided by the USPSTF when the evidence is insufficient to make a recommendation. This article describes a new USPSTF plan to commission its Evidence-based Practice Centers to collect information in 4 domains pertinent to clinical decisions about prevention and to report this information routinely. The 4 domains are potential preventable burden, potential harm of the intervention, costs (both monetary and opportunity), and current practice. The process and rationale used to select these domains are presented, along with examples of how clinicians might use the information to guide clinical decision making when evidence is insufficient.

Rights and Permissions

Citation: Ann Intern Med. 2009 Feb 3;150(3):199-205.

Related Resources

Link to Article in PubMed

PubMed ID

19189910