Update on the Methods of the US Preventive Services Task Force: Insufficient Evidence
Update on the Methods of the US Preventive Services Task Force: Insufficient Evidence
复制标题
DOI：
10.7326/0003-4819-150-3-200902030-00010
复制
发表时间：
2009-02-03
影响因子：
39.2
通讯作者：
DeWitt, Thomas
中科院分区：
文献类型：
--
作者：
Petitti, Diana B.;Teutsch, Steven M.;DeWitt, Thomas
美国预防服务工作组(USPSTF)寻求为初级保健临床医生提供可靠和准确的循证建议。然而，当证据不足以提出建议时，临床医生对USPSTF缺乏指导表示失望。本文描述了USPSTF的一项新计划，该计划委托其循证实践中心收集与临床预防决策相关的4个领域的信息，并定期报告这些信息。这4个领域是潜在的可预防的负担、干预的潜在危害、成本(包括金钱和机会)和当前的做法。介绍了用于选择这些领域的过程和基本原理，以及当证据不足时临床医生如何使用这些信息来指导临床决策的例子。
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.