Reframing the US Preventive Services Task Force recommendations on screening for glaucoma.
Reframing the US Preventive Services Task Force recommendations on screening for glaucoma.
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重新制定美国预防服务工作组关于青光眼筛查的建议。
DOI：
10.1016/j.ajo.2014.08.004
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发表时间：
2014
影响因子：
4.2
通讯作者：
Parrish2nd,RichardK
中科院分区：
文献类型：
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作者：
Parrish2nd,RichardK
1951年，BRAV及其同事首次报道了美国费城10000名工人的青光眼筛查结果。1，2 60多年后，美国预防服务工作组（USPSTF）发表的建议得出结论，没有足够的证据来确定青光眼筛查对没有青光眼或其他视力问题体征或症状的成年人的潜在益处和危害。在过去的一年里，美国眼科学会和美国验光协会的成员就该建议的含义和意义进行了辩论，许多从业者仍然不确定如何解释这些发现。4，5了解报告中的关键术语如何使用有助于眼科护理专家和一般医疗保健提供者将建议转化为实践。美国国家医学图书馆将Medline Plus网站上的公共信息定义为“筛查”：“筛查是在出现症状之前寻找疾病的测试。筛查测试可以在疾病较易治疗的早期发现疾病。你可以在医生的办公室做一些筛查。其他人需要特殊的设备，所以你可能需要去不同的办公室或诊所。6英国国家筛查委员会进一步评论说：“筛查是一个识别表面上健康的人的过程，这些人可能患有某种疾病或病症的风险增加。然后可以为他们提供信息，进一步的测试和适当的治疗，以减少他们的风险和/或由疾病或病症引起的任何并发症。7这些定义与USPSTF的建议特别相关，USPSTF的建议仅限于由初级保健专业人员提供的青光眼筛查。初级保健专业人员被定义为提供一般卫生保健的医生和护士。USPSTF的建议没有讨论视力专家提供的护理，如眼科医生和验光师，他们进行全面的眼科检查。这些建议具体适用于
BRAV AND ASSOCIATES FIRST REPORTED THE results of glaucoma screening in the United States of 10 000 Philadelphia factory workers in 1951. 1, 2 More than 60 years later, published recommendations of the US Preventive Services Task Force (USPSTF) concluded that sufficient evidence does not exist ‘‘to determine the potential benefits and harms of glaucoma screening for adults who do not have signs or symptoms of glaucoma or other vision problems.’’3 In the last year, members of the American Academy of Ophthalmology and the American Optometric Association have debated the implications and meaning of the recommendation, and many practitioners are still not certain how to interpret the findings. 4, 5Understanding how key terms are used in the report helps both eye care specialists and general health care providers to translate the recommendations into practice. The US National Library of Medicine defines ‘‘screening’’for the purpose of public information on the Medline Plus website as:‘‘Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they’re easier to treat. You can get some screenings in your doctor’s office. Others need special equipment, so you may need to go to a different office or clinic.’’6 The UK National Screening Committee further comments:‘‘Screening is a process of identifying apparently healthy people who may be at increased risk of a disease or condition. They can then be offered information, further tests, and appropriate treatment to reduce their risk and/or any complications arising from the disease or condition.’’7 These definitions are particularly relevant to the USPSTF recommendations that are limited only to screening for glaucoma provided by a primary care professional. Primary care professionals are defined as doctors and nurses who provide general health care. The USPSTF recommendation does not discuss care provided by vision specialists, such as ophthalmologists and optometrists, who conduct comprehensive eye examinations. The recommendations specifically apply