Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement
Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement
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DOI：
10.7326/0003-4819-148-11-200806030-00007
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发表时间：
2008-06-03
影响因子：
39.2
通讯作者：
Yawn, Barbara P.
中科院分区：
文献类型：
--
作者：
Calonge, Ned;Petitti, Diana B.;Yawn, Barbara P.
描述：更新了美国预防服务工作组（USPSTF）关于成人2型糖尿病筛查的建议。方法：为了评估筛查的利弊平衡，USPSTF更新了2003年的证据回顾，增加了来自新试验的证据以及早期研究的更新。对当前建议的回顾侧重于早期治疗预防糖尿病长期不良后果的证据，包括心血管事件、视力损害、肾衰竭和截肢。建议：对持续血压（治疗或未治疗）大于135/80 mm Hg的无症状成人进行2型糖尿病筛查（B级推荐）。目前的证据不足以评估对血压为135/80 mm Hg或更低的无症状成人进行常规筛查的利弊平衡。(我声明)。
Description: Updated U. S. Preventive Services Task Force (USPSTF) recommendation about screening for type 2 diabetes mellitus in adults.Methods: To estimate the balance of benefits and harms of screening, the USPSTF updated its 2003 evidence review, adding evidence from new trials as well as updates on earlier studies. The review for this current recommendation focused on evidence that early treatment prevented long-term adverse outcomes of diabetes, including cardiovascular events, visual impairment, renal failure, and amputation.Recommendations: Screen for type 2 diabetes in asymptomatic adults with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. (B recommendation)Current evidence is insufficient to assess the balance of benefits and harms of routine screening in asymptomatic adults with blood pressure of 135/80 mm Hg or lower. (I statement).