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

TitleUpdate on the methods of the U.S. Preventive Services Task Force: insufficient evidence.
Publication TypeJournal Article
Year of Publication2009
AuthorsPetitti DB, Teutsch SM, Barton MB, Sawaya GF, Ockene JK, DeWitt T
Corporate AuthorsU.S. Preventive Services Task Force
JournalAnnals of internal medicine
Volume150
Issue3
Pagination199-205
Date Published2009 Feb 3
ISSN1539-3704
KeywordsAdvisory Committees; Decision Making; Evidence-Based Medicine; Health Services Research; Preventive Health Services; United States
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.

Alternate JournalAnn. Intern. Med.