Mary B. Barton, MD, MPP; Therese Miller, DrPH; Tracy Wolff, MD, MPH; Diana Petitti, MD, MPH; Michael LeFevre, MD, MSPH; George Sawaya, MD; Barbara Yawn, MD, MS, MSc; Janelle Guirguis-Blake, MD; Ned Calonge, MD, MPH; Russell Harris, MD, MPH; U.S. Preventive Services Task Force
Barton MB, Miller T, Wolff T, Petitti D, LeFevre M, Sawaya G, et al. How to Read the New Recommendation Statement: Methods Update from the U.S. Preventive Services Task Force. Ann Intern Med. 2007;147:123-127. doi: 10.7326/0003-4819-147-2-200707170-00171
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Published: Ann Intern Med. 2007;147(2):123-127.
Since 2001, the U.S. Preventive Services Task Force (USPSTF) has worked to refine its methods of evidence review and assessment and to create more usable documents in response to clinicians' needs. These changes have resulted in a revised grading system, as well as a new format and new language for the recommendation statement. This paper focuses on the changes to and the new look of the USPSTF recommendation statement. The new recommendation statement comprises 9 sections. Important changes include standardization of the format of the summary statement to specify what service is being recommended in what population; standardization of the headings in the rationale section; a change in the wording of the grade C recommendation and the I statement; and a new section, called â€œOther Considerations,â€ in which salient issues related to cost-effectiveness, mandates, and other implementation issues are described.
All of the information in this summary comes from the specific recommendation statements and associated clinical considerations. For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting documents, see http://www.preventiveservices.ahrq.gov.
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