The AAFP recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65 to 75 years who have ever smoked. (2005)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/aaascr/aaars.htm#clinical
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A-E: Recommendations for Clinical Preventive Services
Abdominal Aortic Aneurysm, Men
Abdominal Aortic Aneurysm, Men
The AAFP makes no recommendation for or against screening for abdominal aortic aneurysm (AAA) in men aged 65 to 75 years who have never smoked. (2005)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/aaascr/aaars.htm#clinical
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/aaascr/aaars.htm#clinical
Abdominal Aortic Aneurysm, Women
The AAFP recommends against routine screening for abdominal aortic aneurysm (AAA) in women. (2005)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/aaascr/aaars.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/aaascr/aaars.htm#clinical
Alcohol Misuse, Adults
The AAFP recommends screening and behavioral counseling interventions to reduce alcohol misuse by adults, including pregnant women, in primary care settings. (2004)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrin.htm
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrin.htm
Alcohol Misuse, Adolescents
The AAFP recognizes avoidance of alcohol products by adolescents is desirable. The effectiveness of physician's advice and counseling in this area is uncertain. (2004)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrin.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrin.htm
Bacteriuria, Asymptomatic, Pregnant Women
The AAFP recommends screening for asymptomatic bacteriuria with urine culture for pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit, if later. (2008)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/asymptbact/asbactrs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/asymptbact/asbactrs.htm#clinical
Bacteriuria, Asymptomatic, Men, Non-Pregnant Women
The AAFP recommends against screening for asymptomatic bacteriuria in men and nonpregnant women. (2008)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/asymptbact/asbactrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/asymptbact/asbactrs.htm#clinical
Bacterial Vaginosis, Pregnant Women
The AAFP recommends against screening for bacterial vaginosis in asymptomatic pregnant women at low risk for preterm delivery. (2008)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf08/bv/bvrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf08/bv/bvrs.htm#clinical
Bacterial Vaginosis, Pregnant Women
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for bacterial vaginosis in asymptomatic pregnant women at high risk for preterm delivery. (2008)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/bv/bvrs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/bv/bvrs.htm#clinical
Behavioral Counseling to Prevent Sexually Transmitted Infections
The AAFP recommends high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk for STIs. (2008)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
Behavioral Counseling to Prevent Sexually Transmitted Infections
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of behavioral counseling to prevent STIs in non-sexually active adolescents and in adults not at increased risk for STIs. (2008)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
Bladder Cancer, Adults
The AAFP recommends against routine screening for bladder cancer in adults. (2004)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsblad.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsblad.htm
Breast Cancer, Mammography, Before age 50
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP recommends that the decision to conduct screening mammography before age 50 should be individualized and take into account patient context including her risks as well as her values regarding specific benefits and harms. (2009)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP recommends that the decision to conduct screening mammography before age 50 should be individualized and take into account patient context including her risks as well as her values regarding specific benefits and harms. (2009)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer, Mammography, Women 50 and 74
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP recommends biennial (every two years) screening mammography for women between ages 50 and 74. (2009)
(Grade B recommendation)
(Grade Defination http://www.ahrq.gov/clinic/uspstf/gradespost.htm#brec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP recommends biennial (every two years) screening mammography for women between ages 50 and 74. (2009)
(Grade B recommendation)
(Grade Defination http://www.ahrq.gov/clinic/uspstf/gradespost.htm#brec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer, Mammography, Women 75 years and older
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP concludes that the current evidence is insufficient to assess the benefits and harms of screening mammography in women aged 75 years and older. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP concludes that the current evidence is insufficient to assess the benefits and harms of screening mammography in women aged 75 years and older. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer, Self BSE
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP recommends against clinicians teaching women Breast Self Examination (BSE). (2009)
(Grade D recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#drec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP recommends against clinicians teaching women Breast Self Examination (BSE). (2009)
(Grade D recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#drec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer, Clinical Breast Examination (CBE)
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP concludes that the current evidence is insufficient to assess the benefits and harms of clinical breast examination (CBE) for women aged 40 years and older. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP concludes that the current evidence is insufficient to assess the benefits and harms of clinical breast examination (CBE) for women aged 40 years and older. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer, Digital Mammography or MRI
Family physicians should discuss with each woman the potential benefits and harms of breast cancer screening tests and develop a plan for early detection of breast cancer that minimizes potential harms. These discussions should include the evidence regarding each screening test, the risk of breast cancer, and individual patient preferences. The recommendations below are based on current best evidence as summarized by the United States Preventive Services Task Force (USPSTF) and can help to guide physicians and patients. These recommendations are intended to apply to women who are not at increased risk of developing breast cancer and only apply to routine screening procedures.
The AAFP concludes that current evidence is insufficient to assess benefits and harms of either digital mammography or MRI instead of film screen mammography as screening modalities for breast cancer. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
The AAFP concludes that current evidence is insufficient to assess benefits and harms of either digital mammography or MRI instead of film screen mammography as screening modalities for breast cancer. (2009)
(Grade I recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm#clinical
Breast Cancer/BRCA Mutation Testing
The AAFP recommends that women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes be referred for genetic counseling and evaluation for BRCA testing. (2005)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/brcagen/brcagenrs.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/brcagen/brcagenrs.htm#clinical
Breast Cancer/BRCA Mutation Testing
The AAFP recommends against routine referral for genetic counseling or routine breast cancer susceptibility gene (BRCA) testing for women whose family history is not associated with increased risk for deleterious mutations in breast cancer susceptibility gene 1 (BRCA1) or breast cancer susceptibility gene 2 (BRCA2). (2005)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/brcagen/brcagenrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf05/brcagen/brcagenrs.htm#clinical
Breastfeeding, Structured Education and Counseling
The AAFP recommends interventions during pregnancy and after birth to promote and support breastfeeding. (2008)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/breastfeeding/brfeedrs.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/breastfeeding/brfeedrs.htm#clinical
Cardiovascular Disease, Aspirin for Prevention of
The AAFP recommends the use of aspirin for men age 45 to 79 years when the potential benefit due to a reduction in myocardial infarctions outweighs the potential harm due to an increase in gastrointestinal hemorrhage. (2009)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
Cardiovascular Disease, Aspirin for Prevention of
The AAFP recommends the use of aspirin for women age 55 to 79 years when the potential benefit of a reduction in ischemic strokes outweighs the potential harm of an increase in gastrointestinal hemorrhage. (2009)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
Cardiovascular Disease, Aspirin for Prevention of
The AAFP recommends against the use of aspirin for stroke prevention in women younger than 55 years and for myocardial infarction prevention in men younger than 45 years. (2009)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
Cardiovascular Disease, Aspirin for Prevention of
The AAFP concludes that the evidence is insufficient to assess the benefits and harms of aspirin for cardiovascular disease prevention in men and women 80 years or older. (2009)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/aspirincvd/aspcvdrs.htm#clinical
Carotid Artery Stenosis, Adults
The AAFP recommends against screening for asymptomatic carotid artery stenosis (CAS) in general adult populations. (2007)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
(Clinical Consideration: www.ahrq.gov/clinic/uspstf07/cas/casrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
(Clinical Consideration: www.ahrq.gov/clinic/uspstf07/cas/casrs.htm#clinical
Cervical Cancer, New Technologies
The AAFP concludes that there is insufficient evidence to recommend for or against routine use of new technologies to screen for cervical cancer. (2003)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
Cervical Cancer, HPV Testing
The AAFP concludes that there is insufficient evidence to recommend for or against routine use of human papillomavirus (HPV) testing as a primary screening test for cervical cancer. (2003)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
Cervical Cancer, Pap Smear
The AAFP strongly recommends that a Pap smear be completed at least every 3 years to screen for cervical cancer for women who have ever had sex and have a cervix. (2003)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/cervcan/cervcanrr.htm#clinical
Chlamydia, Women
The AAFP recommends screening for chlamydial infection for all sexually active non-pregnant young women aged 24 and younger and for older non-pregnant women who are at increased risk. (2007)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/chlamydia/chlamydiars.htm#clinicial
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/chlamydia/chlamydiars.htm#clinicial
Chlamydia, Pregnant Women
AAFP recommends screening for chlamydial infection for all pregnant women aged 24 and younger and for older pregnant women who are at increased risk. (2007)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/chlamydia/chlamydiars.htm#clinicial
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/chlamydia/chlamydiars.htm#clinicial
Chlamydia, Pregnant Women
The AAFP recommends against routinely providing screening for chlamydial infection for women aged 25 and older whether or not they are pregnant, if they are not at increased risk. (2007)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/ajpmsuppl/chlarr.htm#section2
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/ajpmsuppl/chlarr.htm#section2
Chlamydia, Men
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms screening for chlamydial infection for men. (2007)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/ajpmsuppl/chlarr.htm#section2
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/ajpmsuppl/chlarr.htm#section2
Chronic Obstructive Pulmonary Disease, Adults
The AAFP recommends against screening asymptomatic adults for chronic obstructive pulmonary disease (COPD) using spiromtery. (2008)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/copd/copdrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/copd/copdrs.htm#clinical
Colorectal Cancer, Adults
The AAFP recommends screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years. The risk and benefits of these screening methods vary. (2008)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
Colorectal Cancer, Adults
The AAFP recommends against routine screening for colorectal cancer in adults age 76 to 85 years. There may be considerations that support colorectal cancer screening in an individual patient. (2008)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
Colorectal Cancer, Adults
The AAFP recommends against screening for colorectal cancer in adults older than age 85 years. (2008)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Go to Rationale and Clinical Consideration : http://www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Go to Rationale and Clinical Consideration : http://www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
Colorectal Cancer, Chemo Prevention
The AAFP recommends against the routine use of aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) to prevent colorectal cancer in individuals at average risk for colorectal cancer. (2008)
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Considerations: www.ahrq.gov/clinic/uspstf07/aspcolo/aspcolors.htm#clinical
(Grade: C recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Considerations: www.ahrq.gov/clinic/uspstf07/aspcolo/aspcolors.htm#clinical
Colorectal Cancer, Chemo Prevention, DNA Testing
The AAFP concludes that the evidence is insufficient to assess the benefits and harms of computed tomographic colongraphy and fecal DNA testing as screening modalities for colorectal cancer. (2008)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Go to Rationale and Clinical Consideration : www.ahrq.gov/clinic/uspstf08/colocancer/colors.htm
Congenital Hypothyroidism
The AAFP recommends screening for congenital hypothyroidism (CH) in newborns. (2008)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/conhypo/conhyprs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/conhypo/conhyprs.htm#clinical
Congenital rubella syndrome
The AAFP recommends screening for congenital rubella syndrome by assuring rubella immunity by history, serology, or vaccination in women of childbearing potential. (1996)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Coronary Heart Disease, Adults
The AAFP recommends against routine screening with resting electrocardiography (ECG), exercise treadmill test (ETT), or electron-beam computerized tomography (EBCT) scanning for coronary calcium for either the presence of severe coronary artery stenosis (CAS) or the prediction of coronary heart disease (CHD) events in adults at low risk for CHD events. (2004)
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsacad.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsacad.htm
Coronary Heart Disease, Adults
The AAFP found insufficient evidence to recommend for or against routine screening with electrocardiography (ECG), exercise treadmill test (ETT), electronbeam computerized tomography (EBCT) scanning for coronary calcium for either the presence of severe coronary artery stenosis (CAS) or the prediction of coronary heart disease (CHD) events in adults at increased risk for CHD events. (2004)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsacad.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsacad.htm
Coronary Heart Disease Risk Assessment, Using Nontraditional Risk Factors
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of using the nontraditional risk factors discussed in this statement to screen asymptomatic men and women with no history of CHD to prevent CHD events. (select "Clinical Considerations” for suggestions for practice when evidence is insufficient).
The nontraditional risk factors included in this recommendation are high-sensitivity C-reactive protein (hs-CRP), ankle-brachial index (ABI), leukocyte count, fasting blood glucose level, periodontal disease, carotid intima-media thickness (carotid IMT), coronary artery calcification (CAC) score on electron-beam computed tomography (EBCT), homocysteine level, and lipoprotein(a) level. (2010)
(Grade: I Recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/riskcoronaryhd/coronaryhdrs.htm#clinical
The nontraditional risk factors included in this recommendation are high-sensitivity C-reactive protein (hs-CRP), ankle-brachial index (ABI), leukocyte count, fasting blood glucose level, periodontal disease, carotid intima-media thickness (carotid IMT), coronary artery calcification (CAC) score on electron-beam computed tomography (EBCT), homocysteine level, and lipoprotein(a) level. (2010)
(Grade: I Recommendation)
(Grade Defination: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf09/riskcoronaryhd/coronaryhdrs.htm#clinical
Dental Caries, Fluoride Supplementation
The AAFP strongly recommends ordering fluoride supplementation to prevent dental caries based on age and fluoride concentration of patient’s water supply for infants and children age 6 months through 16 years residing in areas with inadequate fluoride in the water supply (less than 0.6 ppm). (2004)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsdnch.htm
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsdnch.htm
Depression, Adults
The AAFP recommends screening adults for depression.
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/depression/depressrr.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/3rduspstf/depression/depressrr.htm#clinical
Depression, Children and Adolescents
The AAFP recommends screening of adolescents (12-18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral or interpersonal), and follow-up. (2009)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/depression/chdeprrs.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/depression/chdeprrs.htm#clinical
Depression, Children and Adolescents
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening of children (7-11 years of age). (2009)
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/depression/chdeprrs.htm#clinical
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/depression/chdeprrs.htm#clinical
Diabetes, Gestational
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for gestational diabetes mellitus (GDM), either before or after 24 weeks gestation. (2008)
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf08/gestdiab/gdrs.htm#clinical
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf08/gestdiab/gdrs.htm#clinical
Diabetes, Type 2, Adults
The AAFP recommends screening for type 2 diabetes in asymptomatic adults with
sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. (2008)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/type2/type2rs.htm#clinical
sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. (2008)
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/type2/type2rs.htm#clinical
Diabetes, Type 2, Adults
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for type 2 diabetes in asymptomatic adults with blood pressure of 135/80 mm Hg or lower. (2008)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/type2/type2rs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/type2/type2rs.htm#clinical
Dysplasia (Developmental) of the Hip in Infants
The AAFP concludes that the evidence is insufficient to recommend routine screening for developmental dysplasia of the hip in infants as a means to prevent adverse outcomes. (2006)
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf06/hipdysp/hipdysrs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf06/hipdysp/hipdysrs.htm#clinical
Clinical Preventive Services
Clinical Preventive Services (*PDF file)
A
B
Behavioral Counseling to Prevent Sexually Transmitted Infections
C
Chronic Obstructive Pulmonary Disease
D
F
Family Violence and Intimate Partner Violence
G
Genital Herpes Simplex Virus Infection
H
Human Immunodeficiency Virus (HIV)
I
Insulin Dependent Diabetes Mellitus
L
N
O
P
Pulmonary Chronic Obstructive Disease
R
S
Sexually Transmitted Infections (STIs)
T
V
(*PDF file. About PDFs)
