The AAFP recommends against routine screening for pancreatic cancer in asymptomatic adults using abdominal palpation, ultrasonography, or serologic markers.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspspanc.htm
P-T: Recommendations for Clinical Preventive Services
Pancreatic Cancer, Adults
Peripheral Arterial Disease
The AAFP recommends against routine screening for peripheral arterial disease (PAD).
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf05/pad/padrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf05/pad/padrs.htm#clinical
Phenylketonuria, Newborn
The AAFP recommends for phenylketonuria (PKU) in newborns.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/pku/pkurs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/pku/pkurs.htm#clinical
Physical Activity, Counseling
The AAFP recognizes that regular physical activity is desirable. The effectiveness of physician's advice and counseling in this area is uncertain.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsphys.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsphys.htm
Prostate Cancer, Men
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of prostate cancer screening in men younger than age 75 years.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec) Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical
Prostate Cancer, Men
The AAFP recommends against screening for prostate cancer in men age 75 years or older.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical
Pulmonary Chronic Obstructive Disease
The AAFP recommends against screening asymptomatic adults for chronic obstructive pulmonary disease (COPD) using spiromtery.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: http://ahrq.gov/clinic/uspstf08/copd/copdrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Consideration: http://ahrq.gov/clinic/uspstf08/copd/copdrs.htm#clinical
Rh (D) Incompatibility, Pregnant Women
The AAFP strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
Rh (D) Incompatibility, Pregnant
The AAFP recommends repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24-28 weeks' gestation.
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
Scoliosis, Idiopathic in Adolescents
The AAFP recommends against the routine screening of asymptomatic adolescents for idiopathic scoliosis.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsaisc.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsaisc.htm
Second Hand Smoke
The AAFP strongly recommends to counsel smoking parents with children in the house regarding the harmful effects of smoking and children’s health.
Sexually Transmitted Infections (STIs), Adolescents and Adults
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.
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations for risk assessment: http://www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
(Grade: B recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations for risk assessment: http://www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
Sexually Transmitted Infections (STIs), Adolescents and Adults
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.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations for risk assessment: http://www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations for risk assessment: http://www.ahrq.gov/clinic/uspstf08/sti/stirs.htm#clinical
Sickle Cell Disease, Newborns
The AAFP recommends screening for sickle cell disease in all newborns.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/sicklecell/sicklers.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf07/sicklecell/sicklers.htm#clinical
Skin Cancer
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of using a whole-body skin examination by a primary care clinician or patient skin self-examination for the early detection of cutaneous melanoma, basal cell cancer, or squamous cell skin cancer in the adult general population.
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/skincancer/skincanrs.htm#clinical
(Grade: I statement)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/skincancer/skincanrs.htm#clinical
Speech and Language Delay in Preschool Children
The AAFP concludes that the evidence is insufficient to recommend for or against routine use of brief, formal screening instruments in primary care to detect speech and language delay in children up to 5 years of age.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf06/speech/speechrs.htm#clinicalb
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf06/speech/speechrs.htm#clinicalb
Syphilis
The AAFP strongly recommends that clinicians screen persons at increased risk for syphilis infection.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm
Syphilis
The AAFP recommends against routine screening of asymptomatic persons who are not at increased risk for syphilis infection.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/syphilis/syphpgrs.htm#clinical
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/syphilis/syphpgrs.htm#clinical
Syphilis, Pregnant Women
The AAFP strongly recommends that clinicians screen all pregnant women for syphilis infection.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#post)
(Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm)
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#post)
(Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm)
Testicular Cancer
The AAFP recommends against routine screening for testicular cancer in asymptomatic adolescents and adult males.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspstest.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspstest.htm
Thyroid Cancer
The AAFP recommends against the use of ultrasound screening for thyroid cancer in asymptomatic persons.
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsthca.htm
(Grade: D recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsthca.htm
Thyroid Disease, Adults
The AAFP concludes that the evidence is insufficient to recommend for or against routine screening for thyroid disease in adults.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsthyr.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsthyr.htm
Thyroid Function abnormalities, Newborns
The AAFP strongly recommends ordering screening test for thyroid function abnormalities in neonates.
Tobacco Use, Adults
The AAFP recommends that clinicians screen all adults for tobacco use and provide tobacco cessation interventions for those who use tobacco products.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
Tobacco Use, Pregnant Women
The AAFP recommends that clinicians screen all pregnant women for tobacco use and provide 5-15 minutes of smoking cessation counseling using messages and self-help materials tailored for pregnant smokers.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
Tobacco Use, Counseling, Children and Adolescent
The AAFP recognizes avoidance of tobacco products by children and adolescents is desirable. The effectiveness of physician advice and counseling in this area is uncertain.
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
(Grade: I recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/grades.htm#pre)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
Tuberculosis
The AAFP strongly recommends screening for tuberculosis by applying the mantoux test to patients at high risk for tuberculosis, including those with close contacts to person with known or suspected TB, health care workers, immigrants from countries with high TB prevalence, HIV positive individuals, alcoholics, injection drug users, residents of long term care facilities, and medically underserved low income people.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstubr.htm
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstubr.htm
Clinical Preventive Services
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