The AAFP recommends against routine screening for pancreatic cancer in asymptomatic adults using abdominal palpation, ultrasonography, or serologic markers.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspspanc.htm
P-T: Recommendations for Clinical Preventive Services
Pancreatic Cancer
Peripheral Arterial Disease
The AAFP recommends against routine screening for peripheral arterial disease (PAD).
Clinical Considerations: www.ahrq.gov/clinic/uspstf05/pad/padrs.htm#clinical
Clinical Considerations: www.ahrq.gov/clinic/uspstf05/pad/padrs.htm#clinical
Phenylketonuria
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
The AAFP recognizes that regular physical activity is desirable. The effectiveness of physician's advice and counseling in this area is uncertain.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsphys.htm
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsphys.htm
Poliomyelitis
The AAFP strongly recommends immunizing all children for poliomyelitis using AAFP recommendations unless contraindicated.
Recommended Childhood and Adolescent Immunization Schedule
Recommended Childhood and Adolescent Immunization Schedule
Prostate Cancer
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
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
The AAFP strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
Rh (D) Incompatibility
The AAFP recommends repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24-28 weeks' gestation.
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.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.
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 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.
Clinical Considerations: http://www.ahrq.gov/clinic/uspstf06/speech/speechrs.htm#clinicalb
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.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm
Syphilis
The AAFP recommends that clinicians screen all pregnant women for syphilis infection.
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/syphilis/syphpgrs.htm#clinical
(Grade: A recommendation)
(Grade Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf09/syphilis/syphpgrs.htm#clinical
Syphilis
The AAFP recommends against routine screening of asymptomatic persons who are not at increased risk for syphilis infection.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm
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.
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspstest.htm
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.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsthca.htm
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsthca.htm
Thyroid Disease
The AAFP concludes that the evidence is insufficient to recommend for or against routine screening for thyroid disease in adults.
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsthyr.htm
Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsthyr.htm
Thyroid Function abnormalities
The AAFP strongly recommends ordering screening test for thyroid function abnormalities in neonates.
Tobacco Use
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 Definition: http://www.ahrq.gov/clinic/uspstf/gradespost.htm#arec)
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
Tobacco Use
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
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.
Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm
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
AAFP Summary of Recommendations for Clinical Preventive Services Tool
P-T
Clinical Preventive Services (*PDF file)
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