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Nominate a Recommendation Statement Topic

Anyone — including individuals and organizations — can nominate a topic for the U.S. Preventive Services Task Force (USPSTF) to consider for evaluation for a future recommendation. To nominate a topic:

  1. Read the information below about the USPSTF and how it chooses topics for its recommendations.
  2. Complete one of the Topic Nomination Forms below.

The USPSTF

The USPSTF is a Congressionally mandated, independent panel of medical experts in primary care and prevention composed of primary care providers—internists, pediatricians, family physicians, gynecologists/obstetricians, nurses, and health behavior specialists—who are charged with making recommendations to primary care providers about clinical preventive services.

The USPSTF Recommendations

The USPSTF rigorously evaluates clinical research to assess the benefits and harms of various preventive interventions (for example, screening for high blood pressure or colorectal cancer). The results of these evaluations are published as USPSTF Recommendation Statements on the USPSTF Web site (http://www.uspreventiveservicestaskforce.org/) and in various peer-reviewed medical journals.

USPSTF recommendations are intended to improve clinical practice and promote the health of the American public. The recommendations are on preventive services for asymptomatic people—people without signs or symptoms of the conditions targeted by the preventive service. The recommendations are meant to prevent the onset, spread of, or complications of disease. The USPSTF makes recommendations about three types of clinical preventive services:

The USPSTF reviews the evidence for a preventive service to determine its effectiveness, measured by the balance of benefits and harms—for specific groups based on age, sex, and other risk factors for the condition being addressed. For the USPSTF to consider a preventive service effective, benefits must outweigh the harms, or burdens experienced as a result of the service. The USPSTF looks at several different types of harms, including direct harms (such as harms from invasive procedures), and harms from follow-up testing or treatments. The USPSTF also considers excessive time or effort needed on the part of the patient or the health care provider to be a harm. The USPSTF does not evaluate the cost-effectiveness of preventive services.

After deliberation, the USPSTF assigns one of five letter ratings to its recommendations: A, B, C, D or I. For details about what the ratings indicate, go to http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm.

The goals in selecting topics for USPSTF Recommendations are:

Development of a Recommendation Statement from a newly nominated topic takes approximately 2-to-3 years. In past years, the USPSTF generally has selected one or two new topics a year for which to evaluate the evidence and develop a recommendation.

The USPSTF first considers whether a nominated topic is within the scope of the USPSTF, meaning that the topic:

  1. Relates to a preventive service that is meant to a) avoid the development of disease (primary prevention) or b) identify and treat an existing disease before it results in significant symptoms (secondary prevention);
  2. Is relevant to primary care; and
  3. Addresses a disease with a substantial health burden.

Topics that meet these criteria are prioritized according to:

  1. Public health importance (that is, burden of suffering and expected effectiveness of the preventive service to reduce that burden); and
  2. Potential for a recommendation to affect clinical practice (that is, it resolves a controversy or closes a gap between evidence and practice).

Full details of how the USPSTF chooses topics and develops recommendations from them are available in the USPSTF Procedure Manual at http://www.uspreventiveservicestaskforce.org/uspstf08/methods/procmanual2.htm

Topic Nomination for USPSTF Recommendations

A topic nomination may:

Nominations for new topics or reconsiderations are accepted at any time and are considered by the USPSTF at one of its regularly scheduled meetings in March, July, or November.

You may nominate a new topic or recommend reconsideration of an existing topic by selecting one of the topic nomination forms listed below:

Please select the New Topic Form to nominate new topics.

Please select the Topic Reconsideration Form to suggest updates or changes in scope for existing recommendations.

Please submit a separate form for each topic.

Return to USPSTF Page

Current as of February 2011


Internet Citation:

Nominate a Recommendation Statement Topic. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/tftopicnom.htm


 


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