Nominate a New Topic

Use this form for nominating new preventive service topics that have not been reviewed by the UPSTF. If you want to recommend reconsideration of an existing recommendation, please use the Topic Reconsideration Form.

Before submitting a new topic for nomination, please check that the topic is not:

Please complete this form and select "Submit." You will receive an automatic message to confirm your submission. We regret that the USPSTF cannot respond to each individual topic submission.

Caution: Please be aware that you need to complete each nomination you make in one computer session. It is not possible for nominations to be saved and reopened. 

 

Your Name and Affiliation (optional)
May we contact you about this nomination?

If "yes," please enter either your:

or

Topic Details (required)
New Preventive Service Topic You Are Nominating
Rationale for the Topic
Topic Category
What category or categories does this service fall under?
Primary Care Relevance
The preventive service must be provided in the primary care setting or referable from a primary care setting. Is this service:
Please describe the public health importance of the topic. Include burden of disease and suffering and the potential of preventive service to reduce that burden. (Approx. 400 words) 
Please describe the potential impact of USPSTF's review of the topic, for example, expected changes in clinical practice. (Approx. 100 words)
Supporting Documentation (required)
Please list the evidence that supports your topic nomination. Specific citations will allow the USPSTF to give fullest consideration to the details of your nomination. (All nominations will be fully considered.)

Documentation must be research published in peer-reviewed journals. Please note that the USPSTF does not evaluate cost-effectiveness studies of preventive services in developing its recommendations.

Please list full citation(s) here and include a link to the article or its abstract.