Incorporating Longitudinal Surveillance Into the Delivery of Pediatric Screening Services
Autor: | David C Grossman, Alex R. Kemper, Tiasha Barik Letostak |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Adolescent Usually asymptomatic Early detection Health outcomes Pediatrics Preventive care Education 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Mass Screening Longitudinal Studies Child Task force business.industry medicine.disease Congenital hypothyroidism Schedule (workplace) Autism spectrum disorder Family medicine Population Surveillance Pediatrics Perinatology and Child Health business Delivery of Health Care |
Zdroj: | Pediatrics. 148(Suppl 1) |
ISSN: | 1098-4275 |
Popis: | * Abbreviation: USPSTF — : US Preventive Services Task Force Screening activities aim to identify well-defined diseases at a time when early or presymptomatic identification could lead to better health outcomes compared with identification after symptoms become apparent. For example, newborns are screened for congenital hypothyroidism because they are usually asymptomatic at birth and early detection allows for thyroxine treatment before signs or symptoms develop, leading to the prevention of significant intellectual disability.1 Screening recommendations are formulated around specific conditions with highly specified algorithms and follow-up recommendations for those identified through screening as having the targeted condition. The primary source of preventive services recommendations followed by pediatricians is the American Academy of Pediatrics Bright Futures periodicity schedule, which outlines the specific services to be included as part of routine preventive care for children and adolescents.2 The periodicity schedule includes the recommendations for routine screening (ie, A or B recommendations) from the US Preventive Services Task Force (USPSTF)3 and other recommendations endorsed by the American Academy of Pediatrics, including some screening services for which the USPSTF either has not evaluated or found insufficient evidence to evaluate (ie, I statement). Examples of periodicity schedule recommendations with a USPSTF I statement include screening for autism spectrum disorder, developmental screening, lead screening, and screening for dyslipidemia. The periodicity schedule does not include any preventive services that the USPSTF has recommended against (ie, D recommendations). Screening for targeted conditions at prescribed age intervals is appealing because it facilitates and standardizes the implementation of these preventive services into practice. By screening for … Address correspondence to Alex R. Kemper, MD, MPH, MS, Nationwide Children’s Hospital, 700 Children’s Dr, LAC5411, Columbus, OH 43205-2664. E-mail: alex.kemper{at}nationwidechildrens.org |
Databáze: | OpenAIRE |
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