Incorporating Longitudinal Surveillance Into the Delivery of Pediatric Screening Services

Autor: David C Grossman, Alex R. Kemper, Tiasha Barik Letostak
Rok vydání: 2021
Předmět:
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