Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations

Alex R. Kemper, Alex H. Krist, Chien Wen Tseng, Matthew W. Gillman, Iris R. Mabry-Hernandez, Michael Silverstein, Roger Chou, Paula Lozano, B. Nedrow Calonge, Tracy A. Wolff, David C. Grossman

Research output: Contribution to journalArticle

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Abstract

The U.S. Preventive Services Task Force (USPSTF) uses an objective evidence-based approach to develop recommendations. As part of this process, the USPSTF also identifies important research gaps in scientific evidence. In March 2016, the USPSTF convened an expert panel to discuss its portfolio of child and adolescent recommendations and identify unique methodologic issues when evaluating evidence regarding children and adolescents. The panel identified key domains of challenges, including measuring patient-centered health outcomes; identifying intermediate outcomes predictive of important health outcomes; evaluating the long time horizon needed to assess the balance of benefits and harms; understanding trajectories of growth and development that result in unique windows of time when expected benefits or harms of a preventive service can vary; and considering the perspectives of other individuals who might be affected by the delivery of a preventive service to a child or adolescent. Although the expert panel expressed an interest in being able to make more recommendations for or against preventive services for children and adolescents, it also reinforced the importance of ensuring recommendations were based on sound and sufficient evidence to ensure greatest benefit and minimize unnecessary harms. Accordingly, the need to highlight areas with insufficient evidence is as important as making recommendations. Having identified these key challenges, the USPSTF and other organizations issuing guidelines have an opportunity to advance their methods of evidence synthesis and identified evidence gaps represent important opportunities for researchers and policy makers.

LanguageEnglish (US)
PagesS63-S69
JournalAmerican Journal of Preventive Medicine
Volume54
Issue number1
DOIs
StatePublished - Jan 1 2018

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Advisory Committees
Preventive Medicine
Health
Administrative Personnel
Growth and Development
Research Personnel
Organizations
Guidelines
Child Health
Research

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Kemper, A. R., Krist, A. H., Tseng, C. W., Gillman, M. W., Mabry-Hernandez, I. R., Silverstein, M., ... Grossman, D. C. (2018). Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations. American Journal of Preventive Medicine, 54(1), S63-S69. DOI: 10.1016/j.amepre.2017.08.023

Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations. / Kemper, Alex R.; Krist, Alex H.; Tseng, Chien Wen; Gillman, Matthew W.; Mabry-Hernandez, Iris R.; Silverstein, Michael; Chou, Roger; Lozano, Paula; Calonge, B. Nedrow; Wolff, Tracy A.; Grossman, David C.

In: American Journal of Preventive Medicine, Vol. 54, No. 1, 01.01.2018, p. S63-S69.

Research output: Contribution to journalArticle

Kemper, AR, Krist, AH, Tseng, CW, Gillman, MW, Mabry-Hernandez, IR, Silverstein, M, Chou, R, Lozano, P, Calonge, BN, Wolff, TA & Grossman, DC 2018, 'Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations' American Journal of Preventive Medicine, vol 54, no. 1, pp. S63-S69. DOI: 10.1016/j.amepre.2017.08.023
Kemper AR, Krist AH, Tseng CW, Gillman MW, Mabry-Hernandez IR, Silverstein M et al. Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations. American Journal of Preventive Medicine. 2018 Jan 1;54(1):S63-S69. Available from, DOI: 10.1016/j.amepre.2017.08.023
Kemper, Alex R. ; Krist, Alex H. ; Tseng, Chien Wen ; Gillman, Matthew W. ; Mabry-Hernandez, Iris R. ; Silverstein, Michael ; Chou, Roger ; Lozano, Paula ; Calonge, B. Nedrow ; Wolff, Tracy A. ; Grossman, David C./ Challenges in Developing U.S. Preventive Services Task Force Child Health Recommendations. In: American Journal of Preventive Medicine. 2018 ; Vol. 54, No. 1. pp. S63-S69
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