PMID- 19840701
OWN - NLM
STAT- MEDLINE
DCOM- 20100118
LR  - 20091020
IS  - 1873-2607 (Electronic)
IS  - 0749-3797 (Linking)
VI  - 37
IP  - 5
DP  - 2009 Nov
TI  - Clinical preventive services for adolescents.
PG  - 445-54
LID - 10.1016/j.amepre.2009.06.017 [doi]
AB  - CONTEXT: Most of the many clinical preventive services (CPS) recommended for 
      adolescents by various national organizations lack good evidence of 
      effectiveness. Improving adolescent preventive care will require focusing on 
      those CPS for which there is such evidence and on developing better delivery 
      strategies. The objective of the current study was to identify those CPS for 
      adolescents that do have a strong evidence base, to update the literature review 
      and summarize evidence gaps where research is needed, and to summarize current 
      delivery prevalence and opportunities. EVIDENCE ACQUISITION: A summary was 
      conducted of the recommendations for adolescents of the U.S. Preventive Services 
      Task Force (USPSTF) and the CDC's Advisory Committee on Immunization Practices 
      (ACIP). An update is provided of the literature review for services with an 
      inadequate evidence base to support a recommendation. A summary was prepared of 
      the types of evidence still needed. A literature search was also conducted for 
      current delivery prevalence of recommended services for those aged 11-17 years, 
      and common gaps in the evidence were identified. EVIDENCE SYNTHESIS: Although 24 
      CPS for adolescents have been reviewed by the USPSTF, only ten received definite 
      recommendations and only seven of these favored delivery of the service. In 
      addition, the ACIP recommends four immunizations for all adolescents, and two 
      additional ones for those at high risk. There are many gaps in the evidence 
      supporting most of the other services as well as in the information about current 
      delivery prevalence. CONCLUSIONS: There are too many CPS recommended for 
      adolescents with insufficient evidence of effectiveness, and there is low 
      delivery prevalence for the few services with good evidence of effectiveness. 
      Both more research and more attention to the practice changes that might improve 
      delivery prevalence are needed.
FAU - Solberg, Leif I
AU  - Solberg LI
AD  - HealthPartners Research Foundation, Minneapolis, MN 55440-1524, USA. 
      leif.i.solberg@healthpartners.com
FAU - Nordin, James D
AU  - Nordin JD
FAU - Bryant, Tracie L
AU  - Bryant TL
FAU - Kristensen, Alyson Hazen
AU  - Kristensen AH
FAU - Maloney, Susan K
AU  - Maloney SK
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - Netherlands
TA  - Am J Prev Med
JT  - American journal of preventive medicine
JID - 8704773
SB  - IM
MH  - Adolescent
MH  - Adolescent Health Services/*organization & administration/standards
MH  - Child
MH  - Delivery of Health Care/organization & administration/standards/statistics & 
      numerical data
MH  - Evidence-Based Medicine/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Preventive Health Services/*organization & administration/standards
MH  - United States
RF  - 93
EDAT- 2009/10/21 06:00
MHDA- 2010/01/19 06:00
CRDT- 2009/10/21 06:00
PHST- 2009/02/03 00:00 [received]
PHST- 2009/06/04 00:00 [revised]
PHST- 2009/06/30 00:00 [accepted]
PHST- 2009/10/21 06:00 [entrez]
PHST- 2009/10/21 06:00 [pubmed]
PHST- 2010/01/19 06:00 [medline]
AID - S0749-3797(09)00490-5 [pii]
AID - 10.1016/j.amepre.2009.06.017 [doi]
PST - ppublish
SO  - Am J Prev Med. 2009 Nov;37(5):445-54. doi: 10.1016/j.amepre.2009.06.017.