Interpretation of the Adult Well-male Examination by American Academy of Family Physician

doi:10.12114/j.issn.1007-9572.2019.00.144

Abstract

Abstract: Health examination is a basic ways and effective mean for disease prevention and health management.In December 2018，the American Family Physician published the latest guidelines for adult well-male examination.There is still no universally accepted guideline in this field in the United States.Therefore，it is the first evidence-based guideline for to men's health examination in primary care published by American Academy of Family Physician （AAFP）．This article refines and summarizes the core content of the guideline，and compares it with Expert Consensus about Basic Project in Physical Examination，to provide external reference for general practitioners and patients in China.

Key words: Physical examination, Adult, Male, Evidence-based practice

摘要： 健康体检是实施疾病预防和开展健康管理的基本途径及有效手段之一。2018年12月，American Family Physician上刊登了最新的初级保健成年男性健康体检指南。美国目前仍无普遍被接受的该领域的指南，因此，其实际上是美国家庭医生学会（AAFP）制定的第一个适用于初级保健领域的，关于男性健康体检的循证指南。本文对其核心内容进行了提炼与归纳，并将其与中国的《健康体检基本项目专家共识》进行了比较，以期为我国的全科医生及患者提供一定的外部参考信息。

关键词: 体格检查, 成年人, 男性, 循证实践

WANG Yang,XU Yanli. Interpretation of the Adult Well-male Examination by American Academy of Family Physician　[J]. Chinese General Practice, 2019, 22(14): 1637-1640. DOI: 10.12114/j.issn.1007-9572.2019.00.144.
汪洋,许岩丽. 2018年美国家庭医生学会《初级保健成年男性健康体检指南》解读[J]. 中国全科医学, 2019, 22(14): 1637-1640. DOI: 10.12114/j.issn.1007-9572.2019.00.144.

References

［1］HEIDELBAUGH J J.The adult well-male examination［J］．Am Fam Physician，2018，98（12）：729-737.
［2］GUYATT G H，OXMAN A D，VIST G E，et al．GRADE：an emerging consensus on rating quality of evidence and strength of recommendations ［J］．BMJ，2008，336（7650）：924-926．DOI：10.1136/bmj.39489.470347.AD.
［3］EBELL M H，SIWEK J，WEISS B D，et al．Strength of recommendation taxonomy （SORT）：a patient-centered approach to grading evidence in the medical literature［J］．J Am Board Fam Pract，2004，17（1）：59-67.
［4］JAMES P A，OPARIL S，CARTER B L，et al．2014 evidence-based guideline for the management of high blood pressure in adults：report from the panel members appointed to the Eighth Joint National Committee （JNC 8）［J］．JAMA，2014，311（5）：507-520．DOI：10.1001/jama.2013.284427.
［5］American Diabetes Association.2.Classification and diagnosis of diabetes：standards of medical care in diabetes—2018［J］．Diabetes Care，2018，41（Suppl 1）：S13-27．DOI：10.2337/dc18-S002.
［6］YOUNG G P，SYMONDS E L，ALLISON J E，et al．Advances in fecal occult blood tests：the FIT revolution［J］．Dig Dis Sci，2015，60（3）：609-622．DOI：10.1007/s10620-014-3445-3.
［7］HUMPHREY L L，DEFFEBACH M，PAPPAS M，et al．Screening for lung cancer with low-dose computed tomography：a systematic review to update the US Preventive services task force recommendation［J］．Ann Intern Med，2013，159（6）：411-420．DOI：10.7326/0003-4819-159-6-201309170-00690.
［8］KIM D K，BRIDGES C B，HARRIMAN K H，et al．Advisory committee on immunization practices recommended immunization schedule for adults aged 19 years or older：United States，2015［J］．MMWR Morb Mortal Wkly Rep，2015，64（4）：91-92.
［9］中华医学会健康管理学分会，中华健康管理学杂志编委会.健康体检基本项目专家共识［J］．中华健康管理学杂志，2014，8（2）：81-90．DOI：10.3760/cma.j.issn.1674-0815.2014.02.004.
［10］SACKETT D L，ROSENBERG W M，GRAY J A，et al．Evidence based medicine：what it is and what it isn't.1996［J］．Clin Orthop Relat Res，2007，455：3-5.
［11］北京健康管理协会，北京医学会健康管理分会.北京健康体检项目专家共识2017版［R］．2017.
［12］美国结直肠外科医师协会标准实践工作组织.结肠癌治疗指南［J］．中华胃肠外科杂志，2005，8（3）：269-272.
［27］RIMESTAD M L，LAMBEK R，ZACHER CHRISTIANSEN H，et al．Short- and long-term effects of parent training for preschool children with or at risk of ADHD：a systematic review and meta-analysis［J］．J Atten Disord，2016．［Epub ahead of print］．DOI：10.1177/1087054716648775.
［28］BIEDERMAN J，MONUTEAUX M C，SPENCER T，et al．Do stimulants protect against psychiatric disorders in youth with ADHD? A 10-year follow-up study［J］．Pediatrics，2009，124（1）：71-78．DOI：10.1542/peds.2008-3347.
［29］SWANSON J M，ARNOLD L E，MOLINA B S G，et al．Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder：symptom persistence，source discrepancy，and height suppression［J］．J Child Psychol Psychiatry，2017，58（6）：663-678．DOI：10.1111/jcpp.12684.
［30］HECHTMAN L，SWANSON J M，SIBLEY M H，et al．Functional adult outcomes 16 years after childhood diagnosis of attention-deficit/hyperactivity disorder：MTA results［J］．J Am Acad Child Adolesc Psychiatry，2016，55（11）：945-952，e2．DOI：10.1016/j.jaac.2016.07.774.
［31］KLEIN R G，MANNUZZA S，OLAZAGASTI M A，et al．Clinical and functional outcome of childhood attention-deficit/hyperactivity disorder 33 years later［J］．Arch Gen Psychiatry，2012，69（12）：1295-1303．DOI：10.1001/archgenpsychiatry.2012.271.
［32］GREENHILL L，KOLLINS S，ABIKOFF H，et al．Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD［J］．J Am Acad Child Adolesc Psychiatry，2006，45（11）：1284-1293．DOI：10.1097/01.chi.0000235077.32661.61.
［33］COHEN S C，MULQUEEN J M，FERRACIOLI-ODA E，et al．Meta-analysis：risk of tics associated with psychostimulant use in randomized，placebo-controlled trials［J］．J Am Acad Child Adolesc Psychiatry，2015，54（9）：728-736．DOI：10.1016/j.jaac.2015.06.011.
［34］HAILPERN S M，EGAN B M，LEWIS K D，et al．Blood pressure，heart rate，and cns stimulant medication use in children with and without ADHD：analysis of NHANES data［J］．Front Pediatr，2014，2：100．DOI：10.3389/fped.2014.00100.
［35］COOPER W O，HABEL L A，SOX C M，et al．ADHD drugs and serious cardiovascular events in children and young adults［J］．N Engl J Med，2011，365（20）：1896-1904．DOI：10.1056/NEJMoa1110212.
［36］HARSTAD E B，WEAVER A L，KATUSIC S K，et al．ADHD，stimulant treatment，and growth：a longitudinal study［J］．Pediatrics，2014，134（4）：e935-944．DOI：10.1542/peds.2014-0428.
［37］GORMAN D A，GARDNER D M，MURPHY A L，et al．Canadian guidelines on pharmacotherapy for disruptive and aggressive behaviour in children and adolescents with attention-deficit hyperactivity disorder，oppositional defiant disorder，or conduct disorder［J］．Can J Psychiatry，2015，60（2）：62-76．DOI：10.1177/070674371506000204.
［38］PALUMBO D R，SALLEE F R，PELHAM W E Jr，et al．
Clonidine for attention-deficit/hyperactivity disorder：Ⅰ.Efficacy and tolerability outcomes［J］．J Am Acad Child Adolesc Psychiatry，2008，47（2）：180-188．DOI：10.1097/chi.0b013e31815d9af7.
［39］CLEMOW D B，WALKER D J.The potential for misuse and abuse of medications in ADHD：a review［J］．Postgrad Med，2014，126（5）：64-81．DOI：10.3810/pgm.2014.09.2801.

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