Content of USPSTF Recommendations Interpretation(3) in our journal

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    Interpretation of the Recommendation Statement by the USPSTF on the Screening for Chronic Obstructive Pulmonary Disease
    YANG Ziyu, ZHANG Rui, LIAO Xiaoyang, LEI Yi, JIA Yu, YANG Rong, LI Dongze
    Chinese General Practice    2024, 27 (14): 1661-1665.   DOI: 10.12114/j.issn.1007-9572.2023.0875
    Abstract361)   HTML10)    PDF(pc) (1142KB)(246)       Save

    Chronic obstructive pulmonary disease (COPD) is a common disease that seriously harms human health, and it is also a leading cause of death, with a large number of cases being underdiagnosed. Can COPD screening enable early diagnosis of the disease and improve patient outcomes? In 2022, the U.S. Preventive Services Task Force (USPSTF) updated its "Chronic Obstructive Pulmonary Disease Screening Recommendation Statement" (hereinafter referred to as the "Recommendation") for asymptomatic adults by evaluating the latest research evidence regarding the benefits and harms of COPD screening. Based on limited evidence, the USPSTF issused a 'D' statement (there is moderate certainty that the screening has no net benefit) and recommends against COPD screening for asymptomatic adults, which is consistent with the 2016 version. The current article interprets the principles of this Recommendation in the context of Chinese general practice.

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    Interpretation of Screening for Anxiety Disorders in Adults U.S. Preventive Services Task Force Recommendation Statement
    LEI Yu, ZENG Xin, WANG Tingting, ZHOU Shipan, SHEN Jing, ZOU Chuan
    Chinese General Practice    2024, 27 (14): 1665-1671.   DOI: 10.12114/j.issn.1007-9572.2024.0003
    Abstract413)   HTML6)    PDF(pc) (1249KB)(324)       Save

    Anxiety disorders are the most common mental illnesses and are often overlooked in primary care settings, with delays in initial treatment and significant impairment on patients' social function and quality of life. In 2023, the U.S. Preventive Services Task Force (USPSTF) published a recommendation statement on adult anxiety disorder screening in JAMA, along with the latest evidence report and systematic review results. The USPSTF suggests screening for anxiety in adults, including pregnant and postpartum women. However, current evidence on the risks and benefits of screening for anxiety in older adults is insufficient to determine the pros and cons of screening. This article combines the USPSTF statement with domestic and international research to provide an overview of several aspects: the current state of adult anxiety disorders domestically and internationally, a summary of the USPSTF recommendation statement, risk factors, early screening tools and their pros and cons, treatment, and the value of the statement for general practice guidance.

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