National Academies Press: OpenBook

Clinical Practice Guidelines: Directions for a New Program (1990)

Chapter: Screening for Breast Cancer

« Previous: Appendix B Examples of Practice Guidelines
Suggested Citation:"Screening for Breast Cancer." Institute of Medicine. 1990. Clinical Practice Guidelines: Directions for a New Program. Washington, DC: The National Academies Press. doi: 10.17226/1626.
Page 129

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APPENDIX B 129 EXAMPLE 1 REPORT OF THE U.S. PREVENTIVE SERVICES TASK FORCE Screening for Breast Cancer The first guideline comes from the 1989 report of the U.S. Preventive Services Task Force, a 419-page document intended mainly for primary care providers. The methodology of the 20-member task force was, in many respects, modeled on that of a similar Canadian group first convened in 1976, in which a systematic process and explicit criteria were used to review evidence and develop recommendations. The task force's objective was "to develop comprehensive recommendations addressing preventive services for all age groups" for 60 target conditions. The report of the group describes its origins, methodology, and participants and includes a set of age-specific charts listing services to be considered during periodic health examinations for patients in seven different age groups. Recommendations for patient education and counseling are also included. After this introductory material, three sections of the report present recommendations related to screening services, counseling, and immunizations/chemoprophylaxis. Within the section on screening services, sets of guidelines related to 47 specific clinical problems are organized as separate chapters. Each chapter follows the approximate format presented in the example below.

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